The role of septated concha bullosa on sinonasal pathologies

Abstract

The purpose of this study was to retrospectively determine the possible role of septated concha bullosa on sinonasal pathologies. Paranasal sinus computerized tomography scans of patients with symptoms of headache, postnasal drip, nasal obstruction and smell disorders were retrospectively evaluated. Twenty-eight subjects with unilateral septated concha bullosa and 13 subjects with unilateral concha bullosa without septation were selected as the study and control groups, respectively. Both groups were compared according to the presence of septal deviation and sinus pathology. There were no statistically significant differences in baseline characteristics (age and gender) between the groups. Sinus involvement was found in 20 patients (71.4 %) in the study group and in 10 patients (76.9 %) in the control group. The most common pathology accompanying septated concha bullosa was maxillary sinusitis (65 %), and ethmoid sinus was the second most involved sinus (25 %). Similar results in terms of sinus involvement were also seen in the control group. Septal deviation was seen in 18 patients in the study group (64.2 %) and in 12 patients in the control group (92.3 %). Eventually, there was no statistically significant difference between septated and non-septated concha bullosa groups according to the accompanying sinonasal pathologies.

Effect of Functional Septorhinoplasty with Concha Bullosa Resection on Sinonasal Symptoms

“…Unlu et al 17 suggested that CB does not lead to significant mucosal changes in the paranasal sinuses and does not cause sinusitis alone, similar to others 13,17,18,30 . Another study showed that there was no statistically significant relationship between the presence of CB or NSD and maxillary sinusitis.…”

“…Unlu et al 17 suggested that CB does not lead to significant mucosal changes in the paranasal sinuses and does not cause sinusitis alone, similar to others. 13,17,18,30 Another study showed that there was no statistically significant relationship between the presence of CB or NSD and maxillary sinusitis. In Reference 31 the present study, no significant difference was found between the presence of MTCB, NSD grade, and LMS in patients who underwent SRP.…”