{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T11:26:46Z","timestamp":1784028406470,"version":"3.55.0"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2013,3,12]],"date-time":"2013-03-12T00:00:00Z","timestamp":1363046400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215113000261_sec1\"><jats:title>Background:<\/jats:title><jats:p>The advantages and limitations of image guidance systems for endoscopic sinus surgery are unclear. We report our experience and present a meta-analysis of the evidence.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000261_sec2\"><jats:title>Methods:<\/jats:title><jats:p>We performed a retrospective analysis of endoscopic sinus surgery procedures performed with versus without image guidance. A total of 355 cases was included. Primary outcomes included complication rates and time to revision surgery. A literature search was conducted to enable identification and analysis of studies of similar comparisons.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000261_sec3\"><jats:title>Results:<\/jats:title><jats:p>Within 1.5 years of the index sinus surgical procedure, the risk of revision surgery was significantly higher for patients treated with non-assisted versus computer-assisted endoscopic sinus surgery (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.001). Meta-analysis did not indicate a reduction in complications or revision surgery procedures with the use of image guidance systems, although the majority of included studies showed a non-significant reduction in revision surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000261_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>Our study offers some evidence that computer-assisted endoscopic sinus surgery may delay residual disease and reduce the requirement for revision surgery. Although this finding was not borne out in the meta-analysis, the majority of identified studies demonstrated a trend towards fewer revision procedures after computer-assisted endoscopic sinus surgery. This type of surgery may offer other advantages that are not easily measurable.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215113000261","type":"journal-article","created":{"date-parts":[[2013,3,12]],"date-time":"2013-03-12T13:52:30Z","timestamp":1363096350000},"page":"368-377","source":"Crossref","is-referenced-by-count":26,"title":["Computer or not? Use of image guidance during endoscopic sinus surgery for chronic rhinosinusitis at St Paul's Hospital, Vancouver, and meta-analysis"],"prefix":"10.1017","volume":"127","author":[{"given":"V S","family":"Sunkaraneni","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Yeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Qian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A R","family":"Javer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,3,12]]},"reference":[{"key":"S0022215113000261_ref33","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199407000-00023"},{"key":"S0022215113000261_ref32","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2006.0083"},{"key":"S0022215113000261_ref30","doi-asserted-by":"publisher","DOI":"10.2500\/105065801781543709"},{"key":"S0022215113000261_ref29","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3297"},{"key":"S0022215113000261_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.01.025"},{"key":"S0022215113000261_ref26","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199404000-00002"},{"key":"S0022215113000261_ref24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2007.01513.x"},{"key":"S0022215113000261_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2004.06.002"},{"key":"S0022215113000261_ref22","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2006.20.2884"},{"key":"S0022215113000261_ref20","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199409000-00006"},{"key":"S0022215113000261_ref17","first-page":"116","article-title":"Outcome of functional endonasal sinus surgery with and without CT-navigation","volume":"46","author":"Tschopp","year":"2008","journal-title":"Rhinology"},{"key":"S0022215113000261_ref16","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5541121301"},{"key":"S0022215113000261_ref12","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00182"},{"key":"S0022215113000261_ref9","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2003.40436"},{"key":"S0022215113000261_ref8","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1177\/194589240201600403","article-title":"Comparison of endoscopic sinus surgery with and without image guidance","volume":"16","author":"Fried","year":"2002","journal-title":"Am J Rhinol"},{"key":"S0022215113000261_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-200502000-00008"},{"key":"S0022215113000261_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199807000-00001"},{"key":"S0022215113000261_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215109991368"},{"key":"S0022215113000261_ref31","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2007.21.2962"},{"key":"S0022215113000261_ref14","doi-asserted-by":"publisher","DOI":"10.4103\/0256-4947.60522"},{"key":"S0022215113000261_ref19","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198711000-00004"},{"key":"S0022215113000261_ref21","unstructured":"American Academy of Otolaryngology\u2013Head and Neck Surgery. 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