Endoscopic Sinus Surgery with Middle Turbinate Resection: Results and Complications

1993 ◽  
Vol 72 (5) ◽  
pp. 351-355 ◽  
Author(s):  
John F. Biedlingmaier
Keyword(s):  
Success Rate ◽  
Retrospective Review ◽  
Endoscopic Sinus Surgery ◽  
Patency Rate ◽  
Middle Turbinate ◽  
Partial Resection ◽  
Sinus Surgery

Numerous articles have been published on the techniques of endoscopic sinus surgery. Fewer articles are available regarding the effectiveness of these procedures in curing the patient's symptoms. A retrospective review of eighty patients was performed to outline their symptoms and determine the success of the surgery. Partial middle turbinate resection was performed in all patients. The high overall success rate of 93.5% and the high antrostomy patency rate of 94.8% demonstrates the benefits of partial resection.

Remodeling of the Paradoxical Middle Turbinate: Preserving Function While Gaining Access

2018 ◽  
Vol 32 (2) ◽  
pp. 98-100
Author(s):  
Ryan H. Belcher ◽  
Allison K. Ikeda ◽  
John M. DelGaudio
Keyword(s):  
Medical Treatment ◽  
Chronic Rhinosinusitis ◽  
Surgical Approach ◽  
Endoscopic Sinus Surgery ◽  
Middle Turbinate ◽  
Sinus Surgery ◽  
Middle Meatus ◽  
Anatomic Variant ◽  
And Function ◽  
Improve Access

Background Endoscopic sinus surgery is performed for many reasons, most commonly for chronic rhinosinusitis refractory to medical treatment. A paradoxical middle turbinate is an anatomic variant that can hinder endoscopic access to the sinuses. No publication has addressed how to surgically treat a paradoxical middle turbinate. Method We present a basic endoscopic surgical approach to conservatively resect a paradoxical middle turbinate in order to improve access to the middle meatus and the sinuses while preserving support and function. Conclusion Conservative remodeling of the paradoxical middle turbinate can provide access to the sinuses while maintaining a significant portion of the middle turbinate.

Correlation of Complications during Endoscopic Sinus Surgery with Surgeon Skill Level and Extent of Surgery

2005 ◽  
Vol 19 (3) ◽  
pp. 274-281 ◽  
Author(s):  
Michael B. Soyka ◽  
David Holzmann
Keyword(s):  
Complication Rate ◽  
Retrospective Review ◽  
Classification System ◽  
Endoscopic Sinus Surgery ◽  
Skill Level ◽  
Point Of View ◽  
Sinus Surgery ◽  
New Classification ◽  
Great Range ◽  
Extent Of Surgery

Background Endoscopic sinus surgery (ESS) produces a great range of potential complications. Rough segregation into “minor” and “major” complications seems insufficient. This study uses a recently published new classification system that is based more on the patient's point of view, with a greater variety of options. Methods A retrospective review was undertaken of 421 ESS procedures. Both, the surgeon's experience and the extent of surgery were correlated with the complication rate. Results The overall complication rate was 39.7% (grades A–D) and did not correlate significantly with either the experience of the surgeon or with the extent of surgery. Conclusion The new classification is simple, precise, and takes complications into account that used to be neglected. ESS is even safe in the hands of less skilled surgeons as long as the degree of difficulty stays highly adapted to his/her ability. Some complications (grade A) seem to be inherent to the procedure.

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