xRead - Nasal Obstruction (September 2024) Full Articles

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Orlandi et al.

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TABLE XII-19 Evidence for middle turbinate resection vs preservation Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Kim 2058 2019 2 RCT(n = 80) Bilateral CRS patients undergoing ESS: 1. left MT medialization 2. right MT medialization BTT,OC MT medialization does not impair olfactory function, and OC status is closely related to olfactory function. Hudon 2043 2018 2 RCT(n = 16) CRSwNP patients undergoing ESS: 1. MT resection 2. MT preservation POSE, Lund-Kennedy score No sustained objective endoscopic benefit of MT resection within the first 6 postoperative months.

associated with less

synechiae and need for revision surgery. Patients with MT

resection had no

atrophic rhinitis after a mean of 4.2 years.

Patients undergoing MT resection with MMA

were more likely to have improvement in nasal obstruction.

MT resection was

synechiae and need

for revision surgery

Subjective symptoms and endoscopy

Atropic rhinitis,

Gulati 2059 2010 2 RCT(n = 40) CRS patients undergoing MMA 1. MT resection

Havas 2067 2000 2 RCT(n = 1106) Patients undergoing ESS 1. MT resection 2. MT preservation

2. MT preservation