The ‘swing-door’ technique for uncinectomy in endoscopic sinus surgery

1998 ◽  
Vol 112 (6) ◽  
pp. 547-551 ◽  
Author(s):  
P. J. Wormald ◽  
Mike McDonogh
Keyword(s):  
Surgical Technique ◽  
Endoscopic Sinus Surgery ◽  
Traditional Method ◽  
Standard Technique ◽  
Sinus Surgery ◽  
New Technique ◽  
Lateral Nasal Wall ◽  
Lacrimal Apparatus ◽  
A New Technique ◽  
Historical Controls

AbstractUncinectomy is an important step in endoscopic sinus surgery. The traditional method of performing uncinectomy has the risk of penetration of the lamina papyracea with orbital fat exposure. If the orbital penetration is not recognized, major complications may follow. In this study the authors used historical consecutive controls to compare the incidence of orbital penetration, identification of the natural ostium and lacrimal apparatus injury by the traditional surgical technique and a new technique of uncinectomy. Six hundred and thirty-six uncinectomies have been performed using the ‘swing-door’ technique. The 636 uncinectomies performed prior to changing techniques were used as historical controls. The incidence of orbital penetration (six compared to 0; p<0.05) and ostium non-identification (42 not identified as compared to 0; p<0.001) was significantly less with the new technique. One lacrimal injury occurred with the ‘swing-door’ technique compared to zero with the standard technique (p>0.05). The techniques are described and the complications discussed. The authors recommend this technique as it is easy to learn, allows removal of the uncinate flush with the lateral nasal wall and allows easy identification of the natural ostium of the maxillary sinus.

Endoscopic Septal Spur Resection

1993 ◽  
Vol 7 (5) ◽  
pp. 213-216 ◽  
Author(s):  
Donald C. Lanza ◽  
Deborah Farb Rosin ◽  
David W. Kennedy
Keyword(s):  
Surgical Technique ◽  
Endoscopic Sinus Surgery ◽  
Chronic Sinusitis ◽  
Sinus Surgery ◽  
Surgical Approaches ◽  
Postoperative Results ◽  
Valuable Alternative ◽  
Perioperative Morbidity ◽  
The Past ◽  
Septal Spur

A variety of surgical approaches exists for the management of nasal septal spurs in patients who undergo endoscopic sinus surgery (ESS). Treatment of septal spurs in the past has been frequently addressed by septoplasty which can result in increased bleeding and length of surgical procedure as well as mandate postoperative nasal packing. Individually each of these problems can jeopardize the success of endoscopic sinus surgery. An endoscopic approach, which targets the septal spur alone, can minimize perioperative morbidity. The purpose of this paper is to demonstrate the effectiveness of endoscopic septal spur resection (ESSR) for the management of significant septal spurs in 8 patients who underwent concurrent ESSR during ESS for chronic sinusitis. Surgical technique and postoperative results are discussed and suggest that ESSR is a valuable alternative to more traditional techniques.

APPROACH TO UNCINECTOMY BY SWING DOOR TECHNIQUE VS STANDARD TECHNIQUE – A COMPARATIVE STUDY

2021 ◽  
pp. 37-39
Author(s):  
Praveen Singh ◽  
Tarun Ojha ◽  
Shreya Prasad
Keyword(s):  
Complication Rate ◽  
Endoscopic Sinus Surgery ◽  
Maxillary Sinusitis ◽  
Tertiary Care ◽  
Standard Technique ◽  
Symptomatic Improvement ◽  
Sinus Surgery ◽  
Minor Complication ◽  
Tertiary Care Centre ◽  
Group B

Introduction: Uncinectomy is the most important step in endoscopic sinus surgery which can be performed by various methods. The present study aimed to compare the results and complications of performing uncinectomy and middle meatus antrostomy using the standard and swing door techniques during FESS. Methods: In this study, 50 patients of both gender (aged 18–50 years) suffering from chronic maxillary sinusitis underwent functional endoscopic sinus surgery (FESS) from January 2019 to December 2019 at a tertiary care centre. The patients were divided on random basis into two groups of 25. Group Apatients underwent uncinectomy using standard technique while Group B underwent uncinectomy using swing door technique. Results:The mean VAS scores for Group Aand Group B were 78.50 ± 16.63 and 80.58 ± 14.34, respectively, suggesting that Group B patients have better symptomatic improvement. No major complications were observed in both groups. At the end of Week 2, minor complications were observed in 8 (26.7%) of the patients from Group Aand 2 (6.7%) from Group B. By the sixth week, the minor complication rate was 1 (3.3%) and 0 in Group A and Group B, respectively. When compared statistically during the second week using chi-square test, the difference in minor complication rate was found to be statistically signicant (p < 0.05, 2 = 4.81), with lower incidence of complications in Group B. Conclusion: Uncinectomy performed by swing door technique produces better postoperative results, with lesser complications, when compared to the standard technique.

scholarly journals Isolated Arthroscopic Radial Styloidectomy: The Three-Portal Approach

