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[Submucosal Partial-turbinectomy (SPT) Preceding an Endoscopic Sinus Surgery (ESS) Procedure]
Nihon Jibiinkoka Gakkai Kaiho
|October 3, 2015
Summary
Submucosal partial-turbinectomy (SPT) before endoscopic sinus surgery (ESS) improves maneuverability and ventilation. This technique reduces middle nasal meatus stenosis and antrostomy closure, lowering risks of atrophic rhinitis and empty nose syndrome.
Area of Science:
- Otolaryngology
- Surgical Innovation
Context:
- Endoscopic sinus surgery (ESS) is a common procedure for sinusitis.
- Improving surgical outcomes and reducing complications remain key objectives.
Purpose:
- To evaluate the efficacy of submucosal partial-turbinectomy (SPT) performed prior to ESS.
- To assess the impact of SPT on middle nasal meatus stenosis and antrostomy patency.
Summary:
- SPT involves removing part of the inferior nasal concha bone to create a larger antrostomy and improve access during ESS.
- In 140 cases, SPT preceding ESS showed decreasing rates of middle nasal meatus stenosis (3.7% at 6 months) and antrostomy closure (6.7% at 6 months).
Impact:
- SPT facilitates adequate ventilation routes for sinusitis wound healing.
- This method potentially decreases the risks of atrophic rhinitis and empty nose syndrome by preserving nasal structures.
