PMID- 34290939 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210723 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 13 IP - 6 DP - 2021 Jun TI - Preventive Measures of Middle Turbinate Lateralization After Endoscopic Sinus Surgery: An Updated Review. PG - e15763 LID - 10.7759/cureus.15763 [doi] LID - e15763 AB - INTRODUCTION: The middle turbinate (MT) is the most important anatomical structure inside the nasal cavity and a landmark in the identification of skull base, ethmoid cells, and lamina papyracea. Postoperatively, lateralizationof the MT can cause synechia and obstruction of the middle meatus and the maxillary, ethmoid, or frontal sinuses. OBJECTIVE: To review the current literature about the outcome of different techniques used intraoperatively to prevent lateralization of MT after functional endoscopic sinus surgery (FESS). MATERIALS AND METHODS: This retrospective narrative literature review provides a summary of current and past research publications about different techniques used intraoperatively to prevent MT lateralization after FESS. RESULTS: Many methods have been described to prevent the lateralization of MT and synechiae formation. These methods include controlled synechiae, suture lateralization, metal clips, partial resection of MT, middle meatus implants, and steroid-eluting implants and stents. CONCLUSION: The ideal FESS should include preservation of the MT, reducing its lateralization, and preventing synechia formation.Different techniques have been discovered in an attempt to prevent this complication. CI - Copyright (c) 2021, Alaryani et al. FAU - Alaryani, Rahmah A AU - Alaryani RA AD - Otolaryngology, Prince Sultan Military Medical City, Riyadh, SAU. FAU - Alhedaithy, Riyadh A AU - Alhedaithy RA AD - Otolaryngology, Ministry of National Guard Health Affairs, Riyadh, SAU. LA - eng PT - Journal Article PT - Review DEP - 20210619 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC8289224 OTO - NOTNLM OT - lateralization OT - medialization OT - middle turbinate OT - prevention OT - synechia COIS- The authors have declared that no competing interests exist. EDAT- 2021/07/23 06:00 MHDA- 2021/07/23 06:01 PMCR- 2021/06/19 CRDT- 2021/07/22 06:35 PHST- 2021/06/19 00:00 [accepted] PHST- 2021/07/22 06:35 [entrez] PHST- 2021/07/23 06:00 [pubmed] PHST- 2021/07/23 06:01 [medline] PHST- 2021/06/19 00:00 [pmc-release] AID - 10.7759/cureus.15763 [doi] PST - epublish SO - Cureus. 2021 Jun 19;13(6):e15763. doi: 10.7759/cureus.15763. eCollection 2021 Jun.