Middle Turbinate Resection Research Articles

Scarring in Endoscopic Ethmoidectomy

The formation of postoperative adhesions is perhaps the most frequent complication of endoscopic sinus surgery: These incidents may vary from trivial, small strands of scar to serious obstructive situations that mandate further surgery. This study is a retrospective analysis of 970 endoscopic ethmoidectomies performed in 535 patients over a 5-year period and followed by a single surgeon. Postoperative follow-up ranged from 6 to 70 months. The overall incidence of postoperative adhesions of all types was 10.5% and involving 102 cases. Of these, 40 cases (4.1%) of the total required subsequent revision surgery due to obstructive scarring. Further analysis is presented, showing the effects of various surgical techniques on the development of adhesions. The incidence of postsurgical lateral adhesion of the middle turbinate was reduced in this series in procedures that incorporated partial middle turbinate resection.

Combined Otolaryngology Society Meetings

This report concerns the combined otolaryngology society meetings held at The Breakers, Palm Beach, Fla, from May 7 through 13, 1994. <h3>American Rhinologic Society</h3> Using acoustic rhinometry,<b>Valerie J. Lund, MS, FRCS, Edward Fisher, MD,</b>and<b>Ming Liu, MD,</b>London, England, measured the minimal nasal cross-sectional area and nasal cavity volume in 15 patients after they underwent laryngectomy. Measurements were recorded two to three times per hour for 6 hours. Although the<b>nasal cycle</b>was not regular nor necessarily alternating, they demonstrated that there was not total ablation<b>after total laryngectomy.</b> In a retrospective study of 262 consecutive patients who underwent endoscopic sinus surgery, previous<b>middle turbinate resection did not effect the incidence of postoperative disease within the frontal sinus. Paul Swanson, Donald C. Lanza, MD,</b>and<b>David Kennedy, MD,</b>Philadelphia, Pa, and<b>Eugenia M. Vining, MD,</b>New Haven, Conn, found an increased incidence of diffuse polyposis, aspirin-sensitivity triad, and

Endoscopic Sinus Surgery with Middle Turbinate Resection: Results and Complications

Numerous articles have been published on the techniques of endoscopic sinus surgery. Fewer articles are available regarding the effectiveness of these procedures in curing the patient's symptoms. A retrospective review of eighty patients was performed to outline their symptoms and determine the success of the surgery. Partial middle turbinate resection was performed in all patients. The high overall success rate of 93.5% and the high antrostomy patency rate of 94.8% demonstrates the benefits of partial resection.

Sphenoethmoidectomy: the case for ethmoid marsupialization.

The authors report 510 sphenoethmoidectomies performed on 255 patients between 1969 and 1985. An overall polyp recurrence rate of 19.2% and less than a 1% complication rate are reported during that time. In patients followed jointly by the otolaryngologists and allergist, including 374 consecutive sphenoethmoidectomies on 187 patients who had this operation performed by the senior author, there was an overall polyp recurrence rate of 15% and a complication rate which was again less than 1%. Recent improvements in recurrence rates and diminished complication rates are attributed to better visualization and adherence to the concept of complete exenteration or marsupialization of the ethmoid labyrinth including middle turbinate resection in every case. Cooperation between the otolaryngologist and allergist is stressed, along with the realization that pulmonary and sinus diseases are frequently interrelated and may both be benefited by the performance of sphenoethmoidectomy in the patient with hyperplastic rhinosinusitis.

The role of ethmoid and middle turbinate surgery in patients with chronic headache

Otolaryngologists and Rhinologists are frequently consulted by patients with headaches. A careful history and thorough examination of the nose and adjacent areas can determine if the cause of headache is secondary to the pathology in the middle turbinate and ethmoid area. In these selected cases ethmoidectomy and middle turbinate surgery have given some excellent results. No serious after-effects of middle turbinate resection were seen. A study of fifty-five (55) patients over a three (3) year period is presented and results discussed.