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Comparison of basal lamella relaxing incision and combined conventional medialisation and controlled synechiae in functional endoscopic sinus surgery: a randomised prospective study

Published online by Cambridge University Press:  02 July 2018

D D Maharaj ,
R S Virk ,
S Bansal  and
A K Gupta
D D Maharaj
Affiliation:
Department of ENT, Postgraduate Institute of Medical Education and Research (‘PGIMER’), Chandigarh, India
R S Virk*
Affiliation:
Department of ENT, Postgraduate Institute of Medical Education and Research (‘PGIMER’), Chandigarh, India
S Bansal
Affiliation:
Department of ENT, Postgraduate Institute of Medical Education and Research (‘PGIMER’), Chandigarh, India
A K Gupta
Affiliation:
Department of ENT, Postgraduate Institute of Medical Education and Research (‘PGIMER’), Chandigarh, India
*
Author for correspondence: Dr Ramandeep Singh Virk, Department of ENT, PGIMER, Sector 12, Chandigarh 160012, India Email: virkdoc@hotmail.com
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Abstract

Objectives

To compare combined conventional Freer medialisation and controlled synechiae, performed for middle meatal access (during the initial steps of functional endoscopic sinus surgery) and post-operative middle turbinate medialisation, with basal lamella relaxing incision, the latter of which is a single step for achieving both middle meatal access and post-operative medialisation. The study also compared the effects of controlled synechiae and basal lamella relaxing incision on post-operative olfaction.

Method

A randomised prospective study was performed on 52 nasal cavity sides (32 patients). Only basal lamella relaxing incision was performed in one group, and both conventional medialisation and controlled synechiae were performed in the other. Intra-operative and post-operative photography was used to measure the middle meatal area. A pocket smell test was used to assess olfaction.

Results

There were no significant differences in operative middle meatal access and post-operative medialisation of the middle turbinate. Post-operative olfaction was affected more in the combined conventional medialisation and controlled synechiae group, compared to the basal lamella relaxing incision group, but this finding was not statistically significant.

Conclusion

Basal lamella relaxing incision is an effective single-step technique for achieving adequate middle meatal access and post-operative medialisation, with no significant effect on olfaction.

Keywords

Endoscopic Sinus SurgeryMiddle TurbinateOlfactionSynechiae
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 7 , July 2018 , pp. 605 - 610
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr R S Virk takes responsibility for the integrity of the content of the paper

References

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