Total versus partial uncinectomy in functional endoscopic sinus surgery | ||||
| Journal of Recent Advances in Medicine | ||||
| Article 4, Volume 1, Issue 2, July 2020, Page 75-79 PDF (753.96 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/jram.2019.19956.1022 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Sayed Mekhiemer1; Sayed Kadah1; Fatma Abd El-gaber  1; Ahmed Abd-Elghaffar2
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| 1Otorhinolaryngology Department, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt. | ||||
| 2Otorhinolaryngology Department, Mataria Teaching Hospital, Cairo, Egypt. | ||||
| Abstract | ||||
| Background: Chronic rhinosinusitis is a clinical syndrome defined by persistent symptomatic inflammation of the mucosa of the nasal cavities and paranasal sinuses. Usually, it responds to conservative medical treatment. Cases that resist medical treatment usually need functional endoscopic sinus surgery. Uncinectomy is the first step in functional endoscopic sinus surgery. Objective: to compare between partial and total uncinectomy results in terms of patient symptoms improvement, operative data (operative time and complications), and postoperative complications in management of localized maxillary sinusitis. Methodology: the present study included 40 cases with chronic maxillary sinusitis allocated for functional endoscopic sinus surgery after failure of medical treatment. The 40 cases were divided into groups (20 cases each). Partial uncinectomy was done in group A and total uncinectomy was done in group B. Results: both partial and total uncinectomy were compared in terms of safety and effectiveness. Total uncinectomy had significantly longer operative time and had more complications when compared to partial uncinectomy. In addition, total uncinectomy was more effective in relieving headache, anterior nasal discharge and nasal obstruction, while partial uncinectomy was more effective in relieving postnasal discharge. None of these results reached a statistically significant value. Conclusion: compared to total uncinectomy operative time, healing time and complications were less in partial uncinectomy. Despite that both ar | ||||
| Keywords | ||||
| total uncinectomy; partial uncinectomy; localized maxillary sinusitis; functional endoscopic sinus surgery | ||||
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