Medialization and Stabilization of the Middle Turbinate using a Nasal Septal Flap in Endoscopic Sinus Surgery

Authors

  • Edgardo Abelardo Department of Otorhinolaryngology Head and Neck Surgery, Kumamoto University Hospital Japan
  • Tetsuji Sanuki Department of Otorhinolaryngology Head and Neck Surgery, Kumamoto University Hospital Japan
  • Eiji Yumoto Department of Otorhinolaryngology Head and Neck Surgery, Kumamoto University Hospital Japan

DOI:

https://doi.org/10.32412/pjohns.v21i1-2.835

Keywords:

medial synechiae, nasal septal flap, ostio-meatal complex

Abstract

Objectives: To propose a simple technique to preserve, medialize and stabilize the middle turbinate through a planned medial synechiae formation using a nasal septal flap

 

Methods:

  1. Study Design: Case series, surgical innovation
  2. Setting: Tertiary hospital (Kumamoto University Hospital, Japan)
  3. Participants, Patients or Population: Six patients suffering from chronic sinusitis unresponsive to medication. The indication for doing this technique was unstable turbinates after removal of diseased mucosa.

 

Results: Twelve weeks after surgery, the patients reported significant resolution of symptoms (headache, nasal congestion, rhinorrhea, post-nasal drip and loss of smell). CT and endoscopic findings likewise revealed clear ostio-meatal complex, drained sinuses, and complete removal of polypoid mucosa. No major side effects were noted.

 

Conclusions: This technique is especially encouraged when surgeons encounter an unstable middle turbinate after removing massive pathologic mucosal lesions. This is a preliminary report and further investigations are being carried out to validate the technique.

 

Keywords: medial synechiae, nasal septal flap, ostio-meatal complex

 

 

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Published

2005-11-29

How to Cite

1.
Abelardo E, Sanuki T, Yumoto E. Medialization and Stabilization of the Middle Turbinate using a Nasal Septal Flap in Endoscopic Sinus Surgery. Philipp J Otolaryngol Head Neck Surg [Internet]. 2005 Nov. 29 [cited 2024 Nov. 18];21(1-2):42-4. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/835

Issue

Vol. 21 No. 1-2 (2006): Philippine Journal of Otolaryngology-Head and Neck Surgery

Section

Surgical Innovation and Instrumentation

License

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