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. 2000 Jul;123(1 Pt 1):76-80.
doi: 10.1067/mhn.2000.105921.

Middle turbinate medialization and preservation in endoscopic sinus surgery

M Friedman  1 , R Landsberg, H Tanyeri
Affiliations

Middle turbinate medialization and preservation in endoscopic sinus surgery

M Friedman et al. Otolaryngol Head Neck Surg. 2000 Jul.

Abstract

Objective/hypothesis: Lateral synechia formation between the middle turbinate (MT) and the lateral nasal wall is the most common complication of endoscopic sinus surgery. In an attempt to prevent this complication, a simple technique to preserve and medialize the MT was studied.

Methods: Five hundred patients underwent endoscopic sinus surgery with MT medialization and preservation. The caudal end of the MT and the opposing septal mucosa were abraded with a microdebrider for controlled synechia formation in an attempt to avoid lateralization of the MT. Follow-up ranged from 6 to 18 months, with a mean follow-up of 10 months.

Results: Ninety-three percent of the patients had successful MT medialization with a well-defined synechia between the septum and the MT.

Conclusions: MT medialization with a microdebrider is simple, is reliable, and should be considered an alternative to turbinate resection or to other turbinate medialization techniques.

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