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Category: Volume 07 Issue 10 October 2019
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Title: Incidence of Concha Bullosa in Chronic Sinusitis and Symptomatic Relief following Crushing Turbinoplasty

Authors: Vellavedu Umapathy Shanmugam, Thulasi Doss Karunanithi, Prem Nivas, Ruta Shanmugam, Balaji Swaminathan

 DOI: https://dx.doi.org/10.18535/jmscr/v7i10.157

Abstract

Background: The study was conducted with the aim to study the incidence of concha bullosa in chronic sinusitis as detected on computed tomography and to assess the symptomatic relief following crushing turbinoplasty using Kressners turbinate forceps.

Objective: To assess the incidence of concha bullosa in chronic sinusitis. To perform endoscopic crushing turbinoplasty using Kressners turbinate forceps in patients with concha bullosa. To compare pre-operative SNOT-22 score and post-operative SNOT-22 score after crushing turbinoplasty.               

Methods: Computed tomography of 100 patients with chronic sinusitis were studied for the presence of concha bullosa. They were categorized into three types: lamellar, bulbous and extensive types. Further graded on diagnostic nasal endoscopic findings. The endoscopic crushing turbinoplasty using Kressners turbinate forceps was done in 15 patients. Patients were regularly followed for a period of 2 months.

Results: The incidence of concha bullosa in chronic sinusitis was found to be 36%. Also, there was significant relief following crushing turbinoplasty with statistical significance (p<0.05).

Conclusion: The incidence of concha bullosa in our study is 36%. There is statistical significance in the outcome following crushing turbinoplasty.

Keywords: Concha Bullosa, Crushing Turbinoplasty, Kressners turbinate forceps.

References

  1. Saarthak Wadhwa, Naveen Sharma, Uma Garg, Prishni Dutta. Concha Bullosa: Types and Relationship with Chronic Sinusitis. International Journal of Otorhinolaryngology and Head and Neck Surgery. 2017 Jul,3(3):482-485.
  2. Harun Dogru, Mustafa Tuz, Kemal Uygur, Meltem Cetin. A New Turbinoplasty Technique for The Management of Concha Bullosa: Our Short-Term Outcomes. Laryngoscope 111: January 2001.
  3. Williame Bolger, Clifford A Butzin, David S Parsons.Paranasal Sinus Bony Anatomic Variations and Mucosal Abnormalities; Ct Analysis For Endoscopic Sinus Surgery. Laryngoscope 101: January 1991.
  4. Rabia Shihada, Md; Michal Luntz, Md. A Concha Bullosa Mucopyocele Manifesting as Migraine Headaches: A Case Report and Literature Review. Ear, Nose & Throat Journal, Volume 91, Number 5, May 2012.
  5. Adam S. Deconde, Md1, Jess C. Mace, Mph, Ccrp2, Todd Bodner, Phd3, Peter H. Hwang, Md4, Luke Rudmik, Md, Msc5, Zachary M. Soler, Md, Msc6, And Timothy L. Smith, Md, Mph2. Snot-22 Quality Of Life Domains Differentially Predict Treatment Modality Selection In Chronic Rhinosinusitis - Int Forum Allergy Rhinol. 2014 December; 4(12): 972–979.
  6. Shyamakant Prasad, Babita Ahlawat. Ashok Kumar, Sulabha M. Naik, Anil Agarwal, Alka Nagavanshi. Concha Bullosa and Its Association with Chronic Sinusitis. Iosr Journal of Dental and Medical Sciences, Volume 15, Issue2 Ver.1 (Feb 2016). Pp27-32.
  7. S Subramanian, Gr Lekhraj Rampal, E.F.M. Wong, S. Mastura, A. Razi. Concha Bullosa in Chronic Sinusitis. Med J Malaysia Vol 60 No 5 December 2005.
  8. Satheesh Kumar Bhandary, Shrinath D, Kamath P. Study of Relationship of Concha Bullosa to Nasal Septum Deviation and Sinusitis. Indian J Otolaryngol Head Neck Surg (July-September 2009)61; 227-229.
  9. Aruna Kumari AS, Majeed J, Kumar S. Aetiological role of concha bullosa in paranasal sinuses inflammatory diseases. J. Evid. Based Med. Healthc. 2016; 3(86), 4706-4712. DOI: 10.18410/jebmh/2016/991.
  10. Kyle D. Smith, Paul C. Edwards, Tarnjit S. Saini And Neil S. Norton.The Prevalence Of Concha Bullosa And Nasal Septal Deviation And Their Relationship To Maxillary Sinusitis By Volumetric Tomography. International Journal Of Dentistry, Volume 2010, Article Id 404982, 5 Pages.
  11. Sumit Prinja, Jailal Davessar, Gurbax Singh, Latika Kansal, Jasmine Kaur. Role of Concha Bullosa In Etiopathogenesis Of Chronic Rhinosinusitis: A Clinical Study. International Journal of Contemporary Medical Research 2017; 4(3):774-776.
  12. K. Maru, Yamini Gupta.Concha Bullosa: Frequency and Appearances on Sino nasal Ct. Indian Journal of Otolaryngology and Head and Neck Surgery Vol.52 No.1 December1999- March2000.
  13. Safa Saheb Naji.The Incidence Of Ct Scan Finding Of Concha Bullosa In Sinonasal Disease.Medical Journal Of Babylon-Vol. 9- No. 1 -2012.
  14. Raja Kalaiarasi, Venkataramanan Ramakrishnan, Santhosh Poyyamoli. Anatomical Variations Of The Middle Turbinate Concha Bullosa And Its Relationship With Chronic Sinusitis: A Prospective Radiologic Study.Int Arch Otorhinolaryngol 2018; 22:297–302.
  15. K. Maru L, V. Gupta. Anatomic Variations of The Bone in Sino nasal C.T. Indian Journal of Otolaryngology and Head and Neck Surgery Vol. 53 No. 2, April - June 2001.
  16. Tanyeri H, Aksoy EA, Serin GM, Polat S, Türk A, Ünal ÖF. Will a crushed concha bullosa form again? The Laryngoscope. 2012; 122 (5):956–60.
  17. Zeyad Mandour, Remon Kalza And Samy Elwany.A Simple Minimally Invasive Technique to Reduce the Size of Pneumatised Middle Turbinate (Concha Bullosa). Otolaryngol (Sunny Vale) 2016, Volume 6, Issue3.

Corresponding Author

Vellavedu Umapathy Shanmugam

Department of Otorhinolaryngology, Rajah Muthiah Medical College, Chidambaram