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Abstract

Background

Endoscopic sinus surgery is performed for many reasons, most commonly for chronic rhinosinusitis refractory to medical treatment. A paradoxical middle turbinate is an anatomic variant that can hinder endoscopic access to the sinuses. No publication has addressed how to surgically treat a paradoxical middle turbinate.

Method

We present a basic endoscopic surgical approach to conservatively resect a paradoxical middle turbinate in order to improve access to the middle meatus and the sinuses while preserving support and function.

Conclusion

Conservative remodeling of the paradoxical middle turbinate can provide access to the sinuses while maintaining a significant portion of the middle turbinate.

Keywords

paradoxical middle turbinate anatomical variant middle turbinate middle turbinate resection endoscopic sinus surgery endoscopic sinus surgery surgical approach surgical management sinonasal

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References

Ozcan

Selcuk

Ozcan

et al . Anatomical variations of nasal turbinates. J Craniofac Surg. 2008; 19(6):1678–1682.

Tiwari

Goyal

Study of anatomical variations on CT in chronic sinusits.

Indian J Otolaryngol Head Neck Surg. 2015; 67(1):18–20.

Neskey

Eloy

Casiano

RR.

Nasal, septal, and turbinate anatomy and embryology.

Otolaryngol Clin N Am. 2009; 42:193–205.

Bolger

Butzin

Parsons

DS.

Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery.

Laryngoscope. 1991; 101:56–64.

Remodeling of the Paradoxical Middle Turbinate: Preserving Function While Gaining Access