Surgery of the Inferior and Middle Turbinates

Nurse, Leslie A.; Duncavage, James A.

doi:10.1016/j.otc.2009.01.009

Cited by 81 publications

(81 citation statements)

References 39 publications

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“…Despite the volume of literature both supporting and disparaging the removal of middle turbinate, objective evidence either favoring or discouraging the procedure remains sparse [10].…”

Section: Discussionmentioning

confidence: 99%

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

Gulati¹,

Wadhera²,

Kumar³

et al. 2010

Indian J Otolaryngol Head Neck Surg

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A considerable controversy surrounds the advisability and efficacy of middle turbinate resection in endoscopic sinus surgery. Some are in favor of middle turbinate preservation considering it to be important anatomic and physiological structure and others advocate middle turbinate resection as it improves nasal air flow and decreases synechiae formation. So a study was undertaken to evaluate the efficacy of middle turbinate resection in patients of chronic sinusitis undergoing Functional Endoscopic Sinus Surgery (FESS). 40 patients of chronic sinusitis were selected and divided into 2 groups, group I undergoing FESS with middle turbinate preservation and group II undergoing FESS along with middle turbinate resection. Final results were recorded 6 months after the operative procedure. 50% patients had relief in nasal obstruction in group I as compared to 88% in group II. Postoperative synechiae formation was seen in five patients in group I and in one patient in group II.

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“…Despite the volume of literature both supporting and disparaging the removal of middle turbinate, objective evidence either favoring or discouraging the procedure remains sparse [10].…”

Section: Discussionmentioning

confidence: 99%

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

Gulati¹,

Wadhera²,

Kumar³

et al. 2010

Indian J Otolaryngol Head Neck Surg

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“…The advantages of these techniques are minimal crusting at incision site and very low incidence of postoperative bleeding [18].…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Radiofrequency Assisted Versus Microdebrider Assisted Turbinoplasty in Cases of Inferior Turbinate Hypertrophy

Kumar

Garg

2013

Indian J Otolaryngol Head Neck Surg

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Nasal obstruction is the most common complaint among patients presenting to otolaryngologists which disturbs the quality of life of the patient. The anterior end of inferior turbinate is in the narrowest part of nasal airway, enlargement of which causes significant nasal obstruction. In our, prospective and interventional, study a comparison was made between the results of bipolar radiofrequency assisted turbinoplasty and microdebrider assisted turbinoplasty in patients with chronic nasal obstruction due to inferior turbinate hypertrophy, not responding to medical treatments. The cases were randomly divided into radiofrequency (RF) and microdebrider (MD) groups, each consisting of 30 cases. Nasal obstruction, sneezing, itching in nose, rhinorrhea, intra operative bleeding, duration of surgery, post operative bleeding, post operative pain and crusting were the parameters recorded preoperative, intra operative and post operatively at 1 week, 1, 3 and 6 months. For bleeding and crusting standard 4-point scale was used. Rest of the symptoms were assessed subjectively on standard visual analogue scale (0-10). The statistical analysis was done by student's t test. Postoperatively, all the preoperative symptoms were significantly improved up to 6 months in group RF as well as group MD, but there were three cases of recurrence at 6th months of postoperative period in group RF. However, we recommend MD assisted inferior turbinoplasty under local anaesthesia in view of long term symptom relief and lesser recurrence.

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“…The middle turbinate can scar laterally resulting in blockage of the middle meatus and subsequent maxillary and frontal sinusitis. When revising this type of scar tissue, we recommend partial endoscopic removal as described by Nurse and Duncavage [1]. In some instances, a preserved middle turbinate can make postoperative access to the maxillary sinus difficult.…”

Section: Endoscopic Partial Middle Turbinectomymentioning

confidence: 99%

Five ‘nontraditional’ techniques for use in patients with recalcitrant sinusitis

Schneider

Archilla²,

Duncavage

2013

Current Opinion in Otolaryngology & Head and Neck Surgery

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Surgery of the Inferior and Middle Turbinates

Cited by 81 publications

References 39 publications

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

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

A Comparative Study of Radiofrequency Assisted Versus Microdebrider Assisted Turbinoplasty in Cases of Inferior Turbinate Hypertrophy

Five ‘nontraditional’ techniques for use in patients with recalcitrant sinusitis

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