Current practices regarding middle turbinate resection among otolaryngologists.

Area of Science:

• Otolaryngology
• Surgical Techniques
• Rhinology

Background:

• Resection versus preservation of the middle turbinate (MT) during endoscopic sinus surgery (ESS) is a long-standing debate.
• Existing literature presents conflicting evidence regarding improved outcomes versus increased complications.
• Current practice patterns for MT management in ESS are not well-defined.

Purpose of the Study:

• To investigate the contemporary practice patterns of otolaryngologists concerning middle turbinate resection during ESS.
• To understand the indications and perceived benefits of MT resection among practicing surgeons.

Main Methods:

• An anonymous, electronic survey was distributed to practicing otolaryngologists.
• The survey collected data on the frequency and circumstances of MT resection during ESS.

Main Results:

• The majority of 252 respondents reported performing MT resection in select clinical scenarios.
• MT resection was more frequently performed in revision ESS compared to primary ESS.
• Fellowship-trained rhinologists reported less concern for complications and greater perceived benefits from MT resection compared to general otolaryngologists.

Conclusions:

• While debate continues, a significant portion of otolaryngologists routinely perform middle turbinate resection in specific situations.
• Practice patterns suggest a pragmatic approach balancing potential benefits and risks based on clinical context.