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New research · Gastroenterology
Scientific reports · 23h
ObservationalScientific reports · 2026

"The feasibility of free septal mucosal grafts in preventing postoperative middle meatus synechia after endoscopic sinus surgery".

Ahmed Elgendy, Saad Elzayat, Ali Gamal El-Ouny … Ibrahim Gehad
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GastroenterologyObservational

Free septal mucosal grafts were associated with stable middle turbinate position in most cases.

"The feasibility of free septal mucosal grafts in preventing postoperative middle meatus synechia after endoscopic sinus surgery".

Ahmed Elgendy et al. · Scientific reports · 2026
Purpose

This study aimed to evaluate the feasibility and safety of using a free septal mucosal graft to prevent middle meatal synechiae following endoscopic sinus surgery (ESS).

Methods

This prospective observational study was conducted at a tertiary referral center between March 2022 and February 2024.

n = 116 patients
78%
Results
the middle turbinate stayed in a stable position for most patients with the graft
n = 116 patients
More results

All patients underwent unilateral ESS followed by placement of a free septal mucosal graft over exposed bone in the middle meatus.

A total of 116 patients completed the study.

Significant improvement in SNOT-22 scores was observed at 6 months postoperatively (p < 0.001).

More results

Significant improvement was also noted in endoscopic findings (LKES, p < 0.001).

“
Conclusion

Free septal mucosal grafting appears to be a feasible, biocompatible, and technically straightforward method to reduce middle meatal synechiae following ESS.

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