The correlation between septal deviation and concha bullosa

Uygur, Kemal; Tüz, Mustafa; Doğru, Harun

doi:10.1016/s0194-5998(03)00479-0

Cited by 64 publications

(63 citation statements)

References 8 publications

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“…They observed that OMC obstruction in the direction of septal angulations was due to nasal septal deformity while contralateral OMC obstruction was related to middle turbinate and lateral wall abnormalities which appeared with increased frequency on the side opposite of septal deviation. 3 In the present study, it was observed that FESS with septoplasty is effective for the treatment of chronic rhinosinusitis with deviated nasal septum on VAS as well as radiologically (The Lund and Mackay Staging system: Radiologic Staging) than FESS alone. However statistical difference in two groups was found significant only in nasal blockage and overall discomfort on VAS and chronic maxillary sinusitis on HRCT Nose and PNS (p value ‹0.05).…”

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confidence: 51%

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Comparative evaluation of FESS and septoplasty with FESS in cases of DNS with chronic maxillary sinusitis

et al. 2017

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Background: Present study compares basic FESS and septoplasty with FESS alone in DNS with maxillary sinusitis.Methods: Sixty patients of DNS with chronic maxillary sinusitis were divided into two groups alternatively. After pre-operative symptoms score and computerized tomography (CT scan), twenty patients underwent FESS with septoplasty (group A) and other 20 underwent FESS alone (group B) under local anaesthesia and topical 4% lignocaine with 1:1000 adrenaline. At 6 weeks, post-operative symptom score and CT scan findings were documented and compared statistically by using unpaired student t-test.Results: Ninety six percent of patients in group A and 87.6% in group B have shown complete improvement in facial pain/pressure. Ninety three percent of patients in group A and 83.3% in group B have shown complete improvement in headache. Ninety percent patients in group A and 63.3% in group B has shown complete improvement in nasal obstruction. Seventy six percent of patients in group A and 63.3% of patients in group B have shown complete improvement in nasal discharge. Eighty six percent and 63.3% of patients in group A and group B respectively were satisfied from the surgery. Ninety three percent of patients in group A and 70% in group B were found to have normal maxillary sinus mucosa on HRCT nose and PNS after 6 weeks following surgical treatment. Hundred percent patients in group A and 96.7% of patients in group B were found to have normal OMC on HRCT nose and PNS 6 weeks after surgery.Conclusions: It was observed that FESS with septoplasty is effective for the treatment of chronic rhinosinusitis with deviated nasal septum on VAS as well as radiologically (the Lund and Mackay staging system: radiologic staging) than FESS alone.

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confidence: 51%

“…3 DNS leads to increased chance of impaired mucociliary clearance, ostiomeatal complex obstruction and development of rhinosinusitis. 4 Sinusitis is usually more severe on opposite side of deviated nasal septum.…”

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confidence: 99%

Comparative evaluation of FESS and septoplasty with FESS in cases of DNS with chronic maxillary sinusitis

et al. 2017

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“…3 Uygur et al found this figure as 55.3%, 33.9% and 10.8% respectively. 10 Unlu et al found 45% lamellar type CB, 21% bulbous type CB and 34% extensive type CB. 11 In contrast to these studies, a different frequency of the type of CB was observed by Hatipoqlu et al who found 20.86% lamellar type, 32.17% bulbous type and 46.95% extensive type CB.…”

Section: Discussionmentioning

confidence: 96%

Concha bullosa: types and relationship with chronic sinusitis

Wadhwa¹,

Sharma²,

Garg³

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: The study was conducted with the objective to study the incidence of various types of concha bullosa as detected on computed tomography and to assess the relation between types of concha bullosa and sinusitis. Methods: Computed tomography of 70 patients who were having symptoms and signs of sinusitis and had concha bullosa were studied retrospectively. These scans were categorized into three types of concha: lamellar, bulbous and extensive type. Results: There was no significant relation between ostium blockage and presence of concha bullosa (p>0.05). Also there was no significant relation between sinus disease and presence of concha bullosa on same side (p>0.05). Conclusions: There is no statistical significance of the type of concha bullosa with respect to sinusitis or ostio meatal complex blockage.

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“…Bunlar içerisinde konka bülloza, septum pnömatizasyonu, paradoks orta konka, Haller hücresi, Onodi hücresi, anterior klinoid proçes pnömatizasyonu, unsinat proçes pnömatizasyonu sayılabilir [1]. Bu varyasyonlar içerisinde en sık görüleni orta konkanın değişik derecelerdeki pnömatizasyonu olarak tanımlanan konka bülloza, nazal pasaj içerisinde lateral nazal duvarın önemli ve sık rastlana bir anatomik varyasyonudur [2]. Konka pnömatizasyonu genellikle orta konkada görülmekle birlikte daha az oranda üst ve alt konkalarda da rastlanabilmektedir.…”

Section: Introductionunclassified

Dev konka bülloza piyoseli

Kucur¹,

Erdoğan²,

Tok³

et al. 2014

Cumhuriyet Med J

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ÖzetKonka bülloza,havalanmış (pnömatize) veya içinde bir havalı hücre bulunan orta konka için kullanılan bir terimdir. Genellikle asemptomatik olmakla birlikte pnömatizasyonun büyüklüğüne ve nazal septumla olan ilişkisine göre burun tıkanıklığı semptomları verebilir ve ostiomeatal komplekse bası oluşturmakta ise tikanmasina neden olarak sinüzite yol açabilir. Piyosele dönüşmesi nadirdir. Dev konka bülloza endoskopİk muayenede orta konkanin genişlemiş bir bölümü olarak görülür. Konka bülloza kesin tanısı paranazal sinus bilgisayarlı tomografisi (BT) ile koyulur. Tedavisinde endoskopik olarak orta konkanın lateral parsiyel rezeksiyonu yeterli ve minimal invazif bir yöntemdir. Bu yazıda sağ nazal pasajı tamamen tıkayan ve nazal vestibüle kadar uzanım gösteren ve aynı tarafta sinüzite yol açan tek taraflı dev konka bülloza piyoseli olgusu sunulmuştur. Anahtar sözcükler: Orta konka, konka bülloza, piyoselAbstract "Concha bullosa" is the term used for pneumatized or air cell-containing middle turbinate. It is usually asymptomatic. However, depending on its size, contact with the nasal septum and infringement to the ostio-meatal complex, it may cause nasal obstruction and sinusitis. Rarely, it turns into a "pyocele". Giant or extensive concha bullosa is seen as an enlarged portion of middle turbinate. It is diagnosed through paranasal computarized tomography. Endoscopic partial medial resection of the enlarged turbinate is sufficient for its surgical treatment. We herewith present a case with extensive concha bullosa, which transformed into a pyocele and extended to the nasal vestibule. It had caused total nasal obstruction and complicated with the sinusitis on the same side.

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The correlation between septal deviation and concha bullosa

Abstract: Septal deviation does not appear to give rise to the formation of CB, but augments the pneumatization of the middle turbinate depending on the degree of deviation angle.

Cited by 64 publications

References 8 publications

Comparative evaluation of FESS and septoplasty with FESS in cases of DNS with chronic maxillary sinusitis

Comparative evaluation of FESS and septoplasty with FESS in cases of DNS with chronic maxillary sinusitis

Concha bullosa: types and relationship with chronic sinusitis

Dev konka bülloza piyoseli

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