Advertisement

3D Modeling Before Sinus Surgery

  • Fatih OghanEmail author
  • Amr Osama
  • Hesham Negm
Chapter

Abstract

Endoscopic sinus surgery is considered as a modern and effective method in otorhinolaryngology. Commonly, preoperative planning is made with the help of imaging techniques including X-ray, CT, and MRI, in addition to rigid or flexible endoscopy. The physicians create three-dimensional (3D) structures in their mind before the surgery by assembling two-dimensional (2D) images. Folks in the aerodynamic industry have been using 3D modeling since a long time, and researchers started using it in the nasal airway to see if they are able to provide a better understanding of the physiology underlying nasal function and nasal symptoms in sinus diseases. According to researchers, roughly 30% of adults in the US suffer from some form of chronic sinusitis, and that translates to a healthcare expenditure of nearly $6 billion. Although some patients may respond to medical treatments initially, the chronic sinus disease process can become very unresponsive and result in more advanced infections requiring a more aggressive treatment including surgery. Paranasal sinus CT scan in coronal plane is a term well known to radiologists all over the world. Slice thickness, shift, gantry tilt, and window settings are standardized values that are recognized internationally; hence, they can be reproducible worldwide. 3D reconstruction, which is available these days on PCs equipped, deals with this problem. By introducing a continuity of structures (0.5–1 mm sections), 3D reconstruction enables the visualization of the structures in total since it avoids the loss of images through utilization of the standard technique in sinus CT imaging (3–5 mm sections).

Keywords

3D Modelling Sinus surgery Paranasal sinus CT Visualization of the structures Images 

References

  1. 1.
    Klapan I, Simicic L, Risavi R, Besenski N, Pasaric K, Gortan D, Janjanin S, Pavic D. Tele-3D-computer assisted functional endoscopic sinus surgery: new dimension in the surgery of the nose and paranasal sinuses. Otolaryngol Head Neck Surg. 2002;127:549–57.CrossRefGoogle Scholar
  2. 2.
    Klapan I, Barbir A, Šimičić LJ, Rišavi R, Bešenski N, Bumber Ž, Štiglmayer N, Antolić S, Janjanin S, Bilić M. Dynamic 3D computer-assisted reconstruction of a metallic retrobulbar foreign body for diagnostic and surgical purposes. Case report: orbital injury with ethmoid bone involvement. Orbit. 2001;20:35–49CrossRefGoogle Scholar
  3. 3.
    Klapan I, Rišavi R, Šimičić LJ, et al. Tele-3D-C-FESS approach with high-quality video transmission. Otolaryngol Head Neck Surg. 1999;121:187–8.CrossRefGoogle Scholar
  4. 4.
    Klapan I, Šimičić LJ, Pasarić K, Vlahusić A, Risavi R, Sruk V, Schwarz D, Barisić J. Real time transfer of live video images in parallel with three-dimensional modelling of the surgical field in computer-assisted telesurgery. J Telemed Telecare. 2002;8(3):125–30CrossRefGoogle Scholar
  5. 5.
    Hamadeh A, Lavallee S, Cinquin P. Automated 3D CT and fluoroscopic image registration. Comput Aided Surg. 1998;3:11–9.CrossRefGoogle Scholar
  6. 6.
    Mann W, Klimek L. Indications for computer-assisted surgery in otorhinolaryngology. Comput Aided Surg. 1998;3:202–4.CrossRefGoogle Scholar
  7. 7.
    Hauser R, Westermann B, Probst R. Non.invasive 3D patient registration for image guided intranasal surgery. Medical Robotics Comput Assisted Surg, New York, Springer. 1997; 327-336.Google Scholar
  8. 8.
    Vinas FC, Zamorano L, Buciuc R, QH L, Shamsa F. Application accuracy study of a semipermanent fiducial system for frameless stereotaxis. Comput Aided Surg. 1997;2:257–63.CrossRefGoogle Scholar
  9. 9.
    Elolf E, Tatagiba M, Samii M. 3D-computer tomographic reconstruction: planning tool for surgery of skull base pathologies. Comput Aided Surg. 1998;3:89–94.CrossRefGoogle Scholar
  10. 10.
    Burtscher J, Kremser C, Seiwald M, Obwegeser A, Wagner M, Aichner F, Twerdy K, Felber S. 3D-computer assisted MRI for neurosurgical planning in parasagittal and parafalcine central region tumors. Comput Aided Surg. 1998;3:27–32.CrossRefGoogle Scholar
  11. 11.
    Holtel MR, Burgess LP, Jones SB. Virtual reality and technologic solutions in Otolaryngology. Otolaryngol Head Neck Surg. 1999;121(2):181.CrossRefGoogle Scholar
  12. 12.
    Vrabec JT, Johnson RF, Guinto FC. 3D-virtual endoscopy of the temporal bone. Otolaryngol Head Neck Surg. 1999;121(2):225.CrossRefGoogle Scholar
  13. 13.
    Olson G, Citardi M. Image-guided functional endoscopic sinus surgery. Otolaryngol Head Neck Surg. 1999;121(2):187.Google Scholar
  14. 14.
    Belina S, Cuk V, Klapan I. Virtual endoscopy and 3D volume rendering in the management of frontal sinus fractures. Coll Antropol. 2009;33:43–50.PubMedGoogle Scholar
  15. 15.
    Kapakin S. The paranasal sinuses: three-dimensional reconstruction, photo-realistic ımaging, and virtual endoscopy. Folia Morphol.  https://doi.org/10.5603/FM.a2016.0006.CrossRefGoogle Scholar
  16. 16.
    Robb RA. A software system for interactive and quantitative analysis of biomedical images. In: 3D imaging in medicine. Berlin, Heidelberg: Springer-Verlag; 1990. p. 333–61.CrossRefGoogle Scholar
  17. 17.
    Vargas VM, Rojas JML, Del Pozo JM, Automatic three-dimensional reconstruction of radiological images for telediagnosis, 2001. Accessed January 01, 2015.Google Scholar
  18. 18.
    Raos, P. & Galeta, T. Rapid prototyping. In: Proceedings of 2nd Croatian Congress on Telemedicine with International Participation (TeleMED), Fakultetelektrotehnikeira unarstva, May 2004, Zagreb, Croatia, 2004, pp. 74–75.Google Scholar
  19. 19.
    Petzold R, Zeilhofer H-F, Kalender WA. Rapid prototyping technology in medicine -basics and applications. Comput Med Imaging Graph. 1999;23:277–84.CrossRefGoogle Scholar
  20. 20.
    Galeta T, Kljajin M, Karakašic M. Geometric accuracy by 2-D printing model. Strojniškivestnik. J Mech Eng. 2008;10(54):725–33.Google Scholar
  21. 21.
    Klapan I, Vranješ Ž, Rišavi R, Šimii LJ, Prgomet D, Glušac B. Computer assisted surgery and computer-assisted telesurgery in otorhinolaryngology. Ear Nose Throat J. 2006;85(5):318–21.CrossRefGoogle Scholar
  22. 22.
    Belina S, Ćuk V, Klapan I, Vranješ Ž, Lukinovi J. Our experience with virtual endoscopy of paranasal sinuses. Coll Antropol. 2008;32(3):887–92.PubMedGoogle Scholar
  23. 23.
    Johnson E. Surgical simulators and simulated surgeons: reconstituting medical practice and practitioners in simulations. Soc Stud Sci. 2007;37:585–608.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Medical Faculty, Department of ORL & HNSKutahya Saglik Bilimleri UniversityKütahyaTurkey
  2. 2.Radiology DepartmentCairo University, Medical UniversityCairoEgypt
  3. 3.Department of OtorhinolaryngologyCairo University, Medical UniversityCairoEgypt

Personalised recommendations