The authors reviewed 119 patients undergoing endoscopic sinus surgery for sinonasal polyposis. Of these, 45 patients were operated upon by a traditional functional technique preserving the middle turbinate and keeping its position. In addition, the second group underwent a partial resection of the middle turbinate and inferior border of the superior turbinate as well as medialisation of the middle turbinate and septal fixation. The main purpose of the study was to minimise delayed complications such as lateralisation, mucocele formation and frontal drainage pathway stenosis. After a 24-month follow up, the recurrence rates were comparable in both groups. However, the complication rate was significantly lower in the modified technique (37.8% vs. 8.8%), the most frequent being mucocele formation and adhesions. Although the technique has been previously described, advocated and condemned, this article renews interest in the technique and it seems that the balance between radical and more conservative approaches in the management of sinonasal polypi is still swinging.