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Outcomes after middle turbinate resection: revisiting a controversial topic
Zachary M Soler1, Peter H Hwang, Jess Mace
1Division of Rhinology and Sinus Surgery, Oregon Sinus Center, Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon 97239, USA.
The Laryngoscope
|March 17, 2010
Summary
Endoscopic sinus surgery with bilateral middle turbinate resection showed no difference in quality of life. However, patients undergoing turbinate resection experienced greater improvements in endoscopic appearance and smell identification test scores.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Outcomes
Background:
- Endoscopic sinus surgery (ESS) is a common treatment for chronic rhinosinusitis.
- The role of bilateral middle turbinate (BMT) resection during ESS is debated.
- Understanding the impact of BMT resection on surgical outcomes is crucial for patient management.
Purpose of the Study:
- To compare endoscopy, olfactory function, and quality of life (QOL) after ESS in patients with and without BMT resection.
- To identify factors influencing outcomes following ESS.
Main Methods:
- Prospective, multi-institutional cohort study.
- Pre- and postoperative assessments included endoscopy, computed tomography (CT), Smell Identification Test (SIT), Rhinosinusitis Disability Index (RSDI), Chronic Sinusitis Survey (CSS), and SF-36.
- Bivariate and multivariate analyses were performed.
Main Results:
- Forty-seven patients with BMT resection were compared to 195 without.
- Patients with BMT resection had higher baseline disease burden and comorbidities like asthma and nasal polyposis.
- No significant differences in QOL (RSDI, CSS, SF-36) improvements were observed between groups.
- Greater improvements in endoscopy scores and SIT scores were noted in the BMT resection group.
Conclusions:
- Bilateral middle turbinate resection during ESS does not negatively impact patient-reported quality of life.
- BMT resection may lead to enhanced improvements in objective endoscopic findings and olfactory function.
- These findings suggest that BMT resection can be a valuable adjunct in select ESS cases.
