Evaluation of the Effect of Endoscopic Sinus Surgery with Medialization of Middle Turbinate

Background: The main goals and key points of endoscopic sinus surgery are providing a sufficient drainage and ventilation for the diseased paranasal sinus groups. Method: A total of 44 patients (males 22 & 22 females) were included in this study, all of them complaining of chronic rhinosinsitis with or without polyposis not responding to maximal medical treatment and were assigned for ESS. Patients were classified into three groups; Group A: ESS with bolgarization, Group B: ESS with suture medialization of middle turbinate, Group C: ESS without medialization Postoperatively, patients were followed up with subjective (nasal obstruction, nasal discharge, headache, fascial pressure and smell disturbance) and objective (endoscopic evaluation of middle meatal MM patency) parameters in 2 weeks, I month, 3 months, 6 months and 1 year. Result: There improvement in nasal obstruction was reported by patients in all the three groups. Improvement in other symptoms was significantly higher in group A as compared to other groups. MM patency was evaluated by endoscopy and showed improvement of 100% in group B.