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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

Published online by Cambridge University Press:  18 June 2025

Edward Balai Open the ORCID record for Edward Balai [Opens in a new window] ,
Mohammed Hassan Hussain Open the ORCID record for Mohammed Hassan Hussain [Opens in a new window] ,
Karan Jolly  and
Adnan Darr
Edward Balai*
Affiliation:
Imperial College Healthcare NHS Trust, London, UK
Mohammed Hassan Hussain
Affiliation:
University Hospitals of Leicester NHS Trust, UK
Karan Jolly
Affiliation:
University Hospitals Birmingham NHS Foundation Trust, UK
Adnan Darr
Affiliation:
University Hospitals Coventry & Warwickshire NHS Trust, UK
*
Corresponding author: Edward Balai; Email: edward.balai@nhs.net
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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.

Keywords

anterior skull baseendoscopic sinus surgerynasal polyps rhinologyskull base surgery

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 9 , September 2025 , pp. 798 - 807
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Edward Balai takes responsibility for the integrity of the content of the paper

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