Partial middle turbinectomy during endoscopic sinus surgery for extended sinonasal polyposis: short- and mid-term outcomes.
CONCLUSIONS
The 23 patients with extensive sinonasal polyposis who had undergone partial resection of the middle turbinate during functional endoscopic sinus surgery (FESS) showed no differences in nasal airway resistance and in postoperative complication rate (1-year follow-up period) in comparison with the 25 patients who had FESS with middle turbinate preservation.


OBJECTIVE
The aim of the study was to investigate the outcomes of partial middle turbinectomy during FESS in patients with sinonasal polyposis.


METHODS
A retrospective analysis of 48 consecutive patients who had undergone surgery for extended sinonasal polyposis was performed. Twenty-three patients underwent FESS with middle turbinate head resection; 25 patients underwent FESS with preservation of middle turbinate. We endoscopically scored polyposis extension and evaluated nasal airflow resistance (NAR) preoperatively and postoperatively.


RESULTS
We found an improvement of endoscopic score (high to low grade of polyposis extension) and a statistically significant reduction of NAR after both surgical techniques. There was no statistically significant difference in the mean NAR values before and after the two techniques.
Brescia
Giuseppe
G
Department of Medical and Surgical Specialties, Section of Otolaryngology, University of Padova, Padova, Italy. bresciagiuseppe@libero.it
Pavin
Alessandra
A
Giacomelli
Luciano
L
Boninsegna
Marco
M
Florio
Alessandra
A
Marioni
Gino
G
D000328:Adult; D000368:Aged; D004724:Endoscopy; D015521:Ethmoid Sinusitis / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009298:Nasal Polyps / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D014420:Turbinates / Q000473:pathology / Q000601:surgery*; D014741:Video Recording