With the progress of functional endoscopic sinus surgery (FESS), more
interest had been paid to middle turbinate (1W1) as it forms a key landmark
of lotPral nasal wall. It affects visualization during surgery, the outcome
and follow up after surgery.
Many surgeons prefer to totally resect MT other recommenIi leaving it
untouched The present study partial resection of the MT was carried out
and the outcome was evaluated. The study inch arlPd 20 patients with
chronic sinusitis planned to undergo FESS. They were prepared for the
operation, full history, ENT and endoscopic examination, CT scan, laboratory
investigation and follow up for 6 months postoperatively. FESS was
conducted according to the extent of the disease. One sixth of MT was reseated
(including and lower 1/2 of anterior end and the anterior 1/3 of
the lower border).
The procedure was conducted safely with minimal bleeding and no
other complications. Resection allowed better visualization during and after
surgery.
Resection was done unilaterally in 9 cases (45%) and bilaterally in
(55%) of cases depending on the present of concha bullosa, hypertrophied
turbinate, paradoxically bent MT, or (I. it obstructs the view during surgery.
Follow up showed improvement in 80% of cases, postoperative synechiae
were restricted to 2 cases (10%) with no laternlinition of MT as well
as better stability of MT. So, partial resection of MT proved to be safe procedure,
improve visualization during and after surgery. As it reduced the
weight of MT it allowed better stability and less synechiae formation with |
