[Value of controlled synechiae technique on maintaining stability of middle turbinate in endoscopy surgery].
OBJECTIVE
To explore the method of the controlled synechiae technique to maintain the stability of middle turbinate (MT), reduce the incidence of middle meatus synechia formation and improve the treatment effect of endoscopy surgery.


METHODS
Eighty-six patients with chronic sinusitis were randomly divided into control group and treatment group in this study. In control group, the patients received extended nasal packing in middle meatus until 1 week after surgery. In treatment group, the patients received the controlled synechiae technique.


RESULTS
The MT position was described as stable, slight drifting laterally and synechia formation. And the incidence of synechia between MT and the nasal lateral wall was 29.4% and 14.9% in control group and treatment group,respectively. The differences were significant (P < 0.05).


CONCLUSIONS
For those patients with anatomic variation, destruction or weak supporting structures resulted from previous surgery, the controlled synechiae technique is very useful in preventing lateralization of the middle turbinate after endoscopy surgery.
Department of Otolaryngology, Yangpu District Shidong Hospital of Shanghai, Shanghai, 200438, China.
Taogen
T
Jiang
Jiewei
J
Chao
Yongtian
Y
Wang
Xinyan
X
Huang
Lihua
L
Shi
Fangling
F
Peng
D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059747:Nasal Surgical Procedures / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*; D013536:Suture Techniques; D000267:Tissue Adhesions; D014420:Turbinates / Q000601:surgery; D055815:Young Adult