PMID- 21679517
OWN - NLM
STAT- MEDLINE
DCOM- 20111101
LR  - 20111110
IS  - 1945-8932 (Electronic)
IS  - 1945-8932 (Linking)
VI  - 25
IP  - 2
DP  - 2011 Mar-Apr
TI  - Middle turbinate suture conchopexy during endoscopic sinus surgery does not 
      impair olfaction.
PG  - 125-7
LID - 10.2500/ajra.2011.25.3560 [doi]
AB  - BACKGROUND: One of the primary goals of endoscopic sinus surgery (ESS) is to 
      create widely patent paranasal sinus ostia, and lateralization of a middle 
      turbinate (MT) after ESS can obstruct otherwise patent ethmoid and maxillary 
      sinuses. Numerous methods have been used to assist in the avoidance of this 
      complication including the use of packing in the ethmoid sinus as a "spacer," 
      controlled creation of synechia between the MT and septum, and suture 
      medialization of the MT to the septum. The latter is an effective technique, but 
      because the olfactory groove lies superior in the groove between the MT and 
      septum, concerns have been raised as to the effect of this maneuver on olfaction. 
      The aim of this pilot study was to objectively evaluate olfaction before and 
      after suture conchopexy, and, secondarily, to evaluate the effectiveness of this 
      technique in preventing lateralization of the MT. This study was designed to 
      assess the effect of suture medialization of the MT during ESS on olfactory 
      sensation. METHODS: Objective assessment of olfactory function using the 
      University of Pennsylvania Smell Identification Test (UPSIT) was performed before 
      and 6 months after ESS in 153 patients between January 2006 and January 2008. 
      Postoperative follow-up exams were also performed to determine the effectiveness 
      of the medialization procedure and the patency of the ethmoid cavities. RESULTS: 
      UPSIT testing showed a small but statistically significant improvement in 
      olfactory function after MT suture medialization to the septum when compared with 
      preoperative assessment. Postoperative endoscopic examination revealed that 
      lateralization of the MT was a rare complication after suture medialization of 
      the MT. CONCLUSION: MT suture medialization during ESS is an effective method for 
      preventing lateralization of the MT and does not impair olfactory function.
FAU - Dutton, Jay M
AU  - Dutton JM
AD  - Department of Otolaryngology and Bronchoesophagology, Rush University Medical 
      Center, Chicago, Illinois, USA. jay_dutton@rush.edu
FAU - Hinton, Mark J
AU  - Hinton MJ
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Rhinol Allergy
JT  - American journal of rhinology & allergy
JID - 101490775
SB  - IM
MH  - Adult
MH  - *Endoscopy
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nasal Obstruction/*etiology/prevention & control
MH  - Paranasal Sinuses/pathology/surgery
MH  - Pilot Projects
MH  - *Postoperative Complications
MH  - Smell
MH  - *Suture Techniques
MH  - Turbinates/pathology/*surgery
EDAT- 2011/06/18 06:00
MHDA- 2011/11/02 06:00
CRDT- 2011/06/18 06:00
PHST- 2011/06/18 06:00 [entrez]
PHST- 2011/06/18 06:00 [pubmed]
PHST- 2011/11/02 06:00 [medline]
AID - 10.2500/ajra.2011.25.3560 [doi]
PST - ppublish
SO  - Am J Rhinol Allergy. 2011 Mar-Apr;25(2):125-7. doi: 10.2500/ajra.2011.25.3560.