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This article reviews the structure of an integrated navigation system made up of unit inertial sensors manufactured by MEMS technology, a GPS Receiver unit, magnetic compasses manufactured by MEMS technology, and a high barometric sensor. The integra ted system is built using an Extended Kalman Filter (EKF). This reviewing is performed with the use of a closed-loop system that has simple integration namely the Loosely Coupling Integration. After conducting several air tests to collect real navigational data, antipersonnel navigational data has been used to do the integrated navigation system analysis with EKF environment in the software Matlab. It has been noticed after the analysis that the complementary horizontal navigation system error does not exceed 50 m. With deliberate withholding of GPS data for different periods in order to test the performance of the integrated navigation system in case of withholding the GPS signal, we have found that the integrated navigation system achieves good accuracy, where the horizontal error does not exceed 200 m value when the withholding GPS data for 120 seconds. This can be considered as small and acceptable values compared with the horizontal error value for inertial navigation unit stim300 when operating independently of up to 8200 m.
We conducted a randomized clinical trial on 32 subjects in 2 groups with chronic diseases of the sphenoid sinus (each consisting of 16 patients) to evaluate CT navigation during Functional Endoscopic Sinus Surgery. All patients registered in our st udy met the widely accepted criteria to be treated with FESS. 16 patients were operated on with FESS with CT navigation while 16 patients were operated on with FESS without navigation. The result drawn showed no significant statistical difference in the outcome of the operations when we used the CT navigation during FESS compared with the time we did not use it. However, we believe it is an asset to the ENT surgeon in difficult and critical operations like the sphenoid sinus surgery as it brings precision and peace to the surgeon. We recommend using CT navigation as a useful adjunct added to the surgeon’s knowledge & experience but not as a replacement to these necessities.
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