A visualization system may be implemented with an image guided surgery navigation system for use during ENT procedures. Correlated datasets such as surgical paths and pre-operative image slices may be correlated with the coordinate system of the navigation system for reference during a procedure. A surgeon may wear a head mounted display (“HMD”) having a transparent screen through which the patient anatomy may be viewed. The orientation and distance of the head mounted display relative to the patient anatomy may be determined using magnetic position tracking, image analysis of images captured by a camera of the HMD, or both. Correlated datasets may then be transformed based on the relative distance and orientation and may be displayed via the transparent screen to overlay directly viewed patient anatomy. Some implementations may include optical fiducials integrated with a patient tracking assembly to aid in tracking the patient and determining perspective of the HMD.