PMID- 25514487
OWN - NLM
STAT- MEDLINE
DCOM- 20150930
LR  - 20181202
IS  - 1945-8932 (Electronic)
IS  - 1945-8932 (Linking)
VI  - 28
IP  - 6
DP  - 2014 Nov-Dec
TI  - Clinical effects of middle turbinate resection after endoscopic sinus surgery: a 
      systematic review.
PG  - 502-7
LID - 10.2500/ajra.2014.28.4097 [doi]
AB  - BACKGROUND: The middle turbinate (MT) is a structure that is often carefully 
      preserved during endoscopic sinus surgery (ESS) in an effort to preserve nasal 
      physiology and serve as an anatomic landmark. However, resection is performed in 
      select cases because of involvement of the MT in the inflammatory process, 
      obstruction, or instability. Therefore, significant controversy exists among 
      surgeons regarding the indications for proceeding with MT resection in ESS. This 
      study evaluates clinical outcomes of MT resection after ESS. METHODS: An English 
      language search of the PubMed and Ovid databases was conducted for publications 
      examining clinical outcomes of MT resection after ESS performed for chronic 
      rhinosinusitis. Two authors independently examined the articles to identify those 
      meeting inclusion criteria. Any differences over which studies to include were 
      resolved by discussion and consensus. Bias assessment was conducted using the 
      Cochrane Collaboration bias tool for randomized controlled trials and the 
      Newcastle-Ottawa bias tool for cohort and case-control studies. RESULTS: After 
      initial screening, search results revealed 71 articles that warranted detailed 
      evaluation. After applying inclusion criteria, 9 studies were selected. A total 
      of 2123 patients were included among the studies. All studies were controlled. 
      Within the limited available data, olfaction scores may be improved in the MT 
      resection patients compared with MT preservation patients. No difference between 
      the groups was noted for quality of life outcomes, nasal airway resistance, or 
      rates of postoperative frontal sinusitis. In regard to postoperative endoscopic 
      examinations, some studies note greater improvement in the MT resection group 
      compared with the MT preservation group, while others were equivalent. 
      CONCLUSION: Although some studies show outcome benefit in MT resection patients 
      compared with MT preservation patients, several others show no difference. When 
      MT resection was appropriately indicated, no studies showed detrimental effects 
      compared with MT preservation in their designated outcomes. Additional more 
      stringent studies are warranted.
FAU - Choby, Garret W
AU  - Choby GW
AD  - Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh 
      Medical Center, Pittsburgh, Pennsylvania, USA.
FAU - Hobson, Candace E
AU  - Hobson CE
FAU - Lee, Stella
AU  - Lee S
FAU - Wang, Eric W
AU  - Wang EW
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
PL  - United States
TA  - Am J Rhinol Allergy
JT  - American journal of rhinology & allergy
JID - 101490775
SB  - IM
MH  - Animals
MH  - *Endoscopy
MH  - Humans
MH  - Paranasal Sinuses/*surgery
MH  - Randomized Controlled Trials as Topic
MH  - *Rhinoplasty
MH  - Treatment Outcome
MH  - Turbinates/immunology/pathology/*surgery
EDAT- 2014/12/17 06:00
MHDA- 2015/10/01 06:00
CRDT- 2014/12/17 06:00
PHST- 2014/12/17 06:00 [entrez]
PHST- 2014/12/17 06:00 [pubmed]
PHST- 2015/10/01 06:00 [medline]
AID - 10.2500/ajra.2014.28.4097 [doi]
PST - ppublish
SO  - Am J Rhinol Allergy. 2014 Nov-Dec;28(6):502-7. doi: 10.2500/ajra.2014.28.4097.