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

Abstract

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. Methods A structured review of the PubMed, Embase and Cochrane Collaboration databases (Cochran Central Register of Controlled Trials, Cochran Database of Systemic Reviews) was undertaken, using the terms: conchabullosa, turbinoplasty, partial middle turbinectomy and pneumatized middle turbinate. Results Total of 142 articles were found and only articles addressing surgical procedures of concha bullosa with available full-text articles were included, and only 16 articles were eligible for our criteria. Conclusion 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.

Prevalence of the anatomical variations of concha bullosa and its relation with sinusitis among Saudi population: a computed tomography scan study

“…The prevalence of left CB (24.6%) was more frequent as compared to the right one (18.9%) with statistically significant difference (P=0.033). On the contrary, in an Indian study reported by Kalaiarasi et al [17], out of the 202 CB can imping on the infundibulum and ostium of maxillary, anterior ethmoid, and frontal sinuses causing a negative effect on their ventilation making them more prone to infection [23,10]. Also, there is a strong relationship between the incidence of CB and contralateral nasal septal deviation [1].…”

“…Nevertheless, nowadays many different surgical approaches for CB treatment are used, such as endoscopic lateral or medial partial resection, turbinoplasty, total resection, crushing and crushing with intrinsic stripping. However, there is no obvious consensus about which is the best surgical option yet [ 10 ].…”

Turbinoplasty of concha bullosa: a useful adjunct in improving nasal airway

“…Resection of middle turbinate has been described but is not generally recommended. 20 In our practice we used the excision of lateral lamella and crushing techniques and found both methods equally effective in relieving patient symptoms.…”

“…Different techniques have been described for concha bullosa surgery including crushing, partial turbinectomy (medial or lateral) and complete middle turbinectomy. 20 The lateral partial resection of turbinate involves removing only the lateral lamella of the concha, it is widely used but the possibility of synechia formation is a disadvantage with this technique. Crushing of the concha bullosa is a fairly effective technique and can be done if the concha is not extensive.…”

Comparison of nasal and olfactory functions between two surgical approaches for the treatment of concha bullosa: a randomised clinical trial

“…Concha bullosa is an anatomical variation of the lateral nasal wall, characterised by the presence of an air pocket within the middle turbinate. 1 A large concha bullosa can narrow the middle meatus, and reduce the mucociliary clearance and ventilation, causing obstruction of the osteomeatal complex. Concha bullosa becomes pneumatised as a result of ethmoid cell extensions.…”