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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.

Balai, Edward
Hussain, Mohammed Hassan
Jolly, Karan
Darr, Adnan
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Imperial College Healthcare NHS Trust, London, UK; University Hospitals of Leicester NHS Trust, UK; University Hospitals Birmingham NHS Foundation Trust, UK; University Hospitals Coventry & Warwickshire NHS Trust, UK.
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Publication date
2025-06-18
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Abstract
OBJECTIVES: 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. METHODS: A 13-point survey was distributed to UK otolaryngology consultants, with responses collated between May and December 2023. RESULTS: 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 "full-house" functional endoscopic sinus surgery. Over three-quarters felt image-guided navigation systems should be utilised for frontal sinus pathology or expanded approaches. CONCLUSION: 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.
Citation
Balai E, Hussain MH, Jolly K, Darr A. 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. J Laryngol Otol. 2025 Jun 18:1-10. doi: 10.1017/S0022215125102570. Epub ahead of print. PMID: 40528413.
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