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medialization of middle turbinate

Neil S Patel, Amy C Dearking, Erin K O'Brien, John F Pallanch
Objective To define relationships between the frontal sinus opening, ostia of other frontal recess cells, and endoscopic landmarks and to develop a clinically useful framework to guide frontal sinus surgery. Study Design Retrospective review. Setting Tertiary care academic referral center. Methods Adult patients with computed tomography (CT) without sinonasal pathology were included. Virtual endoscopy (using OsiriX) and corresponding CT reconstructions were used to identify all visible ostia in the frontal recess and characterize their positions in spaces between the uncinate/agger nasi (U), bulla ethmoidalis (EB), and middle turbinate (MT)...
April 1, 2017: Otolaryngology—Head and Neck Surgery
Andrzej Sieskiewicz, Krzysztof Buczko, Jacek Janica, Adam Lukasiewicz, Urszula Lebkowska, Bartosz Piszczatowski, Ewa Olszewska
Several minimally invasive modifications of endoscopic medial maxillectomy have been proposed recently, with the least traumatic techniques utilizing the lacrimal recess as a route to enter the sinus. The aim of the study was to analyze the anatomy of medial maxillary wall in the region of nasolacrimal canal and, thus, to determine the capability of performing minimally invasive approach to the maxillary sinus leading through the lacrimal recess. The course of nasolacrimal canal and the distance between the anterior maxillary wall and the nasolacrimal canal (the width of lacrimal recess) were evaluated in 125 randomly selected computed tomography (CT) head examinations...
March 2017: European Archives of Oto-rhino-laryngology
Ahmet Emre Süslü, Özden Savaş, Serdar Özer, Metin Önerci
The objectives of this study are to evaluate the occurrence of postoperative middle turbinate lateralization and the relationship between this lateralization and the risk of iatrogenic sinusitis after endoscopic transnasal sphenoidotomy procedure. Patients who undergone endoscopic transnasal sphenoidotomy and came under the surveillance of our otorhinolaryngology department between the January of 2010 and the December of 2015 were retrospectively scanned. Among them, the patients who were evaluated with paranasal sinus computed tomography (CT) postoperatively were included in the study...
November 10, 2016: European Archives of Oto-rhino-laryngology
Griffin D Santarelli, Joseph K Han
Propel and Propel Mini sinus implants are mometasone furoate-coated bioabsorbable stents used as an adjunct in the management of chronic rhinosinusitis after endoscopic sinus surgery. The original sinus implant was deployed in the ethmoid sinuses to provide medialization of the middle turbinate, decrease scarring and mucosal adhesions, limit polyp regrowth, and reduce mucosal inflammation. A structurally smaller version of the Propel, the Propel Mini, was developed and now has been approved for endoscopic placement in the frontal sinuses...
December 2016: Expert Opinion on Drug Delivery
Sameh M Amin, Tamer O Fawzy, Ahmed A Hegazy
OBJECTIVES: Herein, we describe our experience in simple harvest of the vascular pedicled middle turbinate flap (MTF) sufficient for sellar defect reconstruction. METHODS: An anatomical feasibility study is done in 10 sides of 5 preserved injected cadaveric heads. The middle turbinate is separated from the skull base and the basal lamella with or without retrograde dissection of its tail as a composite flap based on the middle turbinate and posterolateral nasal arteries...
September 2016: Annals of Otology, Rhinology, and Laryngology
Tsuyoshi Okuni, Kenichi Takano, Kazuaki Nomura, Keiji Yamashita, Ayumi Abe, Fumie Ito, Kosuke Murayama, Hideaki Shirasaki, Tetsuo Himi
It is necessary for the surgeon to be familiar with frontal recess anatomy during an endoscopic approach to the frontal sinuses. The aim of this study was to evaluate the prevalence of frontal recess cells in Japanese adults as well as the association between the frontal recess and the location of the anterior ethmoidal artery (AEA). The frontal recess cells and the AEAs were retrospectively evaluated in CT scans of the nasal and paranasal sinuses for 89 patients. The prevalence of agger nasi cells was 90.7%...
