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Anterior part middle turbinoplasty in endoscopic sinus surgery: a randomized controlled study

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objective

Resection of middle turbinate in the setting of endoscopic sinus surgery is a controversial procedure. Our aim is to assess the impact of the anterior part middle turbinoplasty on the outcome of endoscopic sinus surgery, incidence of synechia between the middle turbinate and the lateral nasal wall, intra- and post-operative accessibility to the paranasal sinuses.

Methods

Single blinded randomized controlled study of 120 patients with chronic rhinosinusitis without polyps, they were allocated into two groups, we performed anterior part middle turbinoplasty in the group one “60 patients”, and we preserved the middle turbinate in the group two “60 patients”. We assessed the patients pre-operatively by Sino-nasal outcome Test (SNOT-22), intra-operatively by Likert scale score for the sinuses accessibility. At least 6 months post-operatively, we assessed the patients by SNOT-22, and Likert scale score for sinus accessibility.

Results

During and after surgery, the Likert scale score in the group one showed statistically significant better sinuses accessibility than in the group two. We noticed synechia between the MT and the lateral nasal wall in 9.2% and 18.2% of the operated sides in group one and group two, respectively. SNOT-22 and its smell item improved significantly in both groups with no statistically significant differences between them. No major complications were reported.

Conclusion

Anterior part middle turbinoplasty is a safe and effective technique during endoscopic sinus surgery to improve the intra- and post-operative sinus accessibility, and decrease the incidence of post-operative synechia, with no adverse effect on olfaction or bleeding.

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Data availability

The corresponding author can provide data to back up the findings of this study upon request. Due to privacy and ethical concerns, the data is not publicly available.

Code availability

NAD.

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Funding

There were no funding resources for our study.

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Authors and Affiliations

  1. Department of otorhinolaryngology, Faculty of Medicine, University of Tanta, Tanta, Egypt

    Mohamed O. Tomoum, Mohamed Nasser ElSheikh, Hazem ElBasty, Mahmoud Abd-Elghany Hagras & Ahmed El-Naggar

Authors
  1. Mohamed O. Tomoum
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  2. Mohamed Nasser ElSheikh
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  3. Hazem ElBasty
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  4. Mahmoud Abd-Elghany Hagras
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  5. Ahmed El-Naggar
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Contributions

MOT contributed in clinical examination, surgery, collecting the data, writing and preparation of manuscript; MNE-S, HE-B, MA-GH, and AE-N contributed in material preparation, data collection and analysis.

Corresponding author

Correspondence to Mohamed O. Tomoum.

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Conflict of interest

All authors declare that they have no conflict of interest (financial or non-financial).

Ethical approval

The institutional review board of the Faculty of medicine, University of Tanta.

Informed consent

We had an informed consent from all the participants of our study. Only members of the research team have collected the patient information from the electronic case records and reviewed it.

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Cite this article

Tomoum, M.O., ElSheikh, M.N., ElBasty, H. et al. Anterior part middle turbinoplasty in endoscopic sinus surgery: a randomized controlled study. Eur Arch Otorhinolaryngol 279, 2465–2471 (2022). https://doi.org/10.1007/s00405-021-07053-4

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  • DOI: https://doi.org/10.1007/s00405-021-07053-4

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