Author(s)
Christopher Brook, MD
Jason Mitchell, BS
Ralph Metson, MD
Affiliation(s)
Massachusetts Eye and Ear Infirmary
Abstract:
"Background: Studies have shown that middle turbinate resection prolongs the time to revision surgery in CRSwNP patients. The purpose of this study was to determine if a similar impact is observed in CRSsNP patients.
Methods: Details of middle turbinate resection were reviewed for 480 patients who had undergone two or more endoscopic sinus surgeries for CRS. The interval between surgeries was analyzed based on two disease populations -- CRSwNP (n=337) and CRSsNP (n=143).
Results: For CRSwNP patients, the interval between surgeries was significantly different at 4.85 years in those who had a MT resection, and 4.60 years in those who had MT preservation (p=0.05). For CRSsNP patients, the interval between surgeries was 4.08 years in those with MT resection, and 4.18 years in those who had MT preservation (p=0.87). There was an increased likelihood of MT resection being performed at time of the last surgery in patients with CRSsNP compared to those with CRSwNP (39.2% vs. 21.1%, respectively, p=>0.001)
Conclusions: MT resection increases the interval between surgeries performed for CRSwNP, but not CRSsNP. MT resection may, however, reduce the need for subsequent sinus surgery in CRSsNP patients."