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Related Experiment Videos

Middle turbinate resection: issues and controversies.

R J Giacchi1, R A Lebowitz, J B Jacobs

  • 1Department of Otolaryngology, New York University School of Medicine, New York 10016, USA.

American Journal of Rhinology
|July 11, 2000
PubMed
Summary

Preserving or partially resecting the middle turbinate during endoscopic ethmoidectomy for chronic rhinosinusitis showed no difference in frontal sinusitis or stenosis outcomes. This study supports conservative approaches for the middle turbinate.

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Area of Science:

  • Otolaryngology
  • Rhinology
  • Surgical Innovation

Background:

  • Debate exists among otolaryngologists regarding middle turbinate management during endoscopic ethmoidectomy.
  • Concerns include potential olfactory dysfunction, impaired humidification/filtration, and lateralization leading to obstruction with middle turbinate resection.
  • Resection is standard for diseased turbinates, but indications for healthy ones vary.

Purpose of the Study:

  • To compare clinical and endoscopic outcomes of middle turbinate preservation versus conservative partial resection during endoscopic ethmoidectomy for chronic rhinosinusitis.
  • To present a technique for conservative middle turbinate resection.

Main Methods:

  • A prospective study of 100 primary endoscopic ethmoidectomies for chronic rhinosinusitis.

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  • 50 sides underwent conservative partial middle turbinectomy; 50 sides involved middle turbinate preservation.
  • Follow-up was conducted for at least 2 years, assessing frontal sinusitis and frontal recess stenosis.

    • Main Results:

    • No significant difference in the incidence of frontal sinusitis between the preservation and partial resection groups.
    • No significant difference in frontal recess stenosis between the two groups.
    • Conservative partial resection preserves the middle turbinate as an important anatomic landmark.

    Conclusions:

    • Conservative partial middle turbinate resection is a viable alternative to complete preservation during endoscopic ethmoidectomy for chronic rhinosinusitis.
    • This approach does not negatively impact outcomes related to frontal sinusitis or stenosis.
    • Preserving a portion of the middle turbinate aids in maintaining surgical landmarks.