PMID- 10889485 OWN - NLM STAT- MEDLINE DCOM- 20000807 LR - 20041117 IS - 0194-5998 (Print) IS - 0194-5998 (Linking) VI - 123 IP - 1 Pt 1 DP - 2000 Jul TI - Middle turbinate medialization and preservation in endoscopic sinus surgery. PG - 76-80 AB - OBJECTIVE/HYPOTHESIS: Lateral synechia formation between the middle turbinate (MT) and the lateral nasal wall is the most common complication of endoscopic sinus surgery. In an attempt to prevent this complication, a simple technique to preserve and medialize the MT was studied. METHODS: Five hundred patients underwent endoscopic sinus surgery with MT medialization and preservation. The caudal end of the MT and the opposing septal mucosa were abraded with a microdebrider for controlled synechia formation in an attempt to avoid lateralization of the MT. Follow-up ranged from 6 to 18 months, with a mean follow-up of 10 months. RESULTS: Ninety-three percent of the patients had successful MT medialization with a well-defined synechia between the septum and the MT. CONCLUSIONS: MT medialization with a microdebrider is simple, is reliable, and should be considered an alternative to turbinate resection or to other turbinate medialization techniques. FAU - Friedman, M AU - Friedman M AD - Department of Otolaryngology and Bronchoesophagology, Rush-Presbyterian-Saint Luke's Medical Center, Chicago, IL 60612-3833, USA. FAU - Landsberg, R AU - Landsberg R FAU - Tanyeri, H AU - Tanyeri H LA - eng PT - Journal Article PL - England TA - Otolaryngol Head Neck Surg JT - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JID - 8508176 SB - IM MH - Adult MH - Chronic Disease MH - *Endoscopy MH - Follow-Up Studies MH - Humans MH - Nasal Polyps/*surgery MH - Postoperative Complications/*prevention & control MH - Sinusitis/*surgery MH - Treatment Outcome MH - Turbinates/*surgery EDAT- 2000/07/13 11:00 MHDA- 2000/08/12 11:00 CRDT- 2000/07/13 11:00 PHST- 2000/07/13 11:00 [pubmed] PHST- 2000/08/12 11:00 [medline] PHST- 2000/07/13 11:00 [entrez] AID - S0194-5998(00)99646-3 [pii] AID - 10.1067/mhn.2000.105921 [doi] PST - ppublish SO - Otolaryngol Head Neck Surg. 2000 Jul;123(1 Pt 1):76-80. doi: 10.1067/mhn.2000.105921.