Endoscopic approach to middle turbinate squeeze syndrome.

Middle turbinate squeeze syndrome (MTSS) refers to sino-nasal headache due to intense contact between the middle turbinate and the nasal septum and/or between middle turbinate and other structures in the lateral nasal wall. This study was intended to evaluate the efficacy of precise endoscopic surgical treatment of MTSS. This is a prospective study of 126 patients with refractory cephalgia due to endoscopically confirmed MTSS who underwent functional endoscopic naso-sinus surgery (FENS) wherein the contact points and ostio-meatal complex obstruction were endoscopically relieved. 91% of cases reported improvement/resolution of headache and 95% of cases had relieved contact points as documented endoscopically. This surgery was also found to facilitate resolution of sinus disease, both radiologically (in 64% of cases) and endoscopically (in 94% of cases). Cephalgia caused by MTSS can be effectively treated by an ultra-conservative endoscopic approach.

Citation

Dipak Ranjan Nayak, Balakrishnan Ramaswamy. Endoscopic approach to middle turbinate squeeze syndrome. Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India. 2012 Jun;64(2):167-71

PMID: 23730579

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