Prevention of the Lateral Synechia Formation after Endoscopic Sinus Surgery

Lee, Jae Yong

Review

Journal of Rhinology 2010;17(1):13-19.
Published online May 31, 2010.

Prevention of the Lateral Synechia Formation after Endoscopic Sinus Surgery

Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea. jyent@schbc.ac.kr

부비동 내시경 수술에서 중비갑개의 외측 편위 및 중비도 유착 방지

이재용

순천향대학교 의과대학 이비인후-두경부외과학교실

Abstract

The aims of endoscopic sinus surgery (ESS) are to remove pathologic mucosa and to restore sinus ventilation. Lateralization of the middle turbinate with scarring and obstruction of the middle meatus is the most common complication after ESS. Lateralization of the middle turbinate and synechia with the lateral nasal wall may cause obstruction of the outflow from the ethmoid, maxillary, and frontal sinuses after ESS. As a consequence, the probability of recurrence increases, necessitating further surgery. Therefore, various techniques for the prevention of synechia and the medialization of the middle turbinate have been described. This review will present several methods for prevention of lateral synechia, along with their advantages and disadvantages, with a review of the literature.

Key Words: Endoscopic sinus surgery;Complication;Synechia;Prevention;Middle turbinate;Lateral nasal wall