{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:41:14Z","timestamp":1760031674694,"version":"build-2065373602"},"reference-count":20,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T00:00:00Z","timestamp":1743292800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Changes in the bony structures of the nose and sinuses such as the medialization of the lamina papyracea and enophthalmos have been reported after sinus surgery. Evidence for the persistence of inferior turbinate (IT) position after IT outfracture is lacking. Objectives: To evaluate for anatomical changes of the IT, lamina and the globes, after sinus surgery and the durability of inferior turbinate outfracture. Methods: A total of forty-four patients who underwent revision endoscopic sinus surgery that included complete ethmoidectomy and IT outfracture were matched. Pre- and post-operative computed tomography scans (CT) were used for evaluating and measuring the anatomical changes in different planes. The posterior globe position in the axial plane, the distance between the lamina papyracea (IODAxial, IODCoronal) in coronal and axial planes and the distance from the IT to the septum (ITM) and the lateral nasal wall (ITL) were measured. Results: There were 16 women and 28 men. Mean follow-up time (time from procedure to post-operative CT scan) was 38.9 \u00b1 20.1 months. Statistically significant lateralization of the IT was observed with ITL (95%CI 1.1 mm to 1.5 mm p &lt; 0.0001) and ITM (95%CI \u22121.5 mm to \u22121.1 mm; p &lt; 0.0001). No statistically significant differences were seen in IODAxial and IODCoronal in pre-op and post-op CT scans. (p = 0.23 and p = 0.7, respectively) and no significant displacement of the globe in antero-posterior direction was seen (p = 0.915). Conclusions: IT outfracture appears to have a durable effect on IT position that lasts for several years. Ethmoidectomy did not cause the medialization of the laminae nor altered the position of the globes.<\/jats:p>","DOI":"10.3390\/jcm14072380","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T02:50:16Z","timestamp":1743389416000},"page":"2380","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Anatomical Changes After Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3768-6216","authenticated-orcid":false,"given":"Ameen","family":"Biadsee","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Western University, London, ON N6A 3K7, Canada"},{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, Meir Medical Center, Kfar-Saba 4428164, Israel"},{"name":"School of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0149-8197","authenticated-orcid":false,"given":"Rabie","family":"Shehadeh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Western University, London, ON N6A 3K7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matan","family":"Katz","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, Meir Medical Center, Kfar-Saba 4428164, Israel"},{"name":"School of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1839-7344","authenticated-orcid":false,"given":"Tomer","family":"Boldes","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, Meir Medical Center, Kfar-Saba 4428164, Israel"},{"name":"School of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taciano","family":"Rocha","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Western University, London, ON N6A 3K7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian W.","family":"Rotenberg","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Western University, London, ON N6A 3K7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5825-2759","authenticated-orcid":false,"given":"Leigh J.","family":"Sowerby","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Western University, London, ON N6A 3K7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Onerci, T.M. (2013). Inferior turbinate: Structure, function, and surgical management. Nasal Physiology and Pathophysiology of Nasal Disorders, Springer.","DOI":"10.1007\/978-3-642-37250-6"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/j.amjoto.2018.08.009","article-title":"The inferior turbinate: An autonomic organ","volume":"39","author":"Smith","year":"2018","journal-title":"Am. J. Otolaryngol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1080\/000164800750000388","article-title":"Nasal airflow in health and disease","volume":"120","author":"Eccles","year":"2000","journal-title":"Acta Otolaryngol."},{"key":"ref_4","first-page":"349","article-title":"Aerodynamic impact of total inferior turbinectomy versus inferior turbinoplasty\u2014A computational fluid dynamics study","volume":"58","author":"Siu","year":"2020","journal-title":"Rhinology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1002\/alr.21319","article-title":"What is normal nasal airflow? A computational study of 22 healthy adults","volume":"4","author":"Zhao","year":"2014","journal-title":"Int. Forum Allergy Rhinol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"275","DOI":"10.4193\/Rhino12.001","article-title":"Evaluation of inferior turbinate outfracture outcomes using computed tomography","volume":"51","author":"Min","year":"2013","journal-title":"Rhinology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.otohns.2010.06.915","article-title":"Midterm outcomes of outfracture of the inferior turbinate","volume":"143","author":"Aksoy","year":"2010","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"386e","DOI":"10.1097\/PRS.0000000000002934","article-title":"Does the Effect of Inferior Turbinate Outfracture Persist?","volume":"139","author":"Lee","year":"2017","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1704","DOI":"10.1097\/PRS.0b013e31819b69b1","article-title":"Outfracture of the inferior turbinate: A computed tomography study","volume":"123","author":"Buyuklu","year":"2009","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1001\/archotol.131.12.1102","article-title":"Aerodynamic effects of inferior turbinate reduction: Computational fluid dynamics simulation","volume":"131","author":"Wexler","year":"2005","journal-title":"Arch. Otolaryngol. Head Neck Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1097\/RCT.0b013e31816c82da","article-title":"Medialization of the lamina papyracea after endoscopic ethmoidectomy: Comparison of preprocedure and postprocedure computed tomographic scans","volume":"33","author":"Cunnane","year":"2009","journal-title":"J. Comput. Assist. Tomogr."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2240","DOI":"10.1097\/MLG.0b013e31818379cd","article-title":"Anatomical changes of the ethmoid cavity after endoscopic sinus surgery","volume":"118","author":"Platt","year":"2008","journal-title":"Laryngoscope"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1002\/alr.21541","article-title":"Outcomes of complete vs targeted approaches to endoscopic sinus surgery","volume":"5","author":"DeConde","year":"2015","journal-title":"Int. Forum Allergy Rhinol."},{"key":"ref_14","first-page":"262","article-title":"Surgery of the turbinates","volume":"7","author":"Goode","year":"1978","journal-title":"J. Otolaryngol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2869","DOI":"10.1007\/s00405-020-06556-w","article-title":"Does inferior turbinate outfracture provide additional benefit when combined with inferior turbinate radiofrequency ablation?","volume":"278","author":"Karakurt","year":"2021","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1177\/000348949910800608","article-title":"Treatment of hypertrophy of the inferior turbinate: Long-term results in 382 patients randomly assigned to therapy","volume":"108","author":"Lauriello","year":"1999","journal-title":"Ann. Otol. Rhinol. Laryngol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1177\/19458924221134555","article-title":"Systematic Review of Surgical Interventions for Inferior Turbinate Hypertrophy","volume":"37","author":"Zhang","year":"2023","journal-title":"Am. J. Rhinol. Allergy"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e752","DOI":"10.1097\/SCS.0000000000002208","article-title":"The paradoxical predominance of medial wall injuries in blowout fracture","volume":"26","author":"Choi","year":"2015","journal-title":"J. Craniofac. Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1167\/iovs.08-2204","article-title":"Role of medial orbital wall morphologic properties in orbital blow-out fractures","volume":"50","author":"Song","year":"2009","journal-title":"Invest. Ophthalmol. Vis. Sci."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/s40463-020-00442-5","article-title":"Does endoscopic sinus surgery alter the biomechanics of the orbit?","volume":"49","author":"Sowerby","year":"2020","journal-title":"J. Otolaryngol. Head Neck Surg."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/7\/2380\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:05:54Z","timestamp":1760029554000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/7\/2380"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,30]]},"references-count":20,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,4]]}},"alternative-id":["jcm14072380"],"URL":"https:\/\/doi.org\/10.3390\/jcm14072380","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2025,3,30]]}}}