There is considerable controversy conce rning the advisability and efficacy ofmiddle turbinat e resection in endoscopic sinus surgery. Some have reported that it causes an increase in the incidence offrontal sinusitis, while others have fo und 110 such association. Surprisingly, in a 35year review of turbinate surgery literature, Clement and White did notfind a single prospective study ofturbinat e surgery. In this article, we briefly report our pro spective study of middle turbina te resection during endoscopic sinus surgery. Ourfi ndings lead us to believe that middle turbinate resection has no deleterious effects on the results of endoscopic sinus surgery.

Septal surgery is a common type of otolaryngology-head and neck surgery, and it is often performed in combination with other proc edures. Complications ofseptal surgery include bleeding, hematoma, inf ection, abscessformation, and perforation. The most common methods of preventing these complications are the use of nasal packing, septa l splints, and quilting sutures as a means of approximating the septalflap s. In this article, we describe our study of an alternate method: fi brin glue. We used fi brin glue as the sole method ofapproximating flap s on 100 consecutive septal surgery patients. Our results indicate that the use offibrin glue is effective, rapid, comfortable, and inexpen sive.

Our method is effective and does not require adjuvant procedures or prolonged hospital stays.

Patients who present with cough alone are highly unlikely to have PCD (chi(2 ) test, 24.85; P<.001). In contrast, patients who present with multiple manifestations are highly likely to have PCD (chi(2) test, 22.2; P<.001). This information may assist the clinician in the diagnosis of PCD.

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