{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T22:00:00Z","timestamp":1791583200437,"version":"4.3.4"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T00:00:00Z","timestamp":1409529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To investigate the clinical significance of middle turbinate lateralization (MTL) occurrence postendoscopic sinus surgery (ESS) for chronic rhinosinusitis, namely, association with postoperative symptoms and eventual need for undergoing revision surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective chart review of consecutive postoperative follow\u2010up appointments (November 2009\u2013May 2011) for patients who had had full\u2010house ESS (post hoc analysis).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Endoscopic video recordings were reviewed by a blinded reviewer to determine occurrence of MTL (any portion of the middle turbinate touching the lateral nasal wall). Postoperative symptom questionnaires using the Adelaide scoring system were collected. Records were reviewed to determine the need for revision surgeries during follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 151 patients had follow\u2010up with video endoscopy from 2009 to 2011. No statistically significant association between MTL and symptoms was found (<jats:italic>P<\/jats:italic>\u2009&gt;\u2009.05). Of the patients with MTL, 21% required revision versus 9% in those who had no MTL (<jats:italic>P<\/jats:italic>\u2009=\u2009.07). Log\u2010rank test showed that there was a statistically significant difference between the revision surgery survival curves for the MTL and no\u2010MTL groups (<jats:italic>P<\/jats:italic>\u2009=\u2009.03). Controlling for the inability to examine the frontal sinus, the difference between the two survival functions increased (<jats:italic>P<\/jats:italic>\u2009=\u2009.005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>MTL was not associated with patient\u2010reported symptoms, but may be associated with a more rapid need for future revision surgery. We hypothesize that this effect is related to interference with the frontal sinus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 125:36\u201341, 2015<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.24858","type":"journal-article","created":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T07:36:25Z","timestamp":1409556985000},"page":"36-41","source":"Crossref","is-referenced-by-count":38,"title":["Clinical Significance of Middle Turbinate Lateralization After Endoscopic Sinus Surgery"],"prefix":"10.1002","volume":"125","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5545-0194","authenticated-orcid":false,"given":"Ahmed","family":"Bassiouni","sequence":"first","affiliation":[{"name":"Department of Surgery\u2013Otorhinolaryngology, Head &amp; Neck Surgery University of Adelaide Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip G.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Surgery\u2013Otorhinolaryngology, Head &amp; Neck Surgery University of Adelaide Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuresh","family":"Naidoo","sequence":"additional","affiliation":[{"name":"Department of Surgery\u2013Otorhinolaryngology, Head &amp; Neck Surgery University of Adelaide Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter\u2010John","family":"Wormald","sequence":"additional","affiliation":[{"name":"Department of Surgery\u2013Otorhinolaryngology, Head &amp; Neck Surgery University of Adelaide Adelaide Australia"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Texas Health Science Center at San Antonio San Antonio Texas U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00183169"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556139207100303"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199310000-00007"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199901000-00006"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2004.06.002"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2003.11.005"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20812"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016480701827541"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24213"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21265"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21015"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200203000-00016"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215113000558"},{"key":"e_1_2_6_15_1","unstructured":"R Development Core Team. 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