Evolution in Visualization for Sinus and Skull Base Surgery: From Headlight to Endoscope

Otolaryngol Clin North Am. 2017 Jun;50(3):505-519. doi: 10.1016/j.otc.2017.01.003. Epub 2017 Apr 25.

Abstract

Rhinoscopy became a formal field of study in the mid-nineteenth century as improvements in nasal specula were made and the potent vasoconstrictive effects of cocaine on the intranasal tissues were discovered. Since then, a multitude of advances in visualization and illumination have been made. The advent of the Storz-Hopkins endoscope in the mid-twentieth century represents a culmination of efforts spanning nearly 2 centuries, and illumination has evolved concomitantly. The future of endoscopic sinus surgery may integrate developing technologies, such as 3-dimensional endoscopy, augmented reality navigation systems, and robotic endoscope holders.

Keywords: Endoscope; Endoscopic sinus surgery; Fiberoptics; Historical perspective; Illumination; Nasal endoscopy; Rhinoscopy; Visualization.

Publication types

  • Historical Article
  • Review

MeSH terms

  • Endoscopy / history*
  • Endoscopy / instrumentation*
  • Endoscopy / trends
  • Histological Techniques
  • History, 19th Century
  • History, 20th Century
  • History, 21st Century
  • Humans
  • Imaging, Three-Dimensional
  • Lighting
  • Paranasal Sinuses / surgery*
  • Robotic Surgical Procedures
  • Skull Base / surgery*