2016: Advances in Oto-rhino-laryngology
C M Tomblinson, M-R Cheng, D Lal, J M Hoxworth
BACKGROUND AND PURPOSE: Inferior turbinate hypertrophy and concha bullosa often occur opposite the direction of nasal septal deviation. The objective of this retrospective study was to determine whether a concha bullosa impacts inferior turbinate hypertrophy in patients who have nasal septal deviation. MATERIALS AND METHODS: The electronic medical record was used to identify sinus CT scans exhibiting nasal septal deviation for 100 adult subjects without and 100 subjects with unilateral middle turbinate concha bullosa...
July 2016: AJNR. American Journal of Neuroradiology
M D Prakash, B Viswanatha, R Rasika
Endoscopic endonasal dacryocystorhinostomy (DCR), when compared to external techniques, has always had guarded acceptance primarily due to inconsistent success rates. The most common cause of surgical failure in endoscopic DCR is very high/very low mucosal incision, obstruction of neo-ostium by granulation tissue, infolding of flap or formation of synechiae between middle turbinate and the neo-ostium site post-operatively. Several techniques and modifications have been suggested by various authors over the years since the first introduction of endoscopic endonasal DCR...
December 2015: Indian Journal of Otolaryngology and Head and Neck Surgery
Ryota Tamura, Masahiro Toda, Maya Kohno, Yoshihiro Watanabe, Hiroyuki Ozawa, Toshiki Tomita, Kaoru Ogawa, Kazunari Yoshida
A vascularized middle turbinate flap (MTF) might be useful in the repair of lesions in the anterior olfactory groove. The sizes of the MTF and inferior turbinate flap (ITF) and these distances up to the frontal base were analyzed by computed tomography (CT) using a picture archiving and communication system (PACS) in 20 patients. The minimum flap measurement to reconstruct the skull base was defined as the distance from the basal plate to the medial slope or lateral slope edge of the MTF and the ITF on the coronal view...
April 2016: Neurosurgical Review
Nicoleta Măru, Mugurel Constantin Rusu, Mihai Săndulescu
Multiple anatomical variants were encountered during a cone beam computed tomography (CBCT) study of the nasal cavity of a 43-year-old male patient. These were mostly related to the nasal turbinates, suggestive for an unusual development of ethmoturbinals. Pneumatized turbinates were observed: bilateral supreme, superior, and middle concha bullosa. There were bilateral paradoxically curved superior turbinates, as well as a unilateral paradoxically curved inferior turbinate. There was also found a unilateral accessory middle turbinate, presenting as a medially bent uncinate process...
2015: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
K R Koch, C Cursiefen, L M Heindl
BACKGROUND: External dacryocystorhinostomy (DCR) is at present the gold standard for the surgical treatment of acquired nasolacrimal duct obstructions, but tremendous progress has been made in recent years in improving minimally invasive techniques, sparing not only the skin, but also the medial lid structures, which contribute to the physiological palpebral-canalicular pump mechanism. The purpose of this study is to report our 1-year experience with the surgical technique, complications and results of transcanalicular laser assisted DCR...
February 2016: Klinische Monatsblätter Für Augenheilkunde
Heather R Olmo, Steven Marc Stokes, Robert D Foss
A 43-year-old female presented with persistent nasal congestion with intermittent epistaxis without resolution for the preceding 5 years. Clinical examination revealed a large pink rubbery mass, medial to the middle turbinate in the right nasal cavity extending to the choana. Radiographic images demonstrated a heterogeneously enhancing lobular soft tissue mass filling the right nasal cavity, causing lateral bowing of the right medial orbital wall and extending posteriorly to the right anterior ethmoid sinus...
June 2016: Head and Neck Pathology
Sarah W DeParis, Andrew N Goldberg, Maanasa Indaram, F Lawson Grumbine, Robert C Kersten, M Reza Vagefi
A 50-year-old female presented with a slowly enlarging painless mass of the right medial canthus. The past surgical history is significant for external dacryocystorhinostomy for acquired nasolacrimal duct obstruction 10 years prior and subsequent endoscopic and external revisions. Imaging revealed a large fronto-ethmoidal sinus mucocele extending into the right medial orbit. On surgical exploration, the right middle turbinate was found to have lateralized, obstructing sinus outflow. The mucocele was evacuated and ethmoidectomy and middle turbinectomy were performed...
