A simple technique of wedge resection of the anterior part of the middle turbinate allows a better access to the Osteo meatal
complex (OMC) during FESS procedure. In post-operative period it facilitates proper ethmoid cavity care, mandatory to the
success of the endoscopic sinus surgery. The technique keeps the middle turbinate away from the lateral wall of the nose and
helps reducing the synechia formations. It also exteriorises the apparent and occult pneumatised middle turbinate. It is a
simple and safe procedure to perform with minimal trauma to the middle turbinate without complications attributable to the
technique. During functional endoscopic sinus surgery this technique affords improved exposure to the OMC in patients with
high deviated septum, narrow nasal vault, a large concha bullosa and paradoxical turbinate.
Key Words Sinus endoscopy - Post-operative - Ethmoid cavity - Adhesions