PRELIMINARY EVALUATION OF ENDOSCOPIC SINUS SURGERY WITH MIDDLE TURBINATE RESECTION IN PATIENTS WITH BILATERAL CHRONIC RHINOSINUSITIS
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Abstract
Objectives: To preliminarily evaluate the outcomes of endoscopic sinus surgery with partial middle turbinate resection in patients with bilateral chronic rhinosinusitis. Methods: A descriptive case-series study was conducted on 35 patients with bilateral chronic rhinosinusitis who underwent endoscopic sinus surgery with partial middle turbinate resection at the Endoscopic Department, National Otorhinolaryngology Hospital of Vietnam, from October 2024 to June 2025. Patients were assessed preoperatively and at 1, 3 and 6 weeks postoperatively using symptom evaluation, SNOT-22 score, nasal endoscopy, and complication recording. Results: Among 35 patients, maxillary-ethmoid surgery combined with septoplasty and/or inferior turbinate surgery was the most common procedure (34.28%), followed by maxillary-ethmoid-frontal-sphenoid surgery (28.57%). At 6 weeks, 77.1% of patients had no nasal obstruction, 57.1% had no rhinorrhea, 88.6% had no facial pain, and 80.0% had no olfactory disturbance. Mean SNOT-22 score decreased from 31.4 ± 9.67 preoperatively to 11.54 ± 3.8 at 6 weeks (p < 0.001). Good mucosal healing of the middle turbinate was observed in more than 90% of cases, the middle turbinate remained in the correct position in 97.14%, and 91.43% of postoperative cavities were rated good or fair. Postoperative complications were low, with minor bleeding in 8.57%; no orbital injury, cerebrospinal fluid leak, frontal ostium stenosis, or postoperative olfactory worsening was recorded. Conclusions: Partial anteroinferior middle turbinate resection during endoscopic sinus surgery appears to be a safe and feasible adjunctive procedure that provides early improvement in symptoms, quality of life, and postoperative endoscopic findings in patients with bilateral chronic rhinosinusitis. Larger controlled studies with longer follow-up are needed to confirm its long-term effectiveness. Keywords: chronic rhinosinusitis; endoscopic sinus surgery; middle turbinate resection; surgical outcome.
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References
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