August 12, 2015: Ophthalmic Plastic and Reconstructive Surgery
Wei Qiang Leow, Ivy Sng
A 39-year-old female presented with a fleshy nasal polyp occluding the left nasal cavity, associated with haemopurulent discharge. Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) scans of the paranasal cavities revealed a large polypoid tumour arising from the left middle turbinate and obstructing the left maxillary sinus ostium. However, no bony or intracranial involvement was identified. A biopsy revealed a tumour with small blue round cell morphology. The tumour cells showed diffuse strong membranous CD99 positivity and patchy CD34 positivity...
April 2015: Malaysian Journal of Pathology
Payam V Morgan, Jeffrey D Suh, Catherine J Hwang
PURPOSE: Mucous membrane grafts are used for various indications in oculoplastics. The authors report the use of nasal floor mucosa as a new donor site for mucous membrane grafts. METHODS: Following adequate anesthesia and vasoconstriction, the nasal floor is visualized with a 30° endoscope. Next, the interior turbinate is medialized, and the nasolacrimal duct is identified and preserved. Anterior, posterior, medial, and lateral incisions are made through the nasal mucosa to the nasal bone...
May 2016: Ophthalmic Plastic and Reconstructive Surgery
Tolgar L Kumral, Güven Yıldırım, Ozan Çakır, Enes Ataç, Güler Berkiten, Ziya Saltürk, Yavuz Uyar
OBJECTIVES/HYPOTHESIS: To assess the nasal functions, nasal resistance, and olfactory function in middle turbinate surgery. STUDY DESIGN: Randomized controlled trial. METHODS: This prospective controlled study was carried out on patients who underwent laminectomy for aeration of the middle turbinate. Patients participating in the study were divided into two groups-group 1: medial laminectomy (n = 34) and group 2: lateral laminectomy (n = 38)...
May 2015: Laryngoscope
Islam R Herzallah, Osama A Marglani, Ahmed M Shaikh
BACKGROUND: Accidental injury of lamina papyracea (LP) remains one of the most common complications reported in endoscopic sinus surgery (ESS) even in most recent studies. The purpose of this study was to categorize the LP position radiologically and from an endoscopic perspective. METHODS: A total of 207 computed tomography (CT) scans (414 sides) including both diseased and control groups were retrospectively reviewed by 2 examiners. Inferior turbinate attachment to the lateral nasal wall and the inferior margin of the planned middle meatal antrostomy (MMA) were identified anteriorly...
March 2015: International Forum of Allergy & Rhinology
Shousen Wang, Jian Lv, Liang Xue, Zhiyu Xi, Heping Zheng, Rumi Wang
OBJECTIVE: This study is to investigate the anatomical relationship of endonasal approach for anterior skull base surgery, and to determine the boundaries between anterior basicranial craniotomy and the security of operative techniques. MATERIALS AND METHODS: A total of 10 adult dry skulls and 13 adult cadaveric heads processed by formalin were examined under operating microscope. The micro-anatomic structures of the turbinate, sphenoid sinus, ethmoid sinus, anterior ethmoidal artery, posterior ethmoidal artery and anterior skull base were observed...
September 2014: Neurology India
Deniz Demir, Kıyasettin Asil, Mehmet Güven, Gürkan Kayabaşoğlu, Mahmut Sinan Yılmaz
The aim of the study was to investigate the relationship between nasal septal deviation and the middle turbinate hypertrophy using computed tomography. In this retrospective analysis, we examined 77 patients with nasal septal deviation. The mucosal and bone structures of the middle turbinate and the angle of the septum were measured using radiological analysis. Measurements of the middle turbinate on the convex side were compared to those on the concave side. Measurements of the bony and mucosal structure area of the middle turbinate were significantly greater than those on the concave side...
October 2015: European Archives of Oto-rhino-laryngology
Babak Saedi, Amin Amali, Narges Alizadeh, Peter Hwang, Ali Pasha Meisami
BACKGROUND: The aim of this study was to evaluate the effectiveness of middle turbinate radiofrequency (RF) turbinoplasty for the management of the polypoid middle turbinate compared to middle turbinate resection and middle turbinate medialization. METHODS: The study was performed on 90 patients at a tertiary referral hospital with nasal polyposis resistant to maximal medical treatment. At the time of functional endoscopic sinus surgery (FESS), patients were randomized into 3 groups with respect to the management of the middle turbinate: middle turbinate turbinoplasty by RF; partial resection of the middle turbinate; and medialization of the middle turbinate by scarification to the septum...
December 2014: International Forum of Allergy & Rhinology
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