Comparing the Effectiveness of Swing Door Uncinectomy versus Partial Uncinectomy in Middle Meatal Antrostomy
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F Mowaffak Hassan * , A Abbas Shlaka |
1.Department of Surgery, Faculty of Medicine, University of Kufa, Najaf, Iraq. , Firasm.hasan@uokufa.edu.iq |
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Abstract: (1237 Views) |
Background and Objective: A partial uncinectomy entails resection of the uncinate process's lower portion. Compared to swing door uncinectomy, partial uncinectomy has a reduced duration of operation, minimal mucosal hemorrhage, and less tissue damage. The aim of this study is to compare the effectiveness of swing-round uncinectomy technique versus partial uncinectomy in middle meatal antrostomy.
Methods: This clinical trial was conducted on 28 patients who complained of local diseases of the maxillary sinus and bony obstruction unresponsive to conventional medical treatments and referred for endoscopic functional sinus surgery. 15 patients underwent swing door uncinectomy with MMA. This was performed by taking down the lower tow third of the vertical portion of the uncinate with backbiter while the horizontal portion was removed by submucosal dissection. In the remaining 13 patients, partial uncinectomy was performed by removing just the inferior vertical part of the uncinate using the backbiter and the horizontal portion was removed by submucosal dissection, and the treatment results were compared in two groups.
Findings: A total of 28 patients were enrolled in this study. 11 were males and 17 were females, their age ranged from 11 to 50 years with a mean age of 25.58±7.14. In postoperative follow up, it had been shown that partial uncinectomy technique results in shorter operation time, fast recovery, and less complications possibility compared to the swing door uncinectomy. The difference was statistically significant (p<0.05).
Conclusion: The results showed that the technique of partial uncinectomy can be of benefit in cases of isolated maxillary sinus disease. It provides short operation time, fast recovery, and a less complications possibility when compared with the swing door uncinectomy. |
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Keywords: Uncinectomy, Partial, Swing Door, Middle Meatal Antrostomy. |
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Full-Text [PDF 435 kb]
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Type of Study: Experimental |
Subject:
surgery Received: 2023/07/15 | Accepted: 2024/02/27 | Published: 2024/08/11
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Mowaffak Hassan F, Abbas Shlaka A. Comparing the Effectiveness of Swing Door Uncinectomy versus Partial Uncinectomy in Middle Meatal Antrostomy. J Babol Univ Med Sci 2024; 26 URL: http://jbums.org/article-1-11511-en.html
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