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Arch Otolaryngol Head Neck Surg. 1999;125:1278-1279.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

IN AN ERA of heightened concern for both the cost and effectiveness of medical care, the impact of new technology on the operating room setting must be carefully evaluated. A balanced consideration of the beneficial and detrimental effects of each new technology is critical for defining its appropriate role. Casiano has presented an accurate, unbiased review describing the use of image-guidance systems for sinus surgery. However, his review highlights the lack of evidence-based studies in this field that are essential for the proper assessment of such rapidly evolving technology.

Figure appears in full text version. Ralph Metson, MD

Experience with more than 300 image-guided sinus surgical procedures at Massachusetts Eye and Ear Infirmary, Boston, since 1996 has demonstrated these systems to be highly accurate and relatively easy to use; however, their use is clearly associated with increased operative time and expense. In a prospective study of 79 of these surgical procedures, use of an image-guidance system . . . [Full Text of this Article]

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