PMID- 21809231
OWN - NLM
STAT- MEDLINE
DCOM- 20120213
LR  - 20220321
IS  - 1438-8685 (Electronic)
IS  - 0935-8943 (Linking)
VI  - 90
IP  - 8
DP  - 2011 Aug
TI  - [Long term results of transseptal suture of the middle turbinate during sinus 
      surgery].
PG  - 471-5
LID - 10.1055/s-0031-1280840 [doi]
AB  - BACKGROUND: Synechia formation between the middle turbinate (MT) and the lateral 
      nasal wall is a common postoperative complication in endoscopic sinus surgery 
      (ESS) often resulting in revision surgery. To keep the middle meatus open several 
      procedures were described in order to medialise the MT. Long term results of 
      these techniques are missing. The purpose of the study was to evaluate the long 
      term results of fixing the heads of the MT to the septum by a resorbable 
      septal-turbinate-suture (STS). MATERIAL AND METHODS: 17 patients were included in 
      the retrospective study. All patients underwent ESS with STS because of chronic 
      rhinosinusitis with (8) and without polyps (9). The median follow-up was 81 
      months (range, 36-105 months). In a total 34 nasal cavities were postoperatively 
      examined by endoscopy. Additionally, rhinomanometry and olfaction test were 
      performed. RESULTS: The MT was found in a central position in between septum and 
      lateral wall in 10 nasal cavities (30 % ), in a more medial position in 24 (70 % 
      ) and none in a lateral position. Only 2 patients presented unilateral synechia 
      to the lateral wall and one unilateral to the septum. CONCLUSIONS: Synechia of 
      the MT to the lateral nasal wall in ESS can be effectively avoided by a STS. The 
      long term results showed that STS maintains the MT in a medial position with a 
      free middle meatus without impairing the olfactory function.
FAU - Rettinger, G
AU  - Rettinger G
AD  - Universitat Ulm, HNO-Klinik, Ulm, Germany.
FAU - Lindemann, K
AU  - Lindemann K
FAU - Ashoor, M
AU  - Ashoor M
FAU - Scheithauer, M
AU  - Scheithauer M
FAU - Sommer, F
AU  - Sommer F
FAU - Lindemann, J
AU  - Lindemann J
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Langzeitergebnisse der transseptalen Naht der mittleren Nasenmuscheln bei 
      Siebbeinoperationen.
DEP - 20110801
PL  - Germany
TA  - Laryngorhinootologie
JT  - Laryngo- rhino- otologie
JID - 8912371
SB  - IM
MH  - Adult
MH  - Aged
MH  - Endoscopy/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nasal Obstruction/prevention & control
MH  - Nasal Polyps/*surgery
MH  - Nasal Septum/*surgery
MH  - Paranasal Sinus Diseases/*surgery
MH  - Postoperative Complications/prevention & control
MH  - Retrospective Studies
MH  - Rhinoplasty/*methods
MH  - *Suture Techniques
MH  - Turbinates/*surgery
MH  - Wound Healing/physiology
EDAT- 2011/08/03 06:00
MHDA- 2012/02/14 06:00
CRDT- 2011/08/03 06:00
PHST- 2011/08/03 06:00 [entrez]
PHST- 2011/08/03 06:00 [pubmed]
PHST- 2012/02/14 06:00 [medline]
AID - 10.1055/s-0031-1280840 [doi]
PST - ppublish
SO  - Laryngorhinootologie. 2011 Aug;90(8):471-5. doi: 10.1055/s-0031-1280840. Epub 
      2011 Aug 1.