Surgıcal Techniques for the Treatment of Concha Bullosa: A Systematic Review

Esmail Abdulahi Ahmed*, Deniz Hanci, Onur Üstün, Imran Aydogdu, Erdi Özdemir, Semih Karaketir, Yavuz Uyar and Tolgar Lütfi Kumral

Surgıcal Techniques for the Treatment of Concha Bullosa: A Systematic Review.

As there is no defined technique for surgery of concha bullosa the aim of this article is to review the literature and compare different techniques used for concha bullosa reduction.

A variety of surgical techniques are described to deal with symptomatic concha bullosa. According to this review, the most preferred technique is lateral laminectomy of the middle turbinate. There is a need for larger populated and objectively evaluated
comparison studies to be done

Concha bullosa, a pneumatized middle turbinate, is one of the most common anatomic variants of the lateral wall of the nose. As previously described in literature the most common anatomical variations are ager nasi, septal deviation and concha bullosa respectively.

Due to the difference of criteria used among investigators the reported prevalence of concha bullosa varies among studies. Concha bullosa causes crowded nose and obstruction of middle meatus.

This can result in obstruction of the ventilation and mucociliary drainage of the maxillary, anterior ethmoid, and frontal sinuses or of nasal airflow. Additionally, the concha bullosa itself may cause a rhinogenic headache.

There is no clear definition for pneumatization of concha and also there is no clear consensus on surgical
indication for concha bullosa. The main purpose of this review is concha bullosa and its surgical intervention.

The main criteria for inclusion were the article must be describing the specific surgical technique or comparing different techniques, only 16 articles were eligible for our criteria and included in this review. Structurally, the middle turbinate can be divided into three segments.

Because of development of diagnostic tools nowadays the importance of concha bullosa in rhinology is rising and surgical intervention is easier and favorable than it was before.

 

Otolaryngol Open J. 2018; 4(1): 9-14. doi: 10.17140/OTLOJ-4-146

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