title: Comparison of two partial middle turbinectomy techniques for the treatment of a concha bullosa.
abstract: OBJECTIVE
  To assess the nasal functions, nasal resistance, and olfactory function in middle turbinate surgery.
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  This prospective controlled study was carried out on patients who underwent laminectomy for aeration of the middle turbinate. Patients participating in the study were divided into two groups-group 1: medial laminectomy (n = 34) and group 2: lateral laminectomy (n = 38). Patients underwent the preoperative visual analogue score, sinonasal outcome test-22 (SNOT-22), peak nasal inspiratory flowmeter, and Connecticut Chemosensory Clinical Research Center smell test. All patients were reevaluated 3 months after the operation.
  
  
  RESULTS
  The study group comprised 72 consecutive patients. The mean age of the patients was 31.03 ± 9.7, with a range of 17 to 54 years. A total of 47.2 % (n = 34) had medial and 52.8% (n = 38) had lateral laminectomy. Bilateral turbinate intervention was performed in 27.8% (n = 20), whereas unilateral middle turbinate intervention was performed in 72.3% (n = 52). Overall, both groups showed strong significant improvement over time in visual analogue scale results, SNOT-22 scores, peak flowmeter results, and olfactory function between preoperative and postoperative scores (P < 0.001). There was no significant difference between the groups for all parameters (P > 0.05).
  
  
  CONCLUSIONS
  This study revealed that medial laminectomy for aeration of the middle turbinate was as effective as lateral laminectomy.
  
  
  METHODS
  1b. Laryngoscope, 125:1062-1066, 2015.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey.
authors.forename: Tolgar L
authors.initials: TL
authors.lastname: Kumral
authors.forename: Güven
authors.initials: G
authors.lastname: Yıldırım
authors.forename: Ozan
authors.initials: O
authors.lastname: Çakır
authors.forename: Enes
authors.initials: E
authors.lastname: Ataç
authors.forename: Güler
authors.initials: G
authors.lastname: Berkiten
authors.forename: Ziya
authors.initials: Z
authors.lastname: Saltürk
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Uyar
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059747:Nasal Surgical Procedures / Q000379:methods*; D009668:Nose Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D012903:Smell; D016896:Treatment Outcome; D014420:Turbinates / Q000601:surgery*; D055815:Young Adult
keywords: Middle turbinate surgery; laminectomy; questionnaire; smell test