The relationship between septal deviation and concha bullosa

Erkan, Sanem Okşan; Erkan, Zeynel Abidin; Tuhanioğlu, Birgül; Haytoğlu, Süheyl; Güney, Zekiye

doi:10.5606/kbbihtisas.2017.09623

Cited by 3 publications

(3 citation statements)

References 9 publications

(15 reference statements)

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“…Moorthy et al demonstrated that an S-shaped NSD was significantly correlated with sinus diseases, including cases where nasal symptoms were absent 20. Erkan et al21 suggested that both NSD and CB might affect each other physically. In the literature, few studies were found that sought to assess the correlation between NSD and the presence of middle turbinate pneumatization; however, a study demonstrated a highly significant correlation between the presence of middle CB and a deviated septum on the contralateral side 18.…”

Section: Discussionmentioning

confidence: 99%

Concha bullosa, nasal septal deviation, and their impacts on maxillary sinus volume among Emirati people: A cone-beam computed tomography study

et al. 2019

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Purpose To determine the prevalence of concha bullosa (CB) and nasal septal deviation (NSD) and their impact on maxillary sinus volume (MSV). Materials and Methods Cone-beam computed tomographic (CBCT) images of 106 Emirati people were used in this study. The direction and angle of septal deviation were calculated. The presence of CB, which could be unilateral, contralateral, or bilateral in relation to the direction of NSD, was also recorded. MSV was measured using reconstructed Digital Imaging and Communication in Medicine images on Dolphin 3D imaging software version 11.8 premium (Dolphin Imaging, Chatsworth, CA, USA). P values <0.05 were considered to indicate statistical significance. Results CB was detected in 37.7% of the sample; 20.7% of the sample showed single unilateral CB and 16.6% had single bilateral CB. NSD was seen in 74.5% of the sample. In the participants with CB, 45.5% showed mild deviation, 34.4% showed moderate deviation, and only 12.5% showed severe septal deviation. CB, but not NSD, was associated with significantly higher MSV on the affected side ( P =0.001). Conclusion Although NSD was observed in more than two-thirds of the sample and CB was present in more than one-third of the sample, only CB had a significant impact on MSV.

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Section: Discussionmentioning

confidence: 99%

Concha bullosa, nasal septal deviation, and their impacts on maxillary sinus volume among Emirati people: A cone-beam computed tomography study

et al. 2019

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“…Biconvex NSD and contralateral inferior concha hypertrophy can lead to bilateral nasal obstruction in patients with NSD.However, contralateral CB could also be the cause of this symptom. Keles A study conducted by Erkan et al [23] suggested that both NSD and CB might affect each other physically. Few studies in literature were found that sought to assess the correlation between NSD and the presence of middle turbinate pneumatization; however, a study by Kapusuz Gence et al demonstrated a highly significant correlation between the presence of middle CB and a deviated septum on the contralateral side.…”

Section: Cases Respectivelymentioning

confidence: 99%

Ct Scan Evaluation of Concha Bullosa and Its Correlation With Deviated Nasal Septum – A Prospective Study

Khan

Hamdani

Rehman

et al. 2022

PIJR

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Introduction : Osteomeatal unit is a functional unit of the anterior ethmoid complex representing the final common pathway for the drainage and ventilation of the frontal, maxillary and anterior ethmoid cells .Osteomeatal complex has become an area of active radiologic and pathophysiologic investigation with the development of endoscopic sinus surgery for inflammatory sinus disease. The aim of this study was to investigate the anatomical vari Aim : ation of the middle turbinate concha bullosa , incidence of concha bullosa and its correlation with nasal septal deviation. based on paranasal sinus imaging. A prospective study was performed in the Department of ENT and Materials and Methods : Head Neck Surgery over a period of 5 years, to determine the prevalence of Concha bullosa in patients who presented to our out patient department with symptoms of nasal obstruction, headache, post nasal drainage and facial pain , and underwent CT scan of Paranasal sinuses. We evaluated 462 CT images both coronal and axial planes with a 1-3-mm slice thickness. Out of the CT scans studied of the nose and paranasal sinus of 462 patients, the prevalen Results : ce of concha bullosa was 25.5 % (118) patients .Male predominance was seen with 63 (53.3%) patients and 55 (46.6%) female patients. Concha bullosa was bilateral in 21 (17.7%) patients, and unilateral in 76 (64.4 %) patients. Mixed or extensive type of concha bullosa was seen in 56 (47.4%) patients followed by 35 (29.7%) patients having lamellar type and 27 (22.9%) patients with bulbous type.Out of 118 cases of CB, 43 (36.4%) were on left side of which 29 (67.4%) patients showed deviation of the nasal septum to right and 33 (27.9%) were on right side of which 21 (63.3%) patients had a nasal septal deviation to left. We found that there is a strong relationship between the presence of unila Conclusion : teral or dominant Concha bullosa and contralateral nasal deviation.

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“…In clinical settings, concha bullosa is often asymptomatic in its early stages, and is commonly discovered during other medical procedures. It can become clinically significant if the conchal enlargement narrows the nasal meatus obstructing nasal flow (Erkan et al 2017). Concha bullosa may require surgical intervention to remove or reduce the affected concha or conchae.…”

Section: Introductionmentioning

confidence: 99%

Two cases of concha bullosa in a contemporary Cypriot skeletal collection

Haines¹,

Hackner²,

McCheyne³

et al. 2023

BNE

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Concha bullosa is the hypertrophy of the superior, middle, or inferior nasal conchae, most commonly referring to the pneumatisation of the middle conchae. It is considered to be the most common anatomical variant of the osteomeatal complex, rather than a pathological development. Though it is common, its aetiology is poorly understood. It is unclear whether sex or ethnicity impacts on the prevalence of concha bullosa, though some research suggests a correlation. Some researchers have argued that concha bullosa predisposes individuals to sinusitis, but the link is not consistent. In this paper, the authors present two new skeletal cases of bilateral concha bullosa identified in female individuals taken from the Cyprus Reference Research Collection (CRRC). This work aims to highlight the limitations associated with the palaeopathological diagnosis of inflammation and the interpretation of skeletal lesions that may be related to sinusitis or infection of the osteomeatal complex in archaeological bone, in relation to the presence of concha bullosa.

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The relationship between septal deviation and concha bullosa

Cited by 3 publications

References 9 publications

Concha bullosa, nasal septal deviation, and their impacts on maxillary sinus volume among Emirati people: A cone-beam computed tomography study

Concha bullosa, nasal septal deviation, and their impacts on maxillary sinus volume among Emirati people: A cone-beam computed tomography study

Ct Scan Evaluation of Concha Bullosa and Its Correlation With Deviated Nasal Septum – A Prospective Study

Two cases of concha bullosa in a contemporary Cypriot skeletal collection

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