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Management of Unstable Middle Turbinate in Endoscopic Sinus Surgery

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

To propose a simple technique for preservation, medialization and stabilization of the middle turbinate through a planned medial synechiae formation using suction electrocautery between middle turbinate and nasal septum. Study design is Case series. 150 cases of chronic rhino sinusitis who underwent ESS were selected and stabilization of the middle turbinate through a planned medial synechiae formation using suction electrocautery was done as last step and results studied. Adequate medialization was achieved in 141 cases with 94% success rate. This technique of medialization of middle turbinate through a planned medial synechiae formation using cautery between middle turbinate and nasal septum is simple, quick to perform, do not require any special or costly instrument, do not require any special training and thus can be easily done by beginners also and most importantly with good success rate and surgery outcome.

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References

  1. Hewitt Kim M, Orlandi Richard R (2008) Suture medialization of the middle turbinates during endoscopic sinus surgery. Ear Nose Throat J 87(12):E11

    PubMed  Google Scholar 

  2. Bhalla RK, Kaushik V, de Carpentier J (2005) Conchopexy suture to prevent middle turbinate lateralization and septal haematoma after endoscopic sinus surgery. Rhinology 43:143–145

    CAS  PubMed  Google Scholar 

  3. Smith LF, Brindley PC (1993) Indications, evaluation, complications, and results of functional endoscopic sinus surgery in 200 patients. Otolaryngol Head Neck Surg 108(6):688–696

    Article  CAS  Google Scholar 

  4. Stankiewicz JA (1989) Complications of endoscopic sinus surgery. Otolaryngol Clin North Am 22(4):749–758

    CAS  PubMed  Google Scholar 

  5. Bolger WE, Kuhn FA, Kennedy DW (1999) Middle turbinate stabilization after functional endoscopic sinus surgery: the controlled synechiae technique. Laryngoscope 109:1852–1853

    Article  CAS  Google Scholar 

  6. Friedman M, Landsberg R, Tanyeri H (2000) Middle turbinate medialisation and preservation in endoscopic sinus surgery. Otolaryngol Head Neck Surg 123:76–80

    Article  CAS  Google Scholar 

  7. Lindemann J, Keck T, Rettinger G (2002) Septal turbinate suture in endonasal sinus surgery. Rhinology 40:92–94

    PubMed  Google Scholar 

  8. Moukarzel N, Nehme A, Mansour S, Yammine FG, Moukheiber A (2000) Middle turbinate medialisation technique in functional endoscopic sinus surgery. J Otoplaryngol 29:144–147

    CAS  Google Scholar 

  9. Biedlingmaier JF (1993) Endoscopic sinus surgery with middle turbinate resection: results and complications. Ear Nose Throat J 72(5):351–355

    Article  CAS  Google Scholar 

  10. Lazar RH, Younis RT, Long TE, Gross CW (1992) Revision functional endonasal sinus surgery. Ear Nose Throat J 71(3):131–133

    Article  CAS  Google Scholar 

  11. Lee JY, Lee SW (2007) Preventing lateral synechia formation after endoscopic sinus surgery with a silastic sheet. Arch Otolaryngol Head Neck Surg 133(8):776–779

    Article  Google Scholar 

  12. Shikani AH (1994) A new middle meatal antrostomy stent for functional endoscopic sinus surgery. Laryngoscope 104:638–641

    Article  CAS  Google Scholar 

  13. Thorton RT (1996) MT stabilization technique in endoscopic sinus surgery. Arch Otolaryngol Head Neck Surg 122:869–872

    Article  Google Scholar 

  14. Abelardo E, Sanuki T, Yumoto E (2006) Medialization and stabilization of the middle turbinate using nasal septal flap in endoscopic sinus surgery. Philipp J Otolaryngol Head Neck Surg 21(1, 2):43–46

    Google Scholar 

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Funding

There are no financial interests the authors may have in companies or other entities that have an interest in the information in the contribution (e.g., grants, advisory boards, employment, consultancies, contracts, honoraria, royalties, expert testimony, partnerships, or stock ownership in medically related fields). The authors have no financial interest.

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Authors and Affiliations

  1. Department of ENT, Shri Guru Ram Rai Institute of Medical Sciences, Shri Mahant Indiresh Hospital, Dehradun, Uttarakhand, India

    Chetan Bansal & V. P. Singh

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  1. Chetan Bansal
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  2. V. P. Singh
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Correspondence to Chetan Bansal.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Bansal, C., Singh, V.P. Management of Unstable Middle Turbinate in Endoscopic Sinus Surgery. Indian J Otolaryngol Head Neck Surg 71 (Suppl 3), 1940–1943 (2019). https://doi.org/10.1007/s12070-018-1353-0

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  • DOI: https://doi.org/10.1007/s12070-018-1353-0

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