الفهرس | Only 14 pages are availabe for public view |
Abstract Functional endoscopic sinus surgery (FESS) is the mainstay of surgical management of allergic fungal sinusitis. The decision between partial resection and preservation of middle turbinate (MT) has stirred up considerable debate. Middle turbinate is an important anatomical part for regulating a lot of nasal functions and an important landmark during FESS. Partial MTR (pMTR) permits easy access to the affected paranasal sinuses intraoperatively and postoperatively, facilitates saline irrigations and nebulizers distribution to paranasal sinuses and decreases recurrence of allergic fungal sinusitis. The aim of the work to evaluate the role of partial middle turbinectomy (PMT) in patients with AFS managed by endoscopic sinus surgery (ESS) in the prevention of recurrence and adequate management of residual disease. This is prospective study, conducted on 60 randomly selected patients, suffering from allergic fungal sinusitis. divided into 2 groups; group A 30 patients underwent endoscopic sinus surgery only while group B 30 patients underwent endoscopic sinus surgery plus partial middle turbinectomy. This study was conducted on patients having allergic fungal sinusitis based on clinical, radiologic and endoscopic features presenting at Otolaryngology clinic at faculty of medicine, Cairo university and Misr university for science and Technology during the period of March 2021 to August 2022. Both the groups were compared postoperatively in the outpatient clinic on weekly bases after pack removal for 1 month, then every 2 weeks for another month, then on monthly bases, the partially resected and preserved middle turbinate, |