Related Experiment Video
Updated: Apr 20, 2026
Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
Comparison of two partial middle turbinectomy techniques for the treatment of a concha bullosa
Tolgar L Kumral1, Güven Yıldırım, Ozan Çakır
1Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey.
Objectives/Hypothesis:
To assess the nasal functions, nasal resistance, and olfactory function in middle turbinate surgery.
Study Design:
Randomized controlled trial.
Methods:
This prospective controlled study was carried out on patients who underwent laminectomy for aeration of the middle turbinate. Patients participating in the study were divided into two groups-group 1: medial laminectomy (n = 34) and group 2: lateral laminectomy (n = 38). Patients underwent the preoperative visual analogue score, sinonasal outcome test-22 (SNOT-22), peak nasal inspiratory flowmeter, and Connecticut Chemosensory Clinical Research Center smell test. All patients were reevaluated 3 months after the operation.
Results:
The study group comprised 72 consecutive patients. The mean age of the patients was 31.03 ± 9.7, with a range of 17 to 54 years. A total of 47.2 % (n = 34) had medial and 52.8% (n = 38) had lateral laminectomy. Bilateral turbinate intervention was performed in 27.8% (n = 20), whereas unilateral middle turbinate intervention was performed in 72.3% (n = 52). Overall, both groups showed strong significant improvement over time in visual analogue scale results, SNOT-22 scores, peak flowmeter results, and olfactory function between preoperative and postoperative scores (P < 0.001). There was no significant difference between the groups for all parameters (P > 0.05).
Conclusions:
This study revealed that medial laminectomy for aeration of the middle turbinate was as effective as lateral laminectomy.
Level Of Evidence:
1b. Laryngoscope, 125:1062-1066, 2015.
