Print ISSN: 0027-1446

Online ISSN: 2309-6217

Main Subjects : Otolargngology


Review of Different Methods of Uncinectomy in Endoscopic Sinus Surgery

Haitham Alnori

Annals of the College of Medicine, Mosul, 2021, Volume 43, Issue 1, Pages 70-75
DOI: 10.33899/mmed.2021.129601.1079

Uncinectomy is a safe procedure in experienced hands whatever technique is used. It is usually the first step in endoscopic sinus surgery and the first surgical maneuver the new rhinologist has to learn. The most familiar two methods of doing uncinectomy are the classic method, introduced by Stammberger in 1986, and Wormald’s swing-door technique in 1998. The swing-door technique appears to be associated with a slightly higher risk of injury to the lacrimal duct. Simultaneously, failure to identify maxillary ostium and orbital penetration are both more common in the classic method.
This study aims to review the different methods of doing uncinectomy during endoscopic sinus surgery and compare the most standard techniques regarding their efficiency and safety.

Endoscopic Dacryocystorhinostomy: A Case Series Study from Mosul City

Islam Ghanim Mahmood; Professor Ali Abdulmuttalib Mohammed; Hassan Myasar Abdulwahid

Annals of the College of Medicine, Mosul, 2021, Volume 43, Issue 1, Pages 81-86
DOI: 10.33899/mmed.2021.129046.1064

Background: Dacryocystorhinosty is a technique applied to patients who complain of excessive tearing (epiphora) and demonstrate obstruction of the lacrimal outflow system.
Objectives: The present study aims at studying the outcome and complications
of endoscopic dacryocystorhinostomy EnDCR.
Methods: This case series study was conducted to analyze 70 eyes related to 66 patients with epiphora and recurrent attacks of dacryocystitis who underwent EnDCR for the period from January 2018 to June 2019. Surgeries were done in 2 hospitals in Mosul namely; Al-jumhoory Teaching hospital and Al-Rabee Private hospital.
Results: This case series study included 70 eyes of 66 patients (62 unilateral and 4 bilateral cases) complaining from epiphora excessive tearing and/or chronic dacryocystitis. There was 45 females (68.2%) and 21 males (31.8%) with F:M ratio of 2.1:1. The patients, ages ranged between 4-74 years of age with a mean age of 39 ± 18.31. The success rate of endoscopic dacryocystorhinostomy EnDCR in the present study was 97.15 % depending on clinical improvement of epiphora , endoscopic assessment for patency of the new ostium and passage of tears aided by pressing over the medial canthus. Hemorrhage was the most common complication and there was no serious orbital complication in our study neither during surgery nor in the follow up period.
Conclusion: Endoscopic dacryocystorhinostomy EnDCR carries very good success rate with relatively not critical and low complication rate. Moreover, it has the advantage of overlooking unnecessary scar, the ability to operate both sides simultaneously and revising the operation in case of failure of surgery.