Endoscopic Approach to Middle Turbinate Squeeze Syndrome

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Abstract

Middle turbinate squeeze syndrome (MTSS) refers to sino-nasal headache due to intense contact between the middle turbinate and the nasal septum and/or between middle turbinate and other structures in the lateral nasal wall. This study was intended to evaluate the efficacy of precise endoscopic surgical treatment of MTSS. This is a prospective study of 126 patients with refractory cephalgia due to endoscopically confirmed MTSS who underwent functional endoscopic naso-sinus surgery (FENS) wherein the contact points and ostio-meatal complex obstruction were endoscopically relieved. 91% of cases reported improvement/resolution of headache and 95% of cases had relieved contact points as documented endoscopically. This surgery was also found to facilitate resolution of sinus disease, both radiologically (in 64% of cases) and endoscopically (in 94% of cases). Cephalgia caused by MTSS can be effectively treated by an ultra-conservative endoscopic approach.

Original languageEnglish
Pages (from-to)167-171
Number of pages5
JournalIndian Journal of Otolaryngology and Head and Neck Surgery
Volume64
Issue number2
DOIs
Publication statusPublished - 01-06-2012

All Science Journal Classification (ASJC) codes

  • Surgery
  • Otorhinolaryngology

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