Abstract
Whenever possible, the middle turbinate (MT) should be preserved during functional endoscopic sinus surgery. MT lateralization, however, can be a complication that occurs when opposing areas of denuded mucosa form a scar between them. This scar pulls the MT laterally and may cause obstruction of the outflow of the ethmoid infundibulum, which translates into subsequent failure of the initial procedure. In an attempt to prevent lateralization without the need for resection of the MT, techniques for medialization have been described. In this article, we present a quick-and-easy technique that involves using the microdebrider to create small areas of denuded mucosa on opposite surfaces of the middle turbinate and the nasal septum in a controlled fashion, followed by an application of biological tissue adhesive to facilitate and accelerate the formation of synechiae, which stabilize the MT, prevent lateralization, and obviate the need for postoperative packing.
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