2020 ◽  
Vol 09 (04) ◽  
pp. 353-356
Author(s):  
Guillaume Herzberg ◽  
Marion Burnier
Keyword(s):  
Gold Standard ◽  
Standard Technique ◽  
New Technique ◽  
Clear Definition ◽  
Current Gold Standard ◽  
Clear View ◽  
A New Technique ◽  
Portal Technique ◽  
Gold Standard Technique ◽  
Technical Trick

Abstract Background The current gold-standard technique for radial styloidectomy is arthroscopic. The use of only two dorsal portals may not allow a crystal-clear view of the dorsal arthritic rim of the radius because of the dorsal capsule synovitis. Objectives To propose a new technique for isolated arthroscopic radial styloidectomy. The addition of a volar radial portal and a sequential procedure are presented. Patients and Methods Two trochars for alternatively viewing from volar radial or 3–4 are used. A 1–2 portal is used for instrumentation with a motorized burr. We have been using the three-portal technique in 34 cases (26 isolated). Results This modification of the classic arthroscopic radial styloidectomy is technically easy and the view of the dorsal rim of the radius provides a clear definition and treatment of the dorso-radial arthritic pathology. Conclusions The authors recommend this technical trick to perform an easy and comprehensive isolated palliative or curative arthroscopic radial styloidectomy.

Powered Instrumentation in Functional Endoscopic Sinus Surgery I: Surgical Technique

1996 ◽  
Vol 75 (1) ◽  
pp. 33-40 ◽  
Author(s):  
Dewey A. Christmas ◽  
John H. Krouse
Keyword(s):  
Surgical Technique ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Surgical Time

The use of the microdebrider provides an excellent, safe and thorough technique in functional endoscopic sinus surgery. It provides atraumatic dissection with minimal bleeding which enables decreased surgical time and faster postoperative healing. It is easily learned and requires minimal supplemental instrumentation. We feel that it is a superior technique in the practice of functional endoscopic sinus surgery.

Paranasal Sinus Mucoceles in Cystic Fibrosis

1993 ◽  
Vol 7 (1) ◽  
pp. 31-35 ◽  
Author(s):  
William E. Davis ◽  
Giulio J. Barbero ◽  
William R. LaMear ◽  
Jerry W. Templer ◽  
Peter Konig
Keyword(s):  
Cystic Fibrosis ◽  
Paranasal Sinus ◽  
Computerized Tomography ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
The Other ◽  
Sinus Surgery ◽  
Lateral Nasal Wall ◽  
Osteomeatal Complex

Six patients between the ages of 6 and 22 years old with cystic fibrosis were found to have mucoceles of the paranasal sinuses. Four were male and two were female. They experienced nasal obstruction, purulent rhinorrhea, and anosmia, but none had fever or pain. Nasal endoscopy and coronal computerized tomography scans revealed the lateral nasal wall to be displaced medially against the septum. Functional endoscopic sinus surgery revealed large cystic spaces filled with thick yellow-green mucus. Postoperatively most patients are able to smell and breathe through their noses. The mucocele probably begins as an obstructed anterior ethmoid cell, which then enlarges and obstructs the osteomeatal complex, which further impairs drainage of the other sinuses into this area.

Computer-Assisted Endoscopic Sinus Surgery

1995 ◽  
Vol 112 (5) ◽  
pp. P118-P118
Author(s):  
Jack B. Anon ◽  
Carl H. Snyderman ◽  
S. James Zinreich
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
New Technique ◽  
Computer Assisted ◽  
Potential Danger ◽  
Educational Objectives

Educational objectives: To introduce the participant to the new technique of computer-assisted endoscopic sinus surgery and to review important anatomic areas, with special attention to potential “danger areas.”

Variations in Faecal Egg-counts in Paramphistome Infections as Determined by a New Technique

1952 ◽  
Vol 26 (2-3) ◽  
pp. 147-156 ◽  
Author(s):  
S. Willmott ◽  
F. R. N. Pester
Keyword(s):  
Standard Technique ◽  
New Technique ◽  
Post Mortem ◽  
British Isles ◽  
Faecal Examination ◽  
Precise Information ◽  
Cattle Faeces ◽  
Faecal Egg Counts ◽  
A New Technique ◽  
Cattle And Sheep

Although paramphistomes have been known to occur in cattle and sheep in the British Isles for-many years little precise information on the incidence, distribution and degree of infection is available. The diagnosis, except in exceptional cases, can be made only post mortem, or by the detection of eggs in the faeces. Before undertaking an investigation into this problem it was necessary to devise a simple standard technique for the collection of eggs from cattle faeces, which would be practicable not only in the laboratory but also in the field. This done, it became desirable to know firstly, within what limits egg counts were reliable criteria on which to base estimates of the number of parasites present; secondly, what was the smallest number of parasites which could be detected by faecal examination; thirdly, how much variation occurred in egg-counts from week to week in the same animals; and fourthly, if there were any variation in counts made on faeces collected at different hours of the day.

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