  Functional endoscopic sinus surgery (FESS) is a surgical procedure used to
treat acute cases of sinusitis and other sinus diseases. FESS is fast becoming
the preferred choice of treatment due to its minimally invasive nature.
However, due to the limited field of view of the endoscope, surgeons rely on
navigation systems to guide them within the nasal cavity. State of the art
navigation systems report registration accuracy of over 1mm, which is large
compared to the size of the nasal airways. We present an anatomically
constrained video-CT registration algorithm that incorporates multiple video
features. Our algorithm is robust in the presence of outliers. We also test our
algorithm on simulated and in-vivo data, and test its accuracy against
degrading initializations.
