Abstract
“Controlled Synechia” (Bolgerization) has been shown to be effective in prevention of lateralization in as many as 88% of patients [3] (Figure 3). This technique was published by Bolger et al. in 1999 [4] and consists in the performance of mucosal abrasion on the medial aspect of the anteroinferior portion of the middle turbinate and, on the adjacent nasal septal mucosa using the sickle knife or the microdebrider (Figure 4). This technique requires postoperative nasal packing for up to 10 days after surgery. The nasal packing is placed in the middle meatus to medialize the turbinate against the septum and join the incisions. Removable nasal packing is uncomfortable, produces local pressure and its removal can cause nasal bleeding and vasovagal reaction. Currently, biodegradable and absorbable materials are now routinely used after this surgery due to their fine hemostatic properties and to be more comfortable for the patient.
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