Stereotactic navigation doesn’t shorten operative time in orbital decompression

Operative time (OT) was not significantly shortened by the use of stereotactic navigation (SN) during orbital decompression (OD), mostly due to the extra time associated with setup, calibration, and troubleshooting, according to a poster presentation at the ASOPRS Fall Scientific Symposium Program. However, SN may be able to increase proptosis reduction (PR) in OD as a result of more complete bone removal, which maximizes decompression.

This retrospective case series included 34 OD performed with SN and without SN. OT was significantly shorter for balanced OD with SN but longer for lateral and 3-wall. A significantly greater PR was noted for 3-wall OD with SN, as well as a larger mean PR for balanced and lateral OD.

A sub-group analysis of physicians performing OD with SN without trainees supported the trend of longer OT.

The authors concluded the further studies are needed to evaluate SN on surgical outcomes, operative time, and complications.

Reference
Topilow N, et al. Stereotactic Navigation in Orbital Decompression Surgery: Does it Shorten Operative Time and Improve Outcomes? Presented at: ASOPRS Fall Scientific Symposium Program.