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Published on: June 20, 2018
[Value of controlled synechiae technique on maintaining stability of middle turbinate in endoscopy surgery]
Taogen Jiang1, Jiewei Chao, Yongtian Wang
1Department of Otolaryngology, Yangpu District Shidong Hospital of Shanghai, Shanghai, 200438, China.
Objective:
To explore the method of the controlled synechiae technique to maintain the stability of middle turbinate (MT), reduce the incidence of middle meatus synechia formation and improve the treatment effect of endoscopy surgery.
Method:
Eighty-six patients with chronic sinusitis were randomly divided into control group and treatment group in this study. In control group, the patients received extended nasal packing in middle meatus until 1 week after surgery. In treatment group, the patients received the controlled synechiae technique.
Result:
The MT position was described as stable, slight drifting laterally and synechia formation. And the incidence of synechia between MT and the nasal lateral wall was 29.4% and 14.9% in control group and treatment group,respectively. The differences were significant (P < 0.05).
Conclusion:
For those patients with anatomic variation, destruction or weak supporting structures resulted from previous surgery, the controlled synechiae technique is very useful in preventing lateralization of the middle turbinate after endoscopy surgery.
