J Otolaryngol Ophthalmol Shandong Univ ›› 2018, Vol. 32 ›› Issue (5): 82-85.doi: 10.6040/j.issn.1673-3770.0.2018.176

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Role of functional middle turbinectomy in functional endoscopic sinus surgery for chronic sinusitis

SHEN Qinfeng1, SHEN Xiaoyan1, ZHU Rongqiang1, JIANG Feifei1, LANG Juntian2   

  1. Department of Otolaryngology, Shanghai Changzheng Hospital, Naval Military Medical University, Shanghai 200003, China
  • Received:2018-04-09 Online:2018-09-20 Published:2018-09-20

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Abstract: Objective To explore the efficacy of partial middle turbinectomy in endoscopic sinus surgery for chronic sinusitis with nasal polyps. Methods A total of 76 patients with chronic sinusitis and nasal polyps accepted functional nasal endoscopic surgery(FESS)from January 2014 to January 2017. Patients were divided into two groups randomly. One group of 38 patients underwent usual FESS surgery with the middle turbinate preserved, while the other group of 38 patients underwent FESS with middle turbinate removed. The cure rate, operation time, middle turbinectomy adhesion, symptom scoring and olfactory function were investigated and statistically analyzed. Results The operation time was(50.53±6.25)minutes in middle turbinate resection group, and(58.11±6.09)minutes in the other group(t=5.355, P<0.001). Six months after surgery, both groups had 100% effective outcome. The cure rate of the turbinate-preserved group was 78.95%(30/38)and of the resection group was 81.58%(31/38). After surgery, there was a significant difference for patents symptom scoring and middle turbinate adhesion between the two groups, which was much better in middle turbinate resection group. Conclusion Partial removing middle turbinate can shorten the time of nasal endoscopic surgery and middle turbinate adhesion, improving patients subjective feeling. It is suggested that for patients with moderate middle turbinate hypertrophy and polypoid changes, the lesioned middle turbinate need to be removed appropriately in functional endoscopic sinus surgery.

Key words: Middle turbinate, Treatment outcome, Functional Endoscopic Sinus Surgery

CLC Number: 

  • R765.2
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