Peroperative Findings of the Middle Turbinate in 50 Patients With Chronic Sinusitis Who Underwent Total Spheno-Ethmoidectomy

T D Morre,P A R Clement,G Noussios

doi:10.1155/dte.5.1

Abstract

This study describes the peroperative endoscopic findings about the size, shape and mucosal changes of the middle turbinate in patients with chronic sinusitis who underwent total spheno-ethmoidectomy. Results confirmed the middle turbinate to be a useful landmark in performing extensive sinus surgery. The most frequent change due to chronic inflammation seems to be polypous degeneration followed by hyperplastic mucosa. Anatomical variations, being paradoxically bent turbinate and concha bullosa, are not seen frequently.

Highlights

The middle turbinate or concha media is the medial appendage of the lateral nasal wall and lays over the bulla ethmoidalis and in most cases over the hiatus semilunaris and the uncinate process [1]
With no response to medication were scheduled for total spheno-ethmoidectomy under general anesthesia from 1993 to 1996
The permanent middle turbinate develops from the second ethmoturbinal and is an extension of the superior ethmoid bone covered with soft tissue and nasal mucosa [6]

Summary

Introduction

The middle turbinate or concha media is the medial appendage of the lateral nasal wall and lays over the bulla ethmoidalis and in most cases over the hiatus semilunaris and the uncinate process [1]. This turbinate is for most authors an important landmark in endoscopic sinus surgery [1,2]. The authors observed the middle turbinate during surgery in 50 chronic sinusitis patients. The aim of the present study is to study the mucosal changes and the anatomic variations of the middle turbinate in patients with extensive inflammatory sinus disease needing total spheno-ethmoidectomy

Objectives

Methods

Results

Conclusion