PMID- 31763287
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201101
IS  - 2231-3796 (Print)
IS  - 2231-3796 (Linking)
VI  - 71
IP  - Suppl 3
DP  - 2019 Nov
TI  - Functional Endoscopic Sinus Surgery of Nasal Polyposis: The Vexing Question of 
      Whether to Resect or Preserve Middle Turbinate.
PG  - 2025-2030
LID - 10.1007/s12070-018-1450-0 [doi]
AB  - Functional endoscopic sinus surgery is the mainstay of surgical management of 
      nasal polyposis since 1975. The decision between the partial resection and 
      preservation of the middle turbinate (MT) has stirred up considerable debate. 
      Partial MTR permits easy access to the affected paranasal sinuses 
      intraoperatively and postoperatively. However, there may be alteration of nasal 
      function, frontal sinusitis and anosmia. Preservation of middle turbinate is 
      precludes these complications, and allows the MT to serve as a vital anatomical 
      landmark for revision surgery. Therefore, our study compared the outcomes of the 
      two approaches to aid surgeons in deciding the best possible approach. Randomized 
      control trial. 31 patients (60 sides of nasal cavity) with nasal polyposis were 
      divided into two groups. Group I consisted of 30 sides of nasal cavity with 
      middle turbinate resection, while group II consisted of 30 sides of nasal cavity 
      without middle turbinate resection. Both the groups were compared postoperatively 
      for 6 months. In group I and group II, 5 sides (16.6%) and 11 sides (36.6%) 
      showed polypoidal changes respectively. 3 sides (10%) in group I and 8 sides 
      (26.6%) in group II showed blockage of maxillary sinus ostia. All the sides in 
      group I had patency of frontal sinus. In group II, 5 sides (16.6%) showed 
      blockage of frontal sinus ostia. The maxillary antrostomy patency in group I and 
      group II were 90% (27) and 73.33% (22) respectively. Assessment of symptomatic 
      improvements for nasal obstruction, hyposmia, headache and rhinorrhoea was done 
      using questionnaires. Symptomatic improvement was higher in group I compared to 
      group II with statistical significance (p = 0.001). Our study demonstrated that 
      partial resection of middle turbinate decreased the chances of recurrence of 
      disease and post-operative complications and resulted in significantly better 
      symptomatic improvements.
CI  - (c) Association of Otolaryngologists of India 2018.
FAU - Roy, Manaswita
AU  - Roy M
AUID- ORCID: 0000-0003-1786-7164
AD  - Department of Otorhinolaryngology, Vardhman Mahavir Medical College and 
      Safdarjung Hospital, Arjun Nagar, Safdarjung Enclave, New Delhi, 110029 India. 
      GRID: grid.416888.b. ISNI: 0000 0004 1803 7549
FAU - Lade, Himani
AU  - Lade H
AD  - Department of Otorhinolaryngology, Vardhman Mahavir Medical College and 
      Safdarjung Hospital, Arjun Nagar, Safdarjung Enclave, New Delhi, 110029 India. 
      GRID: grid.416888.b. ISNI: 0000 0004 1803 7549
LA  - eng
PT  - Journal Article
DEP - 20180714
PL  - India
TA  - Indian J Otolaryngol Head Neck Surg
JT  - Indian journal of otolaryngology and head and neck surgery : official publication 
      of the Association of Otolaryngologists of India
JID - 9422551
PMC - PMC6848682
OTO - NOTNLM
OT  - Functional endoscopic sinus surgery
OT  - Middle turbinate
OT  - Nasal polyposis
COIS- Conflict of interestThe authors declare that they have no conflict of interest.
EDAT- 2019/11/26 06:00
MHDA- 2019/11/26 06:01
CRDT- 2019/11/26 06:00
PHST- 2018/06/16 00:00 [received]
PHST- 2018/07/06 00:00 [accepted]
PHST- 2019/11/26 06:00 [entrez]
PHST- 2019/11/26 06:00 [pubmed]
PHST- 2019/11/26 06:01 [medline]
AID - 1450 [pii]
AID - 10.1007/s12070-018-1450-0 [doi]
PST - ppublish
SO  - Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 3):2025-2030. doi: 
      10.1007/s12070-018-1450-0. Epub 2018 Jul 14.