Analysis of Process Costing for the Use of Navigation Systems in Functional Endoscopic Sinus Surgery

(1) Background: The use of navigation systems is rarely necessary for routine sinus surgery. They may prove to be advantageous for difficult operations, for example, in finding structures that are difficult to reach, in the treatment of cancers, or in revisional surgery. Navigation systems are also...

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Main Authors: Franziska Eva Schwan, Maximilian Traxdorf, Caroline Theresa Seebauer, Andrzej Sekita, Cornelia Habekost, Heinrich Iro, Christopher Bohr
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/18/8616
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author Franziska Eva Schwan
Maximilian Traxdorf
Caroline Theresa Seebauer
Andrzej Sekita
Cornelia Habekost
Heinrich Iro
Christopher Bohr
author_facet Franziska Eva Schwan
Maximilian Traxdorf
Caroline Theresa Seebauer
Andrzej Sekita
Cornelia Habekost
Heinrich Iro
Christopher Bohr
author_sort Franziska Eva Schwan
collection DOAJ
description (1) Background: The use of navigation systems is rarely necessary for routine sinus surgery. They may prove to be advantageous for difficult operations, for example, in finding structures that are difficult to reach, in the treatment of cancers, or in revisional surgery. Navigation systems are also said to have positive effects on the self-confidence of surgeons in stressful situations and in the training of doctors. (2) Methods: This retrospective study included patients who underwent surgical treatment for chronic sinusitis from 2012 to 2016 at the ENT clinic of the University Hospital, Erlangen. Two groups were formed; one includes patients without navigated sinus surgery, the other includes those with navigation. The incision–suture times of both groups and cost analysis are compared. An appropriate cost estimate for sinus surgery is determined. (3) Results: From the available results, no economically efficient navigation systems in sinus surgery at the ENT clinic can be shown. The main reason is that lengthening the operating time leads to higher costs. (4) Conclusions: Although the use of a navigation system for endonasal sinus surgery cannot be economically justified, it is an important tool, especially in cases with complex anatomical conditions, and the system is essential for training purposes.
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spelling doaj.art-7f6e19e5f9c3487e96712d087a0717b52023-11-22T11:55:32ZengMDPI AGApplied Sciences2076-34172021-09-011118861610.3390/app11188616Analysis of Process Costing for the Use of Navigation Systems in Functional Endoscopic Sinus SurgeryFranziska Eva Schwan0Maximilian Traxdorf1Caroline Theresa Seebauer2Andrzej Sekita3Cornelia Habekost4Heinrich Iro5Christopher Bohr6Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Regensburg, 93053 Regensburg, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Friedrich-Alexander University Erlangen-Nuremberg (FAU), 91054 Erlangen, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Regensburg, 93053 Regensburg, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Friedrich-Alexander University Erlangen-Nuremberg (FAU), 91054 Erlangen, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Regensburg, 93053 Regensburg, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Friedrich-Alexander University Erlangen-Nuremberg (FAU), 91054 Erlangen, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Regensburg, 93053 Regensburg, Germany(1) Background: The use of navigation systems is rarely necessary for routine sinus surgery. They may prove to be advantageous for difficult operations, for example, in finding structures that are difficult to reach, in the treatment of cancers, or in revisional surgery. Navigation systems are also said to have positive effects on the self-confidence of surgeons in stressful situations and in the training of doctors. (2) Methods: This retrospective study included patients who underwent surgical treatment for chronic sinusitis from 2012 to 2016 at the ENT clinic of the University Hospital, Erlangen. Two groups were formed; one includes patients without navigated sinus surgery, the other includes those with navigation. The incision–suture times of both groups and cost analysis are compared. An appropriate cost estimate for sinus surgery is determined. (3) Results: From the available results, no economically efficient navigation systems in sinus surgery at the ENT clinic can be shown. The main reason is that lengthening the operating time leads to higher costs. (4) Conclusions: Although the use of a navigation system for endonasal sinus surgery cannot be economically justified, it is an important tool, especially in cases with complex anatomical conditions, and the system is essential for training purposes.https://www.mdpi.com/2076-3417/11/18/8616functional endoscopic sinus surgery (FESS)simulationimagingnavigation systemsprocess costing
spellingShingle Franziska Eva Schwan
Maximilian Traxdorf
Caroline Theresa Seebauer
Andrzej Sekita
Cornelia Habekost
Heinrich Iro
Christopher Bohr
Analysis of Process Costing for the Use of Navigation Systems in Functional Endoscopic Sinus Surgery
Applied Sciences
functional endoscopic sinus surgery (FESS)
simulation
imaging
navigation systems
process costing
title Analysis of Process Costing for the Use of Navigation Systems in Functional Endoscopic Sinus Surgery
title_full Analysis of Process Costing for the Use of Navigation Systems in Functional Endoscopic Sinus Surgery
title_fullStr Analysis of Process Costing for the Use of Navigation Systems in Functional Endoscopic Sinus Surgery
title_full_unstemmed Analysis of Process Costing for the Use of Navigation Systems in Functional Endoscopic Sinus Surgery
title_short Analysis of Process Costing for the Use of Navigation Systems in Functional Endoscopic Sinus Surgery
title_sort analysis of process costing for the use of navigation systems in functional endoscopic sinus surgery
topic functional endoscopic sinus surgery (FESS)
simulation
imaging
navigation systems
process costing
url https://www.mdpi.com/2076-3417/11/18/8616
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