{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T05:26:18Z","timestamp":1776749178420,"version":"3.51.2"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,6,13]],"date-time":"2017-06-13T00:00:00Z","timestamp":1497312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Polypoid change of the middle turbinate (PCMT) is a finding on intranasal examination whose significance is not well understood. We present a comparison of the clinical characteristics of PCMT with paranasal sinus polyposis (PSP), a common condition with potentially similar appearance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Parallel case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary rhinology clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Data were prospectively compiled from consecutive patients during a 12\u2010month period with either PSP arising from the middle meatus or PCMT limited to the middle turbinate as identified on nasal endoscopy. Recorded data included comorbidities, the 22\u2010item Sinonasal Outcome Test (SNOT\u201022), Nasal Obstruction Symptom Evaluation (NOSE), Lund\u2010Mackay score from computed tomography (CT) imaging, and total eosinophil levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 593 patients, 23 (3.9%) had PCMT and 44 (7.4%) had PSP. The PSP group was predominantly male (75% vs 52%, <jats:italic>P<\/jats:italic> &lt;. 001) with an older mean age (53.4 vs 35.4 years, <jats:italic>P<\/jats:italic> &lt;. 0001). PCMT was more often associated with allergic rhinitis (83% vs 34%, <jats:italic>P<\/jats:italic> &lt;. 001), whereas PCMT was rarely associated with chronic rhinosinusitis (10% vs 100%, <jats:italic>P<\/jats:italic> &lt;. 0001). Mean eosinophil count (7.1 vs 3.1, <jats:italic>P<\/jats:italic> =. 096) was not significantly different between groups, whereas mean Lund\u2010Mackay score was higher in PSP (14.9 vs 2.8, <jats:italic>P<\/jats:italic> &lt;. 0008). Mean NOSE score was greater in PSP (65.3 vs 46.8, <jats:italic>P<\/jats:italic> =. 025), whereas SNOT\u201022 score was comparable between groups (40.6 vs 34.6, <jats:italic>P<\/jats:italic> =. 29).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PCMT is a unique physical finding with clinical associations that distinguish it from PSP. PCMT has greater association with allergic rhinitis than chronic rhinosinusitis, and both PCMT and PSP are associated with impaired quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599817711887","type":"journal-article","created":{"date-parts":[[2017,6,13]],"date-time":"2017-06-13T11:22:06Z","timestamp":1497352926000},"page":"519-523","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":59,"title":["Polypoid Change of the Middle Turbinate and Paranasal Sinus Polyposis Are Distinct Entities"],"prefix":"10.1002","volume":"157","author":[{"given":"Jacob P.","family":"Brunner","sequence":"first","affiliation":[{"name":"Tulane University School of Medicine Department of Otolaryngology\u2013Head and Neck Surgery New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Basit A.","family":"Jawad","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine Department of 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