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Fractures: Bone Repair01:27

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Endoscopic Cholesteatoma Surgery
08:47

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Published on: January 19, 2022

Will a crushed concha bullosa form again?

Hasan Tanyeri1, Elif Ayanoglu Aksoy, Gediz Murat Serin

  • 1Department of Otorhinolaryngology, Acıbadem University, Faculty of Medicine, Istanbul, Turkey.

The Laryngoscope
|March 27, 2012
PubMed
Summary

Crushing the concha bullosa (CB) is an effective surgical technique. This study found that a surgically crushed concha bullosa does not appear to reform, suggesting it is a definitive treatment.

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Area of Science:

  • Otolaryngology
  • Rhinosurgery
  • Anatomical studies

Background:

  • Concha bullosa (CB) is an anatomical variation of the middle turbinate.
  • Surgical intervention for symptomatic CB is common.
  • The potential for recurrence after surgical manipulation of CB requires investigation.

Purpose of the Study:

  • To evaluate the recurrence of surgically crushed concha bullosa (CB).
  • To assess the long-term efficacy of the CB crushing technique.

Main Methods:

  • Prospective study involving 14 adult patients undergoing CB surgery.
  • Pre- and postoperative endoscopic examination of the middle turbinate.
  • Measurement of CB volume using paranasal sinus computed tomography (CT).
  • Statistical comparison of pre- and postoperative measurements using paired t test.

Main Results:

  • A total of 22 CB were analyzed in 14 patients.
  • Significant reduction in middle turbinate size and CB volume postoperatively (P < .0005).
  • Mean follow-up period of 4.42 months.

Conclusions:

  • CB crushing is a simple and conservative surgical approach.
  • The CB crushing technique appears to be a definitive treatment, with no observed reformation.
  • Long-term follow-up is recommended for patients treated with CB crushing.