PMID- 20450696
OWN - NLM
STAT- MEDLINE
DCOM- 20110203
LR  - 20100510
IS  - 1673-0860 (Print)
IS  - 1673-0860 (Linking)
VI  - 45
IP  - 3
DP  - 2010 Mar
TI  - [Significance of conservation of the horizontal bony strut of the basal lamellae 
      in endoscopic sinus surgery].
PG  - 193-6
AB  - OBJECTIVE: To explore the methods of maintaining the stability of middle 
      turbinate (MT), reducing the incidence of middle meatus synechia formation and 
      improving the treatment effect of endoscopic sinus surgery. METHODS: A 
      prospective study was conducted in 54 consecutive patients with chronic 
      sinusitis. The patients were allocated into two groups. During the operation, the 
      most anterior and superior MT attachments to the agger nasi region were 
      preserved, and anterior and posterior ethmoidectomy were performed in group A (27 
      cases 47 sides). Besides above structures, the most posterior and inferior 
      aspects of the basal lamellae and the horizontal boney strut structures of the 
      basal lamellae were preserved in group B (27 cases 51 sides). RESULTS: There were 
      no significant differences between the two groups in age, course and preoperation 
      visual analogue scale (VAS) score. The VAS scores in group A before and 1 year 
      after operation were (6.41 +/- 0.25) and (1.70 +/- 0.36), the difference was 
      significant (t = 10.472, P < 0.05). The VAS scores in group B before and 1 year 
      after operation were (6.78 +/- 0.23) and (0.66 +/- 0.16), the difference was 
      significant (t = 17.195, P < 0.05). The Lund-Kennedy scores in group A and group 
      B one year after operation were (1.85 +/- 0.47) and (0.67 +/- 0.16), the 
      difference was significant (t = 2.290, P < 0.05). The MT position was described 
      as stable, slight drifting laterally and synechia formation. And the incidence of 
      stable, slight drifting laterally and synechia between MT and the nasal lateral 
      wall in group A and group B was 57.4%, 23.4%, 19.1% and 88.2%, 3.9%, 7.8% 
      respectively, the differences were significant (chi(2) = 12.511, P < 0.05) 
      CONCLUSIONS: Conservation of the horizontal bony strut of basal lamellae could 
      better maintain the stability of MT, reduce the incidence of MT drifting 
      laterally and synechia formation, and finally improve the curative effect of 
      endoscopic sinus surgery.
FAU - Zhou, Jian-bo
AU  - Zhou JB
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Hunan Provincial 
      People's Hospital, Changsha 410005, China.
FAU - Xiao, Xu-ping
AU  - Xiao XP
FAU - Wang, Ji-hua
AU  - Wang JH
FAU - Zhang, Qiu-hang
AU  - Zhang QH
LA  - chi
PT  - English Abstract
PT  - Journal Article
PL  - China
TA  - Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
JT  - Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of 
      otorhinolaryngology head and neck surgery
JID - 101247574
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Endoscopy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Otorhinolaryngologic Surgical Procedures/methods
MH  - Prospective Studies
MH  - Sinusitis/*surgery
MH  - Turbinates/anatomy & histology/*surgery
MH  - Young Adult
EDAT- 2010/05/11 06:00
MHDA- 2011/02/04 06:00
CRDT- 2010/05/11 06:00
PHST- 2010/05/11 06:00 [entrez]
PHST- 2010/05/11 06:00 [pubmed]
PHST- 2011/02/04 06:00 [medline]
PST - ppublish
SO  - Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010 Mar;45(3):193-6.