title: Effect of partial middle turbinectomy on nasal airflow and resistance.
abstract: We report the first prospective study of the effect of partial middle turbinectomy on nasal airflow and resistance as measured objectively by active anterior rhinomanometry. Our study group consisted of 31 consecutive patients who underwent functional endoscopic sinus surgery with simultaneous partial middle turbinate resections. We found that all patients had significant improvement in nasal airflow (p < 0.001) and significant decrease in nasal resistance (p < 0.001). Thus we found no deleterious effect on nasal function. Additionally, we reviewed the literature on retrospective series in which patients had received partial middle turbinectomies and found no evidence that nasal function was impaired after surgery. We conclude that partial middle turbinectomy may be performed without adversely altering nasal function, as measured by active anterior rhinomanometry.
authors.affiliation: Division of Otolaryngology, University of Missouri, School of Medicine, Columbia 65212, USA.
authors.forename: P R
authors.initials: PR
authors.lastname: Cook
authors.forename: A
authors.initials: A
authors.lastname: Begegni
authors.forename: W C
authors.initials: WC
authors.lastname: Bryant
authors.forename: W E
authors.initials: WE
authors.lastname: Davis
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000403:Airway Resistance; D002648:Child; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D014663:Nasal Decongestants / Q000627:therapeutic use; D009300:Nasal Septum / Q000601:surgery; D009666:Nose / Q000502:physiology*; D010656:Phenylephrine / Q000627:therapeutic use; D011446:Prospective Studies; D012123:Pulmonary Ventilation; D012189:Retrospective Studies; D012852:Sinusitis / Q000601:surgery; D014420:Turbinates / Q000601:surgery*; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
chemical_list: D014663:Nasal Decongestants; D014662:Vasoconstrictor Agents; D010656:Phenylephrine