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Seeker Uncinectomy: A Randomized Controlled Cadaveric Trial.

Saud Alromaih1, Ibrahim Sumaily2, Ibrahim Alarifi3

  • 1Rhinology Unit, Otorhinolaryngology Department, King Abdulaziz University Hospital, King Saud University, Riyadh, Saudi Arabia.

Allergy & Rhinology (Providence, R.I.)
|November 26, 2020
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Summary

A new seeker uncinectomy technique is safe and easier to teach than retrograde uncinectomy in endoscopic sinus surgery. While effective, potential complications like turbinate injury and ostium non-identification require further clinical study.

Keywords:
Stammberger’s antegrade techniqueendoscopic sinus surgeryretrograde swing-door techniqueseeker uncinectomyuncinectomy

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Area of Science:

  • Otolaryngology
  • Surgical Techniques
  • Anatomy

Background:

  • Endoscopic sinus surgery frequently involves ethmoid uncinate process removal.
  • Multiple uncinectomy techniques exist.
  • A novel, straightforward uncinectomy method is presented.

Purpose of the Study:

  • To compare a new seeker uncinectomy technique with the traditional retrograde uncinectomy.
  • To evaluate procedural duration, ease of teaching, and complication rates.

Main Methods:

  • A randomized controlled trial with blinded assessors was conducted on eight cadaveric heads.
  • Two rhinologists performed the procedures, and two senior rhinologists evaluated outcomes.
  • Assessment criteria included final view, complications, duration, and ease of teaching.

Main Results:

  • Seeker uncinectomy was faster (mean 5.64 min) than retrograde uncinectomy (mean 7.57 min), p=0.017.
  • Completion rates were higher with seeker uncinectomy, though not statistically significant.
  • Complication rates were comparable, with seeker uncinectomy showing inferior turbinate injury (12.5%) and retrograde uncinectomy showing lacrimal injury (14.3%).
  • Seeker uncinectomy demonstrated higher ease of teaching scores.

Conclusions:

  • Seeker uncinectomy appears safe and easy to perform based on this cadaveric study.
  • Potential complications include inferior turbinate injury and natural ostium non-identification.
  • Further clinical studies are warranted to assess the application of seeker uncinectomy.