抄録
Computer assisted endoscopic sinus surgery was approved as advanced medical care as “the endoscopic nose and paranasal operations using navigation system” for from Ministry of Health, Labour and Welfare in August, last year. The patient bears expense for advanced medical care by oneself.
A subject of the advanced medical care is prescribed with “a chronic sinusitis, a paranasal cyst or a paranasal benign tumor”. However, the pathology of a patient is various even if we lump sinusitis and a paranasal cyst together. It is necessary to evaluate pathology of a patient thoroughly from preoperative endoscopic inspection and preoperative CT finding. Then a surgeon determines whether “navigation surgery as advanced medical care” is indicated or not. If navigation takes it as need or utility, we explain it to the patient enough and obtain consent. Aiming at improvement of postoperative outcomes, it is important that we perform navigation surgery more precisely.
