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A novel technique with butterfly splint for middle turbinate stabilization in sinus surgery

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

Abstract

Objective

To assess the efficacy of newly designed butterfly splint with special technique for middle turbinate stabilization in preventing adhesion following bilateral endoscopic sinus surgery (ESS) for chronic rhinosinusitis with nasal polyps (CRSwNP).

Study design

Prospective, double-blind, randomized controlled.

Setting

University hospitals.

Methods

Following ESS, in cases of traumatized and/or unstable middle turbinates, newly designed butterfly plastic splint was randomly inserted in the middle meatus of one nasal side, while no splint was inserted in the other (control). Patients were followed up on after 1 week, 1 month, and 6 months. Endoscopic examination and a visual analog scale were used to evaluate each side of the nasal cavity for adhesion, crusting, pus, pain, nasal obstruction, and nasal discharge.

Results

Thirty patients (60 nasal sides) were included. For all investigated parameters, there was no significant difference between the splinted and non-splinted sides at the first week visit. Adhesion was found significantly less in the splinted sides (3%) than the non-splinted sides (27%) after 1 month (P = 0.038). The adhesion rate in the splinted sides remained 3% at the 3 month follow-up visit, however, in the non-splinted sides, the rate increased up to 30% (P = 0.007). Throughout the follow-up visits, all other investigated parameters remained statistically insignificant between both sides.

Conclusions

The newly designed butterfly plastic splints to avoid middle turbinate adhesion is safe and effective in both reducing middle meatal adhesion with low complication rate in CRSwNP patients undergoing ESS and middle turbinate stabilization in its intermediate position.

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Data availability

Data can be made available on author request.

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Funding

The authors declare no financial support or interest to this study.

Author information

Authors and Affiliations

  1. Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

    Hoda Ismael Abdelhamid, Ali Mohammad Mohammad Awad, Amany Mohamed Abd Albadea, Ibrahim Ahmed Khaled, Mohammad Waheed El-Anwar & Magdy Abdalla Syed El-ahl

Authors
  1. Hoda Ismael Abdelhamid
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  2. Ali Mohammad Mohammad Awad
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  3. Amany Mohamed Abd Albadea
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  4. Ibrahim Ahmed Khaled
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  5. Mohammad Waheed El-Anwar
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  6. Magdy Abdalla Syed El-ahl
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Contributions

HIA; develop the research idea, review literature, prepare and follow up the patients, consent patient, taking the IRB approval, collect data, tabulate data, assist in wring the manuscript. AMMA; review literature, assist in preparing figure, assist in data collection, revise written manicurist, assist in the statistical analysis. AMAA; prepare the IRB approval file, help in collecting data and its interpretation, assist in patients follow up, revise written manuscript. IAK; review of literature, assist in figures preparation, revise written manuscript, data interpretation, MWE-A; modify the idea, review literature, assist in writing the manuscript, interpretation of data, revise the manuscript, assist in preparing figures and tables. MASE-a: suggest the research idea, do the surgery, prepare the stent, assist in writing the methodology, data interpretation, revise the written manuscript.

Corresponding author

Correspondence to Mohammad Waheed El-Anwar.

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Conflict of interest

The authors declare no financial support or interest to this study. the authors declare no conflict of interest.

Research involving human participants and/or animals

Approval from the Zagazig University institutional review board committee (ZU-IRB #10272) was obtained.

Informed consent

All included patients signed an informed consent before involvement the study.

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Abdelhamid, H.I., Awad, A.M.M., Albadea, A.M.A. et al. A novel technique with butterfly splint for middle turbinate stabilization in sinus surgery. Eur Arch Otorhinolaryngol 281, 1325–1330 (2024). https://doi.org/10.1007/s00405-023-08322-0

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  • DOI: https://doi.org/10.1007/s00405-023-08322-0

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