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Current practices regarding middle turbinate resection among otolaryngologists

OBJECTIVES: Resection of the middle turbinate (MT) during endoscopic sinus surgery (ESS) has been a controversial topic among otolaryngologists for many years. Some studies advocate resection and have shown improved outcomes postoperatively, while studies favoring preservation show a decreased incid...

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Autores principales: Ziegler, Andrea, Patadia, Monica, Patel, Chirag
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10296039/
https://www.ncbi.nlm.nih.gov/pubmed/37383333
http://dx.doi.org/10.1002/wjo2.84
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author Ziegler, Andrea
Patadia, Monica
Patel, Chirag
author_facet Ziegler, Andrea
Patadia, Monica
Patel, Chirag
author_sort Ziegler, Andrea
collection PubMed
description OBJECTIVES: Resection of the middle turbinate (MT) during endoscopic sinus surgery (ESS) has been a controversial topic among otolaryngologists for many years. Some studies advocate resection and have shown improved outcomes postoperatively, while studies favoring preservation show a decreased incidence of postoperative complications. The current practice pattern regarding this subject is unknown. The goal of this study was to learn the current practice of MT resection during ESS among otolaryngologists. METHOD: We performed an electronic anonymous survey of practicing otolaryngologists. RESULTS: We found that the majority of the 252 responders stated that they will perform an MT resection in certain clinical situations, while there is a small subset that advocates never resecting the MT for inflammatory sinus disease (n = 6, 2.4%). Participants were significantly more likely to perform MT resection in patients undergoing revision compared to primary ESS for all conditions included. The complication of greatest concern among participants was iatrogenic frontal sinus obstruction, while empty nose was of the least concern. The majority of participants responded that MT resection was of extreme or moderate benefit for improved visualization and drug delivery postoperatively. When compared to general otolaryngologists, fellowship‐trained rhinologists were less concerned about potential complications following MT resection and were more likely to perceive an extreme or moderate benefit from turbinate resection postoperatively. CONCLUSION: There remains debate over MT resection among otolaryngologists, but the results of this study show that the majority of participating otolaryngologists will perform a resection in certain clinical situations.
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spelling pubmed-102960392023-06-28 Current practices regarding middle turbinate resection among otolaryngologists Ziegler, Andrea Patadia, Monica Patel, Chirag World J Otorhinolaryngol Head Neck Surg Research Papers OBJECTIVES: Resection of the middle turbinate (MT) during endoscopic sinus surgery (ESS) has been a controversial topic among otolaryngologists for many years. Some studies advocate resection and have shown improved outcomes postoperatively, while studies favoring preservation show a decreased incidence of postoperative complications. The current practice pattern regarding this subject is unknown. The goal of this study was to learn the current practice of MT resection during ESS among otolaryngologists. METHOD: We performed an electronic anonymous survey of practicing otolaryngologists. RESULTS: We found that the majority of the 252 responders stated that they will perform an MT resection in certain clinical situations, while there is a small subset that advocates never resecting the MT for inflammatory sinus disease (n = 6, 2.4%). Participants were significantly more likely to perform MT resection in patients undergoing revision compared to primary ESS for all conditions included. The complication of greatest concern among participants was iatrogenic frontal sinus obstruction, while empty nose was of the least concern. The majority of participants responded that MT resection was of extreme or moderate benefit for improved visualization and drug delivery postoperatively. When compared to general otolaryngologists, fellowship‐trained rhinologists were less concerned about potential complications following MT resection and were more likely to perceive an extreme or moderate benefit from turbinate resection postoperatively. CONCLUSION: There remains debate over MT resection among otolaryngologists, but the results of this study show that the majority of participating otolaryngologists will perform a resection in certain clinical situations. John Wiley and Sons Inc. 2022-11-23 /pmc/articles/PMC10296039/ /pubmed/37383333 http://dx.doi.org/10.1002/wjo2.84 Text en © 2022 The Authors. World Journal of Otorhinolaryngology ‐ Head and Neck Surgery published by John Wiley & Sons Ltd on behalf of Chinese Medical Association. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Papers
Ziegler, Andrea
Patadia, Monica
Patel, Chirag
Current practices regarding middle turbinate resection among otolaryngologists
title Current practices regarding middle turbinate resection among otolaryngologists
title_full Current practices regarding middle turbinate resection among otolaryngologists
title_fullStr Current practices regarding middle turbinate resection among otolaryngologists
title_full_unstemmed Current practices regarding middle turbinate resection among otolaryngologists
title_short Current practices regarding middle turbinate resection among otolaryngologists
title_sort current practices regarding middle turbinate resection among otolaryngologists
topic Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10296039/
https://www.ncbi.nlm.nih.gov/pubmed/37383333
http://dx.doi.org/10.1002/wjo2.84
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