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Middle turbinate medialization technique in functional endoscopic sinus surgery.

N Moukarzel1, A Nehmé, S Mansour

  • 1Divison of ENT Surgery, Lebanese University, Hazmieh.

The Journal of Otolaryngology
|July 7, 2000
PubMed
Summary

A new metallic clip technique effectively medializes the middle turbinate after functional endoscopic sinus surgery (FESS). This simple procedure improves middle meatus access and reduces complications, proving effective in most patients.

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Area of Science:

  • Otolaryngology
  • Surgical Innovation

Background:

  • The middle turbinate is a key landmark in functional endoscopic sinus surgery (FESS).
  • Postoperative middle turbinate lateralization can obstruct the middle meatus, leading to complications and recurrence.
  • Effective management of middle turbinate position is crucial for successful FESS outcomes.

Purpose of the Study:

  • To evaluate a novel metallic clip medialization technique for the middle turbinate.
  • To assess the efficacy and safety of this technique in patients undergoing bilateral FESS.

Main Methods:

  • A new technique using metallic clips to medialize the middle turbinate was developed.
  • The technique was applied to 56 patients undergoing bilateral FESS.
  • Postoperative outcomes, including middle meatus accessibility, were evaluated.

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Main Results:

  • The metallic clip medialization technique was successfully applied in 56 cases.
  • A well-accessed and clear middle meatus was observed in 54 patients postoperatively.
  • The technique demonstrated a low rate of complications.

Conclusions:

  • The metallic clip medialization technique is a simple and adequate procedure for managing middle turbinate lateralization after FESS.
  • This method effectively ensures middle meatus accessibility, contributing to reduced surgical complications and recurrence.