Middle Turbinate Stabilization Technique in Endoscopic Sinus Surgery

Preventing Lateral Synechia Formation After Endoscopic Sinus Surgery With a Silastic Sheet

“…Recently, platelet gel packing and sodium hyaluronate-carboxymethylcellulose (HA-CMC), which prevent adhesions, have been used, but the efficacy of these materials remains unclear. [7][8][9][10] Compared with the method described by Thornton,4 our technique is relatively simple to perform because fixation of the Silastic sheet is generally performed at the anterior to middle portion of septal cartilage. Our procedures also provide little difficulty in the postoperative care of the ethmoid sinus and frontal recess area, compared with inserting an inverted U-shaped Silastic sheet.…”

Comparative Evaluation of Middle Meatus Antrostomy with or Without Partial Middle Turbinectomy

“…Today, there are two schools of opinion, largely based on surgeon's training. There are those who favor anterior middle turbinate preservation (MTP) [1][2][3] and others who practice total or partial middle turbinate resection (MTR) [4][5][6]. Turbinate preservationists think that the middle turbinate is an important anatomic and physiologic structure and the unnecessary resection increases complications.…”

Role of Mitomycin-C in Prevention of Post Operative Adhesions After Endoscopic Sinus Surgery––A Prospective Study

“…Alternative techniques of middle turbinate medialization include metallic clips (Moukarzel N) or trans-septal sutures (Thornton RS) to stabilize the middle turbinates [9,10]. Both techniques are successful in preventing unfavorable synechiae and middle turbinate lateralization without middle meatus packing.…”