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Seeker Uncinectomy: A Randomized Controlled Cadaveric Trial

BACKGROUND: Endoscopic sinus surgery is a common surgery, in which the uncinate process of the ethmoid is removed as the first surgical step. There are multiple techniques for uncinectomy. Herein we describe a new and simple uncinectomy technique. METHODS: We performed a randomised controlled trial...

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Autores principales: Alromaih, Saud, Sumaily, Ibrahim, Alarifi, Ibrahim, Alroqi, Ahmad, Aloulah, Mohammad, Ajlan, Abdulrazag, Yaghmoor, Faris, Alsaleh, Saad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7672718/
https://www.ncbi.nlm.nih.gov/pubmed/33240562
http://dx.doi.org/10.1177/2152656720971262
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author Alromaih, Saud
Sumaily, Ibrahim
Alarifi, Ibrahim
Alroqi, Ahmad
Aloulah, Mohammad
Ajlan, Abdulrazag
Yaghmoor, Faris
Alsaleh, Saad
author_facet Alromaih, Saud
Sumaily, Ibrahim
Alarifi, Ibrahim
Alroqi, Ahmad
Aloulah, Mohammad
Ajlan, Abdulrazag
Yaghmoor, Faris
Alsaleh, Saad
author_sort Alromaih, Saud
collection PubMed
description BACKGROUND: Endoscopic sinus surgery is a common surgery, in which the uncinate process of the ethmoid is removed as the first surgical step. There are multiple techniques for uncinectomy. Herein we describe a new and simple uncinectomy technique. METHODS: We performed a randomised controlled trial with blinded assessors. Eight cadaveric heads were used to compare the new technique to the commonly used technique; retrograde uncinectomy. The procedures were performed by 2 rhinologists, and the findings were evaluated by 2 senior rhinologists blinded to the technique and the surgeon who did. They assessed the final view of the procedure and the complications. Thereafter, they assessed the procedure for the duration and ease of each technique for teaching purposes. RESULTS: Fifteen uncinectomies were performed, 7 using the retrograde technique, and 8 using the new technique. The mean durations were 5.64 min using the seeker uncinectomy and 7.57 min using the retrograde uncinectomy, p-value = 0.017. The completion was better in seeker uncinectomy; however, not significant statistically, p > 0.05. The complications with the new technique were inferior turbinate injury in 12.5% and natural ostium non-identification in 12.5%, p > 0.05. With retrograde uncinectomy, lacrimal injury occurred in 14.3%, p > 0.05. The ease of teaching scores was higher for the seeker uncinectomy. CONCLUSION: Based on this cadaveric trial, seeker uncinectomy seems to be a safe and easy to perform technique. However, injury to the inferior turbinate and missing the natural ostium must be taken into consideration. These warrant further studies on the clinical application of this procedure.
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spelling pubmed-76727182020-11-24 Seeker Uncinectomy: A Randomized Controlled Cadaveric Trial Alromaih, Saud Sumaily, Ibrahim Alarifi, Ibrahim Alroqi, Ahmad Aloulah, Mohammad Ajlan, Abdulrazag Yaghmoor, Faris Alsaleh, Saad Allergy Rhinol (Providence) Original Research BACKGROUND: Endoscopic sinus surgery is a common surgery, in which the uncinate process of the ethmoid is removed as the first surgical step. There are multiple techniques for uncinectomy. Herein we describe a new and simple uncinectomy technique. METHODS: We performed a randomised controlled trial with blinded assessors. Eight cadaveric heads were used to compare the new technique to the commonly used technique; retrograde uncinectomy. The procedures were performed by 2 rhinologists, and the findings were evaluated by 2 senior rhinologists blinded to the technique and the surgeon who did. They assessed the final view of the procedure and the complications. Thereafter, they assessed the procedure for the duration and ease of each technique for teaching purposes. RESULTS: Fifteen uncinectomies were performed, 7 using the retrograde technique, and 8 using the new technique. The mean durations were 5.64 min using the seeker uncinectomy and 7.57 min using the retrograde uncinectomy, p-value = 0.017. The completion was better in seeker uncinectomy; however, not significant statistically, p > 0.05. The complications with the new technique were inferior turbinate injury in 12.5% and natural ostium non-identification in 12.5%, p > 0.05. With retrograde uncinectomy, lacrimal injury occurred in 14.3%, p > 0.05. The ease of teaching scores was higher for the seeker uncinectomy. CONCLUSION: Based on this cadaveric trial, seeker uncinectomy seems to be a safe and easy to perform technique. However, injury to the inferior turbinate and missing the natural ostium must be taken into consideration. These warrant further studies on the clinical application of this procedure. SAGE Publications 2020-11-11 /pmc/articles/PMC7672718/ /pubmed/33240562 http://dx.doi.org/10.1177/2152656720971262 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Alromaih, Saud
Sumaily, Ibrahim
Alarifi, Ibrahim
Alroqi, Ahmad
Aloulah, Mohammad
Ajlan, Abdulrazag
Yaghmoor, Faris
Alsaleh, Saad
Seeker Uncinectomy: A Randomized Controlled Cadaveric Trial
title Seeker Uncinectomy: A Randomized Controlled Cadaveric Trial
title_full Seeker Uncinectomy: A Randomized Controlled Cadaveric Trial
title_fullStr Seeker Uncinectomy: A Randomized Controlled Cadaveric Trial
title_full_unstemmed Seeker Uncinectomy: A Randomized Controlled Cadaveric Trial
title_short Seeker Uncinectomy: A Randomized Controlled Cadaveric Trial
title_sort seeker uncinectomy: a randomized controlled cadaveric trial
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7672718/
https://www.ncbi.nlm.nih.gov/pubmed/33240562
http://dx.doi.org/10.1177/2152656720971262
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