{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:05:50Z","timestamp":1761005150609,"version":"build-2065373602"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T00:00:00Z","timestamp":1750204800000},"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":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215125102570_sec1a\"><jats:title>Objectives<\/jats:title><jats:p>The American Academy of Otolaryngology endorses using image-guided navigation systems in appropriately selected sinus and skull base cases. This study aimed to understand current practices, accessibility and use of image-guided navigation systems in otolaryngology departments across the UK.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215125102570_sec2b\"><jats:title>Methods<\/jats:title><jats:p>A 13-point survey was distributed to UK otolaryngology consultants, with responses collated between May and December 2023.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215125102570_sec3c\"><jats:title>Results<\/jats:title><jats:p>A total of 154 responses were received. Whilst 28.6 per cent felt it should be mandatory for a department undertaking endoscopic sinus surgery to have image-guided navigation systems, 33.1 per cent reported a lack of access, with financial cost the primary barrier. Half of the respondents reported using image-guided navigation systems for surgery involving the sphenoid sinus and \u201cfull-house\u201d functional endoscopic sinus surgery. Over three-quarters felt image-guided navigation systems should be utilised for frontal sinus pathology or expanded approaches.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215125102570_sec4d\"><jats:title>Conclusion<\/jats:title><jats:p>Our study highlights variations in access to image-guided navigation systems and a range of practices regarding its use for endoscopic sinus surgery amongst UK otolaryngologists.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215125102570","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T03:07:06Z","timestamp":1750216026000},"page":"798-807","source":"Crossref","is-referenced-by-count":0,"title":["Accessibility and use of image-guided navigation systems for endoscopic sinus surgery in the UK: a cross-sectional, survey-based study of UK ENT consultants"],"prefix":"10.1017","volume":"139","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1086-1552","authenticated-orcid":false,"given":"Edward","family":"Balai","sequence":"first","affiliation":[{"name":"Imperial College Healthcare NHS Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5988-3405","authenticated-orcid":false,"given":"Mohammed Hassan","family":"Hussain","sequence":"additional","affiliation":[{"name":"University Hospitals of Leicester NHS Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karan","family":"Jolly","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adnan","family":"Darr","sequence":"additional","affiliation":[{"name":"University Hospitals Coventry & Warwickshire NHS Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"S0022215125102570_ref12","unstructured":"12 Medtronic Image-Guided Surgery Products. In: https:\/\/www.medtronic.com\/us-en\/healthcare-professionals\/products\/ear-nose-throat\/image-guided-surgery.html [ 8 June 2024 ]"},{"key":"S0022215125102570_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2018.11.004"},{"key":"S0022215125102570_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.01.025"},{"key":"S0022215125102570_ref5","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2006.0083"},{"key":"S0022215125102570_ref13","unstructured":"13 Stryker ENT Navigation System. In: https:\/\/www.stryker.com\/gb\/en\/ent\/products\/stryker-ent-navigation-system.htmlhttps:\/\/www.medtronic.com\/us-en\/healthcare-professionals\/products\/ear-nose-throat\/image-guided-surgery.html [8 June 2024 ]"},{"key":"S0022215125102570_ref9","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2006.20.2884"},{"key":"S0022215125102570_ref8","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-022-00581-x"},{"key":"S0022215125102570_ref2","unstructured":"2 American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) 2021. Position Statement: Intra-Operative Use of Computer Aided Surgery. In: https:\/\/www.entnet.org\/resource\/position-statement-intra-operative-use-of-computer-aided-surgery\/ [20 January 2024 ]"},{"key":"S0022215125102570_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/alr.20107"},{"key":"S0022215125102570_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3194-0"},{"key":"S0022215125102570_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2010.02.009"},{"key":"S0022215125102570_ref15","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200008000-00010"},{"key":"S0022215125102570_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813488519"},{"key":"S0022215125102570_ref14","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.20230633"},{"key":"S0022215125102570_ref7","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2015.29.4166"},{"key":"S0022215125102570_ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s11548-019-01930-4"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215125102570","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T02:11:35Z","timestamp":1760926295000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215125102570\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,18]]},"references-count":16,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["S0022215125102570"],"URL":"https:\/\/doi.org\/10.1017\/s0022215125102570","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"type":"print","value":"0022-2151"},{"type":"electronic","value":"1748-5460"}],"subject":[],"published":{"date-parts":[[2025,6,18]]}}}