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.
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