PMID- 33621766
OWN - NLM
STAT- MEDLINE
DCOM- 20211102
LR  - 20211102
IS  - 1532-818X (Electronic)
IS  - 0196-0709 (Linking)
VI  - 42
IP  - 4
DP  - 2021 Jul-Aug
TI  - Middle turbinate handling during ESS. Our experience.
PG  - 102980
LID - S0196-0709(21)00081-8 [pii]
LID - 10.1016/j.amjoto.2021.102980 [doi]
AB  - PURPOSE: The treatment of middle turbinate (MT) during endoscopic sinus surgery 
      (ESS) for chronic rhinosinusitis (CRS) remains a controversial issue. Several 
      authors recommended preservation of MT to avoid complications, but MT resection 
      is sometimes necessary. In the last years, our group has applied an original 
      surgical technique to preserve MT, stabilize its head and ensure patency of the 
      ostiomeatal complex (OMC) in ESS. We herein described this approach to the MT and 
      reported its preliminary results in terms of post-operative endoscopic features 
      and complications. METHODS: The study retrospectively considered 34 consecutive 
      adult patients suffering from CRS and treated with primary or revision ESS. 
      Medialization of the MT and its stabilization to achieve post-operative patency 
      of the OMC was obtained by means of: (i) creation of a surgically controlled 
      synechia between the MT head and nasal septum; (ii) positioning of a silicone 
      plate in the OMC. The silicone splints kept the MT head in an obliged position to 
      contact the septum. RESULTS: At 12-month follow-up control, we found: (i) 
      stabilized MT medialization in all treated cases, (ii) only one case of lateral 
      synechia without recurrent CRS, and (iii) a polypoid recurrence rate of 13%. 
      CONCLUSIONS: The MT handling technique during ESS herein preliminarily described 
      seems to be an effective approach to medialize and stabilize the MT. This 
      technique could be particularly appropriate for unstable MT after removing 
      massive inflammatory lesions of the mucosa.
CI  - Copyright (c) 2021 Elsevier Inc. All rights reserved.
FAU - Brescia, Giuseppe
AU  - Brescia G
AD  - Department of Neuroscience DNS, Otolaryngology Section, Padova University, Via 
      Giustiniani 2, 35128 Padova, Italy.
FAU - Contro, Giacomo
AU  - Contro G
AD  - Department of Neuroscience DNS, Otolaryngology Section, Padova University, Via 
      Giustiniani 2, 35128 Padova, Italy.
FAU - Frasconi, Samuele
AU  - Frasconi S
AD  - Department of Neuroscience DNS, Otolaryngology Section, Padova University, Via 
      Giustiniani 2, 35128 Padova, Italy.
FAU - Marioni, Gino
AU  - Marioni G
AD  - Department of Neuroscience DNS, Otolaryngology Section, Padova University, Via 
      Giustiniani 2, 35128 Padova, Italy. Electronic address: gino.marioni@unipd.it.
LA  - eng
PT  - Journal Article
DEP - 20210216
PL  - United States
TA  - Am J Otolaryngol
JT  - American journal of otolaryngology
JID - 8000029
SB  - IM
MH  - Chronic Disease
MH  - Endoscopy
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Organ Sparing Treatments/*methods
MH  - Otorhinolaryngologic Surgical Procedures/*methods
MH  - Recurrence
MH  - Retrospective Studies
MH  - Rhinitis/pathology/*surgery
MH  - Sinusitis/pathology/*surgery
MH  - Time Factors
MH  - Treatment Outcome
MH  - Turbinates/pathology/*surgery
OTO - NOTNLM
OT  - Chronic rhinosinusitis
OT  - Endoscopic sinus surgery
OT  - Middle turbinate
OT  - Surgically-controlled synechia
OT  - Turbinate pexy
EDAT- 2021/02/24 06:00
MHDA- 2021/11/03 06:00
CRDT- 2021/02/23 20:10
PHST- 2021/02/03 00:00 [received]
PHST- 2021/02/14 00:00 [accepted]
PHST- 2021/02/24 06:00 [pubmed]
PHST- 2021/11/03 06:00 [medline]
PHST- 2021/02/23 20:10 [entrez]
AID - S0196-0709(21)00081-8 [pii]
AID - 10.1016/j.amjoto.2021.102980 [doi]
PST - ppublish
SO  - Am J Otolaryngol. 2021 Jul-Aug;42(4):102980. doi: 10.1016/j.amjoto.2021.102980. 
      Epub 2021 Feb 16.