What Structure Lines The Turbinate

Inflammatory Diseases

Any microendoscopic surgical procedure for inflammatory diseases should be planned by taking into account the nature and extent of the disease together with the specific anatomy of the single patient. For example, whenever a patient presents with a disease limited to a specific sinus (maxillary, frontal, or sphenoid), the aim of surgery should be opening, clearance, and reventilation of the affected sinus through the more conservative approach. In contrast, most patients with sinonasal polyposis require a complete marsupialization of all the cavities (Fig. 5.2), which is achieved by combining different surgical steps: uncinectomy, middle antros-tomy, ethmoidotomy, sphenoidotomy, and clearance of the frontal recess. These steps will be described in detail to give a better understanding of the path that the surgeon has to follow during the dissection along the lateral nasal wall (Fig. 5.3) and, consequently, of the

Fig. 5.2. On the right, complete marsupialization of all ethmoidal cells, maxillary and frontal sinuses, with preservation of the inferior and middle turbinates can be observed
Turbinate Ground Lamella

Fig. 5.3. The structures of the lateral wall of the nasal cavity, after removal of the middle and superior turbinates, are visible. The ground lamella (arrowheads) divides the anterior (B, bulla ethmoidalis; A, agger nasi) from the posterior ethmoid (PE). The natural ostium of the maxillary sinus (black arrow) is hidden behind the uncinate process. Dashed line indicates the path of drainage of the frontal sinus into the middle me-atus. FS, frontal sinus; UP, uncinate process; IT, inferior turbi-nate; SS, sphenoid sinus

Fig. 5.3. The structures of the lateral wall of the nasal cavity, after removal of the middle and superior turbinates, are visible. The ground lamella (arrowheads) divides the anterior (B, bulla ethmoidalis; A, agger nasi) from the posterior ethmoid (PE). The natural ostium of the maxillary sinus (black arrow) is hidden behind the uncinate process. Dashed line indicates the path of drainage of the frontal sinus into the middle me-atus. FS, frontal sinus; UP, uncinate process; IT, inferior turbi-nate; SS, sphenoid sinus information coming from CT analysis he should clearly have in mind.

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  • jonna
    What structure lines the turbinate?
    7 years ago

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