PMID- 29633570
OWN - NLM
STAT- Publisher
LR  - 20240227
IS  - 2042-6984 (Electronic)
IS  - 2042-6976 (Linking)
DP  - 2018 Apr 6
TI  - Partial resection of the middle turbinate during endoscopic sinus surgery for 
      chronic rhinosinusitis does not lead to an increased risk of empty nose syndrome: 
      a cohort study of a tertiary practice.
LID - 10.1002/alr.22127 [doi]
AB  - BACKGROUND: The treatment of the middle turbinate (MT) during endoscopic sinus 
      surgery (ESS) for chronic rhinosinusitis (CRS) remains a contentious issue with 
      arguments both for and against its resection. The purpose of this study was to 
      examine the clinical impact of partial MT resection (PMTR) during ESS, paying 
      particular attention to the risk of developing empty nose syndrome (ENS) and 
      alteration to olfaction. METHODS: This cohort study was performed on 
      prospectively collected data. A total of 177 patients underwent ESS for CRS; 93 
      had PMTR and 84 MT preservation (MTP). Preoperative data collection included 
      subjective symptom scores as per the Adelaide Disease Severity Score (ADSS), 
      Lund-Mackay scores, and nasal polyp status. The Empty Nose Syndrome 6-Item 
      Questionnaire (ENS6Q) was administered by telephone consultation and analyzed 
      alongside postoperative symptom scores. RESULTS: There was no difference in ENS6Q 
      scores in patients who underwent PMTR vs those who had MTP. Patients who 
      underwent PMTR had a higher baseline disease on Lund-Mackay scoring, and were 
      more likely to be nasal polyp patients and be undergoing revision surgery. ADSS 
      scores demonstrated significant improvements in all rhinologic symptoms, with no 
      difference between the cohorts. CONCLUSION: PMTR is an adjunctive procedure to 
      ESS. This study has established that PMTR as performed by the senior author 
      carries no additional risk of developing ENS symptoms as defined by the ENS6Q, 
      and that it carries no additional risk to olfaction or other rhinologic symptoms. 
      PMTR can be safely considered at time of ESS, especially in patients at risk of 
      lateralization of the MT.
CI  - (c) 2018 ARS-AAOA, LLC.
FAU - Tan, Neil C-W
AU  - Tan NC
AUID- ORCID: 0000-0003-1840-839X
AD  - Department of Surgery-Otolaryngology, University of Adelaide, Adelaide, 
      Australia.
FAU - Goggin, Rachel
AU  - Goggin R
AD  - Department of Surgery-Otolaryngology, University of Adelaide, Adelaide, 
      Australia.
FAU - Psaltis, Alkis J
AU  - Psaltis AJ
AD  - Department of Surgery-Otolaryngology, University of Adelaide, Adelaide, 
      Australia.
FAU - Wormald, Peter-John
AU  - Wormald PJ
AD  - Department of Surgery-Otolaryngology, University of Adelaide, Adelaide, 
      Australia.
LA  - eng
PT  - Journal Article
DEP - 20180406
PL  - United States
TA  - Int Forum Allergy Rhinol
JT  - International forum of allergy & rhinology
JID - 101550261
OTO - NOTNLM
OT  - atrophic rhinitis
OT  - chronic rhinosinusitis
OT  - empty nose syndrome
OT  - endoscopic sinus surgery
OT  - middle turbinate
OT  - resection
EDAT- 2018/04/11 06:00
MHDA- 2018/04/11 06:00
CRDT- 2018/04/11 06:00
PHST- 2018/02/11 00:00 [received]
PHST- 2018/03/12 00:00 [revised]
PHST- 2018/03/13 00:00 [accepted]
PHST- 2018/04/11 06:00 [entrez]
PHST- 2018/04/11 06:00 [pubmed]
PHST- 2018/04/11 06:00 [medline]
AID - 10.1002/alr.22127 [doi]
PST - aheadofprint
SO  - Int Forum Allergy Rhinol. 2018 Apr 6. doi: 10.1002/alr.22127.