Conchopexy versus Bolgerization in preventing middle turbinate lateralization after functional endoscopic sinus surgery

Background: Middle turbinate lateralization was one of usual complications following functional endoscopic sinus surgery (FESS), result in failure of initial procedure, and obstruction of osteomeatal complex, with its impact on life quality. Objectives: To evaluate and compare the outcome of middle turbinate conchopexy suture, with that of Bolgerization method, in avoiding middle turbinate lateralization after FESS. Methods: Randomized study, of 80 patients underwent functional endoscopic sinus surgery were divided into 2 groups: group A; 40 patients with Conchopexy and group B; 40 patients with Bolgerization technique, the final postoperative assessment at 1st month after surgery, where the placement of middle turbinate, and sinus cavity condition, using post-operative sinus endoscopic score (POSE), and by SNOT- 22 value. Statical analysis were used for comparison of postoperative symptoms between 2 groups. Results: Statically significant improvement was detected in group B by POSE score (9.37%), and SNOT-22 (3.63 ± 1.78), compared to those in group A where it was (18.96%), and (24.27 ± 1.36) respectively, with P value = 0.001, also, for post-operative patient`s symptomology, as in group B; a statically significant improvement were found, as, for nasal obstruction, rhinorrhea, olfactory function, and facial pain, with P values < 0.005, in case of synechia has been shown to be effective in prevention of lateralization of middle turbinate in group B (92.5%), while in group A, it was (77.5%), with P values = 0.0021. Conclusion: Bolgerization techniques was more effective than conchopexy in avoiding middle turbinate lateralization after FESS.