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Background and Objectives:Midle turbinate lateralization is a comon complication of endoscopic sinus surgery, and many methods are employed to avoid it. We tried to suture middle turbinate-septum-opposite middle turbinate for middle turbinate stabilization. Materials and Method:A prospective study was done for 32 patients who had floppy or paradoxically curved midle turbinate at the time of endoscopic sinus surgery. A 3-0 Vicryl suture on 20 mm 1/2 curved round bodied needle was used for suture. The needle was pased through the left middle turbinate from lateral to medial, transversing the nasal septum to the right side and continued through the middle turbinate from medial to lateral. It is then passed again in the opposite direction through the same structures and tied. All cases were followed up until complete healing was confirmed by endoscopic visuali-zation at the final ofice examination. Results:OMUs (Ostiomeatal Units) were patent in 93.7% (30/32) of patients. Middle (12.5%), patients complained temporary hyposmia during the imediate postoperative period. In 2 cases, patients continued to have hyposmia at 3 postoperative months, but recovered at 6 postoperative months. Crust was observed about 6 weeks. Granulation tisue was presented in 3 cases (9.4%). Conclusion:Suture technique is an efective method to stabilize middle turbinate and it can be performed in selected cases of paradoxical middle turbinate or flopy midle turbinate. (Korean J Otolaryngol 2003 ;46 :309- 12)


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Suture techniques· Endoscopy· Paranasal sinuses· Turbinates· Nasal septum.