Image guidance offers additional benefits in the endoscopic solution of extended cranio-facial malformations. A case report

Andor Hirschberg, Zoltán Fent, Károly Hrabák, Ödön Rezek, Ron von Jako, Gábor Répássy

Research output: Contribution to journalArticle


Computer-assisted endoscopic surgery (CAES) in combination with a transpalatal approach was applied in a 6-year-old girl with extensive cranio-facial malformation and bilateral nasal and choanal atresia. The GE Healthcare InstaTrak 3500 Plus surgical navigational system was used. The transnasal and choanal atresia was successfully opened and kept patent. The navigational system was able to point and localize orientations between the distorted anatomy, the instrument tip and in depth measurements for intraoperative planning. In extended anatomical malformation of the nasal passages and the surrounding structures, where the anatomical landmarks are missing or definitely altered computer-aided navigation may facilitate the application of additional endoscopic surgery in combination with more radical surgical approaches. Development of special drills and curved suction devices mounted on the receiver and tailored for such anatomical malformations may offer a complete computer-aided endoscopic solution in similar cases.

Original languageEnglish
Pages (from-to)181-184
Number of pages4
JournalInternational Journal of Pediatric Otorhinolaryngology Extra
Issue number3
Publication statusPublished - Sep 1 2006



  • Choanal atresia
  • Computer-aided surgery
  • Cranio-facial malformation
  • Image-guidance
  • Navigation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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