PMID- 37383333
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230702
IS  - 2589-1081 (Electronic)
IS  - 2095-8811 (Print)
IS  - 2095-8811 (Linking)
VI  - 9
IP  - 2
DP  - 2023 Jun
TI  - Current practices regarding middle turbinate resection among otolaryngologists.
PG  - 183-188
LID - 10.1002/wjo2.84 [doi]
AB  - OBJECTIVES: Resection of the middle turbinate (MT) during endoscopic sinus 
      surgery (ESS) has been a controversial topic among otolaryngologists for many 
      years. Some studies advocate resection and have shown improved outcomes 
      postoperatively, while studies favoring preservation show a decreased incidence 
      of postoperative complications. The current practice pattern regarding this 
      subject is unknown. The goal of this study was to learn the current practice of 
      MT resection during ESS among otolaryngologists. METHOD: We performed an 
      electronic anonymous survey of practicing otolaryngologists. RESULTS: We found 
      that the majority of the 252 responders stated that they will perform an MT 
      resection in certain clinical situations, while there is a small subset that 
      advocates never resecting the MT for inflammatory sinus disease (n = 6, 2.4%). 
      Participants were significantly more likely to perform MT resection in patients 
      undergoing revision compared to primary ESS for all conditions included. The 
      complication of greatest concern among participants was iatrogenic frontal sinus 
      obstruction, while empty nose was of the least concern. The majority of 
      participants responded that MT resection was of extreme or moderate benefit for 
      improved visualization and drug delivery postoperatively. When compared to 
      general otolaryngologists, fellowship-trained rhinologists were less concerned 
      about potential complications following MT resection and were more likely to 
      perceive an extreme or moderate benefit from turbinate resection postoperatively. 
      CONCLUSION: There remains debate over MT resection among otolaryngologists, but 
      the results of this study show that the majority of participating 
      otolaryngologists will perform a resection in certain clinical situations.
CI  - (c) 2022 The Authors. World Journal of Otorhinolaryngology - Head and Neck Surgery 
      published by John Wiley & Sons Ltd on behalf of Chinese Medical Association.
FAU - Ziegler, Andrea
AU  - Ziegler A
AUID- ORCID: 0000-0003-1915-0984
AD  - Department of Otolaryngology Loyola University Medical Center Maywood Illinois 
      USA.
FAU - Patadia, Monica
AU  - Patadia M
AD  - Department of Otolaryngology Loyola University Medical Center Maywood Illinois 
      USA.
FAU - Patel, Chirag
AU  - Patel C
AD  - Department of Otolaryngology Loyola University Medical Center Maywood Illinois 
      USA.
LA  - eng
PT  - Journal Article
DEP - 20221123
PL  - United States
TA  - World J Otorhinolaryngol Head Neck Surg
JT  - World journal of otorhinolaryngology - head and neck surgery
JID - 101690857
PMC - PMC10296039
OTO - NOTNLM
OT  - current practice trends
OT  - endoscopic sinus surgery
OT  - middle turbinate resection
OT  - survey
COIS- The authors declare no conflict of interest.
EDAT- 2023/06/29 13:42
MHDA- 2023/06/29 13:43
PMCR- 2022/11/23
CRDT- 2023/06/29 11:49
PHST- 2022/05/15 00:00 [received]
PHST- 2022/07/31 00:00 [revised]
PHST- 2022/08/22 00:00 [accepted]
PHST- 2023/06/29 13:43 [medline]
PHST- 2023/06/29 13:42 [pubmed]
PHST- 2023/06/29 11:49 [entrez]
PHST- 2022/11/23 00:00 [pmc-release]
AID - WJO284 [pii]
AID - 10.1002/wjo2.84 [doi]
PST - epublish
SO  - World J Otorhinolaryngol Head Neck Surg. 2022 Nov 23;9(2):183-188. doi: 
      10.1002/wjo2.84. eCollection 2023 Jun.