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Effects of medialization method of middle turbinate in functional endoscopic sinuses surgery

Author: 
Dr. Mohammed Ibrahim Yaseen and Dr. Saad Shyaa Jasim
Subject Area: 
Health Sciences
Abstract: 

Background: In revolution of functional endoscopic sinus surgery we need to found out new approaches to reduce recurrence after operation, and middle turbinate medialization is important step in this purpose. So we focus on some types of medialization like nothing or conchopexy and bolgraization. Objectives: To find out the effects of different types of middle turbinate medicalization in fess. Patients and methods: Comparative cross sectional study focus on middle turbinate medicalization in patients underwent fess operation in Al-Yarmook teaching hospital in a period between March 2017 to June 2018 in determined days in a week. Thirty six patients included in our study . after taking history and routine otolaryngological examinations were done and sent for imaging if needed . and when fess operation needed the patient included in the study. We collect the data in three categories , patients without middle turbinate medicalization, and patient with cocopexy i.e suturing of middle turbinate to septum ,and patient with bolgeraization which mean cross hatch of both septum and middle turbinate, and made the categories as time of operation , patient nasal patency , infection , adhesion in day one and after 1week and after 2weeks and after 1month and 3months and 6months. Results: In medialization by freer elevator male percentage is 58.33% to female 41.66%, and, 50% recurrence of sinusitis but no time spend. In medialization by conchopexy 25% are males and 75% females. and 16.6% sinusitis recurrence .and the extra time to operation is about 13 min. In medialization by bolgraization 66.66% were males and 33.33% females, and the sinusitis recurrence is 8.3%, the additional time is about 4 min. Conclusion • Females prefer less intervention technique in medicalization of middle turbinate • Boligraztion is the best result of medialzation type of middle turbinate. by less time consuming in comparison with cochopexy , and less recurrence Recommendations • Its better to do medicalization of middle turbinate in FESS surgery. • Bolgiraization is the best type of middle turbinate medialization. • The subject need further researches and studies about another types of medialization like by laser and harmonic and bipolar and others.

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