Anatomical variations of middle turbinate in patients coming with nasal obstruction

Normally nasal valve area is considered as key area or narrowest area in cases of nasal obstruction. Majority of surgical interventions are focused on addressing inferior turbinate in such cases. Middle turbinate anatomical anomalies have been advocated in causing sinusitis mainly but also nasal obstruction. The role of middle turbinate resection in endoscopic sinus surgery, in spite of the numerous studies and papers on the subject still remains uncertain. Debate arises due to potential pitfalls of over resection versus true benefit if any. Even choice of procedure to be done on middle turbinate in such patients is matter of debate among the surgeons. In this study anatomical variations along with mucosal changes of middle turbinate are noted. The changes will be as seen as endoscopically in patients coming with complaints of nasal obstruction.