Department of Otolaryngology, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, India.
Department of Oral Anatomy, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, India.
Singapore Med J. 2021 Feb;62(2):92-95. doi: 10.11622/smedj.2019165. Epub 2019 Dec 10.
Uncinectomy can be performed using various methods. The aim of the present study was to compare the results and complications of uncinectomy and middle meatus antrostomy using the standard and swing door techniques during functional endoscopic sinus surgery.
In a prospective controlled study, 60 patients (aged 18-50 years) suffering from chronic maxillary sinusitis underwent functional endoscopic sinus surgery from January 2007 to December 2008 at a tertiary care centre. The patients were randomly divided into two groups of 30: Group A underwent uncinectomy using the standard technique, while Group B underwent uncinectomy using the swing door technique.
Group B showed more improvement in symptoms, with a mean visual analogue scale score of 80.58 ± 14.34 compared to 78.50 ± 16.63 in Group A. Both groups had no major complications. At the end of Week 2, minor complications were observed in 8 (26.7%) of the patients from Group A and 2 (6.7%) from Group B. By the sixth week, the minor complication rate was 1 (3.3%) and 0 (0%) in Group A and Group B, respectively. When compared statistically during the second week using chi-square test, the difference in the minor complication rate was found to be statistically significant (p < 0.05, χ = 4.81), with lower incidence of complications in Group B.
The swing door technique for uncinectomy produces good postoperative results, with fewer complications, as compared to the standard technique.
钩突切除术可以通过多种方法进行。本研究旨在比较标准和摆动门技术在功能性内窥镜鼻窦手术中进行钩突切除术和中鼻道造口术的结果和并发症。
在一项前瞻性对照研究中，2007 年 1 月至 2008 年 12 月，在一家三级护理中心，60 名（18-50 岁）患有慢性上颌窦炎的患者接受了功能性内窥镜鼻窦手术。患者被随机分为两组，每组 30 人：A 组采用标准技术进行钩突切除术，B 组采用摆动门技术进行钩突切除术。
B 组症状改善更明显，平均视觉模拟评分（VAS）为 80.58±14.34，而 A 组为 78.50±16.63。两组均无重大并发症。在第 2 周结束时，A 组有 8 例（26.7%）和 B 组有 2 例（6.7%）患者出现轻微并发症。在第 6 周，A 组轻微并发症发生率为 1（3.3%），B 组为 0（0%）。使用卡方检验在第 2 周进行统计学比较时，发现轻微并发症发生率的差异具有统计学意义（p<0.05，χ=4.81），B 组的并发症发生率较低。
与标准技术相比，钩突切除术的摆动门技术产生了良好的术后结果，并发症较少。
