{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:56:51Z","timestamp":1787237811142,"version":"build-2736575974"},"reference-count":63,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,5,15]],"date-time":"2013-05-15T00:00:00Z","timestamp":1368576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Although image\u2010guided surgery (IGS) is considered a valuable tool, its impact on perioperative morbidity for endoscopic sinus surgery (ESS) remains unclear. The evidence from reported literature is systematically reviewed with meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>MEDLINE (1946 to September 14, 2012, week 2) and EMBASE (1974 to September 14, 2012, week 37).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>MEDLINE and EMBASE were searched using a search strategy for publications on IGS during ESS that reported original data on perioperative morbidity. PRISMA (Preferred Reporting Items for Systematic reviews and Meta\u2010Analyses) guidelines were followed. Both comparative cohort studies with non\u2010IGS cases and case series were included. Primary outcome was major and total complications. Secondary outcomes were specific orbital and intracranial injury, major hemorrhage, ability to complete the operation, and revision surgery. The incidence of these events was defined as dichotomous variables and expressed as a risk ratio (RR) in a fixed\u2010effects model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 2586 articles fulfilled the search, producing 55\u00a0included studies. Fourteen were comparative cohorts of IGS and non\u2010IGS sinus surgical patient populations used for meta\u2010analysis. Among the cohorts, major complications were more common in the non\u2010IGS group (RR = 0.48; 95% confidence interval [CI], 0.28\u20100.82;\n                      <jats:italic>P<\/jats:italic>\n                      =. 007). Total complications were greater in the non\u2010IGS group (RR = 0.66; 95% CI, 0.47\u20100.94;\n                      <jats:italic>P<\/jats:italic>\n                      =. 02). All other outcomes did not reach significance on meta\u2010analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Contrary to current review articles on the topic of IGS use during ESS, there is evidence from published studies that the use of IGS for sinus surgery, within selected populations, is associated with a lower risk of major and total complications compared with non\u2010IGS sinus surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0194599813488519","type":"journal-article","created":{"date-parts":[[2013,5,15]],"date-time":"2013-05-15T23:32:30Z","timestamp":1368660750000},"page":"17-29","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":131,"title":["Image\u2010Guided Surgery Influences Perioperative Morbidity from Endoscopic Sinus Surgery: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"149","author":[{"given":"Dustin M.","family":"Dalgorf","sequence":"first","affiliation":[{"name":"Rhinology and Skull Base, Applied Medical Research Centre St Vincent's Hospital University of New South Wales and Macquarie University Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond","family":"Sacks","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Concord General Hospital University of Sydney and Macquarie University Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter\u2010John","family":"Wormald","sequence":"additional","affiliation":[{"name":"Deparment of Surgery\u2013Otolaryngology Head and Neck Surgery University of Adelaide Adelaide SA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuresh","family":"Naidoo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Concord General Hospital University of Sydney and Macquarie University Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Panizza","sequence":"additional","affiliation":[{"name":"Queensland Skull Base Unit and Department of Otolaryngology\u2013Head and Neck Surgery Princess Alexandra Hospital and School of Medicine University of Queensland Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brent","family":"Uren","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Southern Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Royal Victorian Eye and Ear Hospital Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Curotta","sequence":"additional","affiliation":[{"name":"Department of ENT Surgery The Children's Hospital at Westmead University of Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kornkiat","family":"Snidvongs","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Chulalongkorn University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Harvey","sequence":"additional","affiliation":[{"name":"Rhinology and Skull Base, Applied Medical Research Centre St Vincent's Hospital University of New South Wales and Macquarie University Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,5,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.20107"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2006.20.2884"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21094"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2007.21.2962"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2009.06.005"},{"key":"e_1_2_9_7_1","unstructured":"HigginsJPT GreenS.Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[updated March 2011]. 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