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Middle Turbinate Medialization With Bovine Serum Albumin Tissue Adhesive (BioGlue)
Author(s) -
Friedman Michael,
Schalch Paul
Publication year - 2008
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 - 10.1097/mlg.0b013e318158198f
Subject(s) - bovine serum albumin , sinus (botany) , medicine , resection , endoscopic sinus surgery , albumin , surgery , biology , immunology , botany , genus
Abstract Middle turbinate (MT) medialization without resection is an approach designed to both preserve the MT and prevent lateralization, which may cause obstruction of the outflow of the ethmoid, maxillary, and frontal sinuses after endoscopic sinus surgery. Many techniques for medialization have been described. We present a quick and easy technique that involves using the microdebrider to create small areas of denuded mucosa on opposite surfaces of the MT and the nasal septum followed by an application of a bovine serum albumin tissue adhesive to promote the formation of controlled synechiae without the need for nasal packing.