Computer-assisted frontal sinusotomy. 1994

R L Carrau, and C H Snyderman, and H B Curtin, and J L Weissman
Department of Otolaryngology, University of Pittsburgh School of Medicine, PA 15213.

An osteoplastic frontal sinus flap with flat obliteration is the "gold" standard for the management of chronic frontal sinus inflammatory disease caused by obstruction of the nasofrontal duct. Frontal sinusotomy, with an osteoplastic technique, call for osteotomies, guided by a template obtained from a Caldwell radiographic view taken at a distance of 6 feet. The reliability of the template depends on the position of the patient, distance at which the radiograph is taken, penetration of the x-rays, and other technical aspects. Therefore the template is a potential source of error. We present the use of a computer-assisted frontal sinusotomy as a method to corroborate the shape and margins of the frontal sinus in six patients undergoing obliterative frontal sinus surgery. In our hands, this technique has proved more reliable than the radiographic template to corroborate the positioning of the osteotomies.

UI MeSH Term Description Entries
D007091 Image Processing, Computer-Assisted A technique of inputting two-dimensional or three-dimensional images into a computer and then enhancing or analyzing the imagery into a form that is more useful to the human observer. Biomedical Image Processing,Computer-Assisted Image Processing,Digital Image Processing,Image Analysis, Computer-Assisted,Image Reconstruction,Medical Image Processing,Analysis, Computer-Assisted Image,Computer-Assisted Image Analysis,Computer Assisted Image Analysis,Computer Assisted Image Processing,Computer-Assisted Image Analyses,Image Analyses, Computer-Assisted,Image Analysis, Computer Assisted,Image Processing, Biomedical,Image Processing, Computer Assisted,Image Processing, Digital,Image Processing, Medical,Image Processings, Medical,Image Reconstructions,Medical Image Processings,Processing, Biomedical Image,Processing, Digital Image,Processing, Medical Image,Processings, Digital Image,Processings, Medical Image,Reconstruction, Image,Reconstructions, Image
D007431 Intraoperative Complications Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure. Peroperative Complications,Surgical Injuries,Complication, Intraoperative,Complication, Peroperative,Injuries, Surgical,Complications, Intraoperative,Complications, Peroperative,Injury, Surgical,Intraoperative Complication,Peroperative Complication,Surgical Injury
D009296 Nasal Cavity The proximal portion of the respiratory passages on either side of the NASAL SEPTUM. Nasal cavities, extending from the nares to the NASOPHARYNX, are lined with ciliated NASAL MUCOSA. Nasal Cavities,Cavities, Nasal,Cavity, Nasal
D010027 Osteotomy The surgical cutting of a bone. (Dorland, 28th ed) Osteotomies
D005005 Ethmoid Sinus The numerous (6-12) small thin-walled spaces or air cells in the ETHMOID BONE located between the eyes. These air cells form an ethmoidal labyrinth. Bulla Ethmoidalis,Ethmoid Bulla,Ethmoid Sinuses,Ethmoidal Air Cells,Haller Cell,Infraorbital Ethmoid Cell,Onodi Air Cell,Sphenoethmoidal Air Cell,Air Cell, Ethmoidal,Air Cell, Onodi,Bulla Ethmoidali,Bulla, Ethmoid,Cell, Ethmoidal Air,Cell, Haller,Cell, Infraorbital Ethmoid,Cell, Sphenoethmoidal Air,Ethmoid Cell, Infraorbital,Ethmoid Sinuse,Ethmoidal Air Cell,Infraorbital Ethmoid Cells,Sinus, Ethmoid,Sphenoethmoidal Air Cells
D005626 Frontal Sinus One of the paired, but seldom symmetrical, air spaces located between the inner and outer compact layers of the FRONTAL BONE in the forehead. Agger Nasi Cell,Frontal Recess,Frontal Sinus Ostium,Agger Nasi Cells,Cell, Agger Nasi,Frontal Recesses,Frontal Sinus Ostiums,Recess, Frontal,Sinus Ostium, Frontal,Sinus Ostiums, Frontal,Sinus, Frontal
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012886 Skull The SKELETON of the HEAD including the FACIAL BONES and the bones enclosing the BRAIN. Calvaria,Cranium,Calvarium,Skulls
D012887 Skull Fractures Fractures of the skull which may result from penetrating or nonpenetrating head injuries or rarely BONE DISEASES (see also FRACTURES, SPONTANEOUS). Skull fractures may be classified by location (e.g., SKULL FRACTURE, BASILAR), radiographic appearance (e.g., linear), or based upon cranial integrity (e.g., SKULL FRACTURE, DEPRESSED). Linear Skull Fracture,Skull Fracture, Linear,Skull Fracture, Non-Depressed,Non-Depressed Skull Fracture,Fracture, Non-Depressed Skull,Fracture, Skull,Fractures, Linear Skull,Fractures, Non-Depressed Skull,Fractures, Skull,Linear Skull Fractures,Non Depressed Skull Fracture,Non-Depressed Skull Fractures,Skull Fracture,Skull Fracture, Non Depressed,Skull Fractures, Linear,Skull Fractures, Non-Depressed
D013813 Therapy, Computer-Assisted Computer systems utilized as adjuncts in the treatment of disease. Computer-Assisted Therapy,Protocol-Directed Therapy, Computer-Assisted,Computer-Assisted Protocol-Directed Therapy,Therapy, Computer-Assisted Protocol-Directed,Computer Assisted Protocol Directed Therapy,Computer Assisted Therapy,Computer-Assisted Protocol-Directed Therapies,Computer-Assisted Therapies,Protocol Directed Therapy, Computer Assisted,Protocol-Directed Therapies, Computer-Assisted,Therapies, Computer-Assisted,Therapies, Computer-Assisted Protocol-Directed,Therapy, Computer Assisted,Therapy, Computer Assisted Protocol Directed

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