Comparison of Three Techniques for the Management of Concha Bullosa on Nasal and Olfactory Functions
International Journal of Otorhinolaryngology
Volume 4, Issue 2, December 2018, Pages: 39-45
Received: Aug. 20, 2018; Accepted: Sep. 7, 2018; Published: Oct. 8, 2018
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Deniz Hanci, ENT Clinic, Okmeydani Education and Research Hospital, Istanbul, Turkey
Huseyin Altun, ENT Clinic, Yunus Emre Hospital, Istanbul, Turkey
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Background: Different techniques were described for the management of concha bullosa. However there is still no consensus on which technique should be preferred. Objective: To evaluate the most effective technique for the management of concha bullosa in terms of improvement in nasal and olfactory functions. Study Design: Prospective, randomized controlled trial. Methods: A total of 95 patients were randomly divided into three groups; medial laminectomy (n = 31), lateral laminectomy (n = 32), and crushing of the middle turbinate (n = 32). Patients were evaluated using visual analogue score (VAS), sinonasal outcome test-22 (SNOT-22), peak inspiratory flow (PNIF), and Sniffin’ Sticks Extended Test preoperatively and 3 months postoperatively. Results: The age range of the study patients was 18 and 56 years (mean age 35.2±9.4 years). There was no statistically significant difference between the baseline characteristics of the patients including age and gender. There was a statistically significant improvement in headache, obstruction, PNIF, SNOT-22 scores and olfactory performances of the patients 3 months after the surgery (P < 0.05 for all). All the groups were comparable in improvement of nasal and olfactory functions after surgical management of concha bullosa. However, the crushing of the middle turbinate was less effective, and, medial laminectomy resulted in better improvement in PNIF score compared to lateral laminectomy (P = 0.011). In addition, there was a significant improvement in odor discrimination in medial laminectomy group when compared to crushing of middle turbinate (P = 0.011). Conclusions: Although all three techniques are comparable with respect to improvement in nasal and olfactory functions, we recommend medial laminectomy as the surgical technique for the management of concha bullosa.
Middle Turbinate Surgery, Obstruction, PNIF, SNOT-22, Extended Sniffin’ Test
To cite this article
Deniz Hanci, Huseyin Altun, Comparison of Three Techniques for the Management of Concha Bullosa on Nasal and Olfactory Functions, International Journal of Otorhinolaryngology. Vol. 4, No. 2, 2018, pp. 39-45. doi: 10.11648/j.ijo.20180402.12
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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