PMID- 25041807
OWN - NLM
STAT- MEDLINE
DCOM- 20150224
LR  - 20141230
IS  - 1531-4995 (Electronic)
IS  - 0023-852X (Linking)
VI  - 125
IP  - 1
DP  - 2015 Jan
TI  - Turbinate-septal suture for middle turbinate medialization: a prospective 
      randomized trial.
PG  - 33-5
LID - 10.1002/lary.24820 [doi]
AB  - OBJECTIVES/HYPOTHESIS: One of the primary goals of endoscopic sinus surgery (ESS) 
      is to create widely patent paranasal sinus ostia, but lateralization of the 
      middle turbinate (MT) after ESS can obstruct otherwise patent ethmoid and 
      maxillary sinuses. The aim of this study was to evaluate the effectiveness of 
      turbinate-septal suturing in preventing lateralization of the MT. STUDY DESIGN: A 
      prospective, randomized, blinded controlled study. METHODS: The study was 
      performed in 120 patients who had undergone ESS. The patients were randomized to 
      receive nasal (group A) or turbinate-septal suture plus nasal packing (group B). 
      Postoperative lateralization of the MT and synechia formation were assessed as 
      the primary outcome 3 months post-ESS. The Lund-Kennedy Scores at 1 week, 2 week, 
      and 1 month after ESS were assessed as the secondary outcomes. RESULTS: A total 
      of 120 patients were enrolled (60 patients in each group). Group B had a 
      significantly lower rate of MT lateralization compared to group A after 3 months 
      of surgery (6 of 120 sides vs. 19 of 120 sides; P < 0.01). Synechia formation 
      rates in groups B were also significantly lower than those in group A (4 of 120 
      sides vs. 13 of 120 sides; P = 0.023). CONCLUSION: Middle turbinate-septal 
      suturing medialization during ESS is an effective method for preventing 
      lateralization of the MT.
CI  - (c) 2014 The American Laryngological, Rhinological and Otological Society, Inc.
FAU - Chen, Weihu
AU  - Chen W
AD  - Department of Otorhinolaryngology-Head and Neck Surgery, Tongling People's 
      Hospital, Tongling, Anhui, People's Republic of China.
FAU - Wang, Yonggan
AU  - Wang Y
FAU - Bi, Yonghua
AU  - Bi Y
FAU - Chen, Wenwen
AU  - Chen W
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20140707
PL  - United States
TA  - Laryngoscope
JT  - The Laryngoscope
JID - 8607378
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Bandages
MH  - Double-Blind Method
MH  - *Endoscopy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nasal Septum/*surgery
MH  - Paranasal Sinuses/*surgery
MH  - Postoperative Complications/prevention & control/surgery
MH  - Prospective Studies
MH  - Reoperation
MH  - Rhinitis/diagnosis/*surgery
MH  - Sinusitis/diagnosis/*surgery
MH  - *Suture Techniques
MH  - Tissue Adhesions/prevention & control/surgery
MH  - Tomography, X-Ray Computed
MH  - Turbinates/injuries/*surgery
MH  - Young Adult
OTO - NOTNLM
OT  - Endoscopic sinus surgery
OT  - lateralization
OT  - middle turbinate
OT  - suture
EDAT- 2014/07/22 06:00
MHDA- 2015/02/25 06:00
CRDT- 2014/07/22 06:00
PHST- 2014/05/07 00:00 [received]
PHST- 2014/06/10 00:00 [revised]
PHST- 2014/06/13 00:00 [accepted]
PHST- 2014/07/22 06:00 [entrez]
PHST- 2014/07/22 06:00 [pubmed]
PHST- 2015/02/25 06:00 [medline]
AID - 10.1002/lary.24820 [doi]
PST - ppublish
SO  - Laryngoscope. 2015 Jan;125(1):33-5. doi: 10.1002/lary.24820. Epub 2014 Jul 7.