PMID- 22935177
OWN - NLM
STAT- MEDLINE
DCOM- 20130129
LR  - 20161125
IS  - 1916-0216 (Electronic)
IS  - 1916-0208 (Linking)
VI  - 41
IP  - 4
DP  - 2012 Aug
TI  - Middle turbinate resection versus preservation in patients with chronic 
      rhinosinusitis accompanying nasal polyposis: baseline disease burden and surgical 
      outcomes between the groups.
PG  - 259-64
AB  - OBJECTIVE: To evaluate baseline disease burden and surgical outcomes between 
      middle turbinate resection and preservation groups consisting of patients 
      diagnosed with chronic rhinosinusitis accompanying nasal polyposis (NP). STUDY 
      DESIGN: Prospective, nonrandomized study. METHODS: The preoperative disease 
      burden (extent of NP, Lund-Mackay scores, and subjective symptom scores) was 
      evaluated using nasal endoscopy, computed tomography, and questionnaires. 
      Objective and subjective surgical outcomes were assessed 12 months 
      postoperatively based on endoscopic findings, the Sino-Nasal Outcome Test 20 
      (SNOT-20), and a visual analogue scale (VAS). RESULTS: The extent of NP, 
      Lund-Mackay scores, and VAS scores for the two main symptoms were significantly 
      greater in the resection group than in the preservation group. The preservation 
      group had better objective outcomes. Preoperative SNOT-20 and VAS scores were 
      improved significantly at 12 months postoperatively in both groups, and the 
      improvement did not differ significantly between the groups. CONCLUSIONS: The 
      middle turbinate resection group had greater baseline disease burden (severe 
      polyposis, more extensive disease, and poorer symptom scores) than the 
      preservation group. This may be the reason for the poorer objective surgical 
      outcome in the resection group despite more radical surgery. However, the 
      subjective outcomes were successful regardless of the middle turbinate resection 
      or preservation.
FAU - Byun, Jang Yul
AU  - Byun JY
AD  - Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University 
      College of Medicine, Bucheon Hospital, Bucheon, South Korea.
FAU - Lee, Jae Yong
AU  - Lee JY
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - England
TA  - J Otolaryngol Head Neck Surg
JT  - Journal of otolaryngology - head & neck surgery = Le Journal 
      d'oto-rhino-laryngologie et de chirurgie cervico-faciale
JID - 101479544
SB  - IM
MH  - Adult
MH  - Chronic Disease
MH  - Endoscopy
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nasal Polyps/*complications/diagnosis/surgery
MH  - Otorhinolaryngologic Surgical Procedures/*methods
MH  - Prospective Studies
MH  - Rhinitis/complications/diagnosis/*surgery
MH  - Sinusitis/complications/diagnosis/*surgery
MH  - Surveys and Questionnaires
MH  - Tomography, X-Ray Computed
MH  - Treatment Outcome
MH  - Turbinates/diagnostic imaging/*surgery
EDAT- 2012/09/01 06:00
MHDA- 2013/01/30 06:00
CRDT- 2012/09/01 06:00
PHST- 2012/09/01 06:00 [entrez]
PHST- 2012/09/01 06:00 [pubmed]
PHST- 2013/01/30 06:00 [medline]
PST - ppublish
SO  - J Otolaryngol Head Neck Surg. 2012 Aug;41(4):259-64.