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Comparison of two partial middle turbinectomy techniques for the treatment of a concha bullosa
Author(s) -
Kumral Tolgar L.,
Yıldırım Güven,
Çakır Ozan,
Ataç Enes,
Berkiten Güler,
Saltürk Ziya,
Uyar Yavuz
Publication year - 2015
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.25065
Subject(s) - medicine , turbinectomy , visual analogue scale , laminectomy , surgery , concha bullosa , anesthesia , sinusitis , psychiatry , spinal cord
Objectives/Hypothesis To assess the nasal functions, nasal resistance, and olfactory function in middle turbinate surgery. Study Design 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. Level of Evidence 1b. Laryngoscope , 125:1062–1066, 2015