The technologies we use in sinus surgeries have evolved greatly over the years. I personally experienced this transformation. In the past, we used to proceed solely with an endoscope—that is, a camera—and relied heavily on our experience. Today, we have a navigation system at our disposal. Just like the GPS we use in a car to avoid getting lost… Navigation-assisted sinus surgery provides great safety, especially in cases with distorted anatomy, previous surgeries, or sinuses located near vital structures such as the eyes and brain. Thanks to this technology, we can act both more boldly and more delicately during surgery. For our patients, this means fewer complications. For me as a surgeon, having such support is not just a comfort—it’s a way to fulfill a responsibility more safely.

What Is a Navigation System?

The navigation system is a technology that allows the surgeon to see exactly where they are inside the nose and sinuses in real-time during sinus surgery. CT images taken before the surgery are uploaded into special software. This software shows the position of the instrument in the surgeon’s hand in 3D. It’s almost like using GPS inside the nose. You always know which sinus you have reached, where you are, and how far you’ve progressed. The comfort this system provides is indescribable, especially in patients with complex anatomies or previous surgeries.

When Is Navigation Necessary?

Navigation is not necessary in every case. However, for some patients, this technology becomes a true lifesaver. It is absolutely essential in individuals who have undergone previous sinus surgeries, have distorted anatomy, or suffer from severe polyps or mass-related conditions. It also helps maintain safe boundaries when operating close to vital organs such as the eyes and brain. This system allows for movement with millimetric precision in high-risk areas.

Benefits for the Surgeon

For me as a surgeon, the most important benefit is the sense of security. Knowing exactly where I am increases my self-confidence. It also shortens surgery times and minimizes trauma to tissues. There are certain areas that are difficult to see with an endoscope, but I know I’m moving in the right direction thanks to navigation. This not only improves surgical success but also reduces the risk of complications. Especially for younger colleagues, this system provides tremendous value during training.

Advantages for the Patient

The greatest benefit navigation-assisted sinus surgery provides to patients is a safer and more effective surgical process. The risk of complications decreases, and the healing process accelerates. Because there is less tissue damage, post-operative pain and swelling are reduced. Moreover, the likelihood of needing revision surgery is also lowered. Patients have the chance to permanently get rid of their sinusitis complaints.

From the Perspective of 20 Years of Experience

I have been performing sinus surgeries for over 20 years. I learn something new from every case. Embracing technology allows me to offer safer and more comfortable treatment to my patients. I have also benefited from minimally invasive techniques like balloon sinuplasty and still prefer them in certain suitable patients. However, in advanced chronic sinusitis cases, surgeries performed with a navigation system are among the most reliable solutions today. It strengthens my hand as a surgeon and leads to better outcomes for the patient. That’s why I see navigation not merely as a device, but as an indispensable part of surgery.