Medial fracturing of the inferior turbinate: effect on the ostiomeatal unit and the uncinate process

Kyung Chul Lee; Seung Suk Lee; Jong Kyu Lee; Sang Hyuk Lee
June 2009
European Archives of Oto-Rhino-Laryngology;Jun2009, Vol. 266 Issue 6, p857
Academic Journal
It is apparently a common practice to fracture the inferior turbinate medially and superiorly to facilitate the fenestration of the inferior meatus, and to fracture medially and lateralize the inferior turbinate during turbinoplasty. However, it is also known that medial fracturing of the inferior turbinate may induce lateral displacement of the uncinate process. We investigated medial fracturing of the inferior turbinate to see whether it had any effect on changing the position of the uncinate process. A retrospective study was done on 23 patients who underwent medial fracturing of the inferior turbinate during submucosal turbinoplasty or turbinectomy from January 2004 through September 2006. By analyzing ostiomeatal-unit computed tomography, we measured the angle of the uncinate process, the minimal width of the ethmoid infundibulum, and the size of the maxillary sinus ostium. The angle of the uncinate process was 14.19–32.45°, the minimal width of the ethmoid infundibulum was 0.61–2.45 mm, and the size of the maxillary sinus ostium was 2.14–6.77 mm. After the surgery, the angle of the uncinate process was 15.56–32.51°, the minimal width of the ethmoid infundibulum was 0.53–2.52 mm, and the size of the maxillary sinus ostium was 2.18–7.01 mm. Pathologic change in the ostiomeatal-unit was not observed for an average period of 14.9 months (range 10.3–21.8 months) follow-up period. Our report suggests that the medial fracturing of the inferior turbinate does not alter the position of the uncinate process and the size of the maxillary sinus ostium. Clinically, it does not seem to affect normal physiology of the sinus function nor does it cause sinusitis.


Related Articles

  • Vertical insertion of the middle turbinate: A sign of the presence of a well-developed agger nasi cell. Yanagisawa, Eiji; Mirante, Joseph P.; Christmas, Dewey A. // ENT: Ear, Nose & Throat Journal;Dec2002, Vol. 81 Issue 12, p818 

    Discusses a medical case wherein a patient was diagnosed with opafication of both maxillary sinuses, a large and well-developed right agger nasi cell, and a vertical insertion of the right middle turbinate. Observations on the middle turbinate; Analysis of the agger nasi cell; Factor that...

  • Computed Tomography-Based Exploration of Infundibular Anatomy for Maxillary Sinus Balloon Dilation. Sikand, Ashley // Annals of Otology, Rhinology & Laryngology;Oct2011, Vol. 120 Issue 10, p656 

    Objectives: A clinically relevant reconstruction of the ethmoid infundibulum and maxillary sinus ostium was developed to use 3-dimensional computed tomographic (CT) imaging technology and measurement software in an effort to better understand the anatomy of the maxillary sinus ostium and to...

  • Endoscopic medial maxillectomy with preservation of inferior turbinate and nasolacrimal duct. Nakayama, Tsuguhisa; Asaka, Daiya; Okushi, Tetsushi; Yoshikawa, Mamoru; Moriyama, Hiroshi; Otori, Nobuyoshi // American Journal of Rhinology & Allergy;Sep/Oct2012, Vol. 26 Issue 5, p405 

    Background: Endoscopic medial maxillectomy (EMM) is a safe and effective procedure for treatment of inverted papilloma (IP) originating from the maxillary sinus. However, EMM usually removes the inferior turbinate and nasolacrimal duct. The inferior turbinate has a critical function in...

  • Endoscopic view of a septated concha bullosa. Yanagisawa, Eiji; Mirante, Joseph P.; Christmas, Dewey A. // ENT: Ear, Nose & Throat Journal;Feb2008, Vol. 87 Issue 2, p70 

    The article focuses on an endoscopic view of a septated concha bullosa in a 43-year-old man with recurring ethmoid sinusitis. It states that an uncommon septated concha bullosa of the right middle turbinate and a hypoplastic septated right antrum were identified in the subject through computed...

  • Endoscopic view of a maxillary antrostomy through the inferior turbinate. Christmas, Dewey A.; Mirante, Joseph P.; Yanagisawa, Eiji // ENT: Ear, Nose & Throat Journal;Nov2010, Vol. 89 Issue 11, pE23 

    The article presents the case of a man with recurrent right sinusitis. Computed tomography (CT) of the sinuses revealed an antrostomy on the medial wall of the left maxillary sinus and soft-tissue thickening in the right ethmoid sinus. Nasal endoscopy showed a middle meatal antrostomy on the...

  • Anatomic Risk Factors for Sinus Disease: Fact or Fiction? Caughey, Robert J.; Jameson, Mark J.; Gross, Charlie W.; Han, Joseph K. // American Journal of Rhinology;Jul/Aug2005, Vol. 19 Issue 4, p334 

    Background: Sinonasal anatomic variants have been postulated as a risk factor for sinus disease. Therefore, a study was conducted to examine the correlation of sinus disease to septal deviation, concha bullosa, and infraorbital ethmoid cells. Methods: Two hundred fifty consecutive sinus and...

  • The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis. Kapusuz Gencer, Zeliha; Özkırış, Mahmut; Okur, Aylin; Karaçavuş, Seyhan; Saydam, Levent // European Archives of Oto-Rhino-Laryngology;Nov2013, Vol. 270 Issue 12, p3069 

    Objectives: The purpose of this study was to determine the possible role of nasal septal deviation on volume of maxillary sinuses and its relationship with development of maxillary sinusitis. Materials and methods: Between May 2010 and September 2012, paranasal sinus computed tomography (CT)...

  • CPT coding for turbinate procedures. Isenberg, Steven F. // ENT: Ear, Nose & Throat Journal;Jan2008, Vol. 87 Issue 1, p20 

    The article focuses on CPT coding for transnasal turbinate surgery procedures. It says that CPT codes 30130 and 30140 are usually reported separately with septoplasty or sphenoid, maxillary or frontal sinus surgical procedures. A separate diagnosis with medical necessity is helpful if a separate...

  • RHINOSCOPIC CLINIC. Endoscopic view of an uncinate process pyocele. Lee, Jae Hoon; Kim, Chang Ju // ENT: Ear, Nose & Throat Journal;Nov2011, Vol. 90 Issue 11, pE28 

    The article focuses on a case study of a 54-year-old woman with an uncinate process pyocele. She was found to have a large, round mass from the middle meatus that surrounds the normal mucosa, based on nasal endoscopy, and was treated endoscopically under local anesthesia. It cites anatomic...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics