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Conchal compression: is it a new syndrome?
Ahmet Kutluhan1, Mustafa Kemal Demir2, Kazim Bozdemir1
1Department of Otorhinolaryngology-Head and Neck Surgery, Yıldırım Beyazit University School of Medicine, Ataturk Training and Research Hospital Ankara, Turkey.
International Journal of Clinical and Experimental Medicine
|November 10, 2015
Summary
Concha compression syndrome (CCS) is a newly defined condition causing recurrent rhinosinusitis. Surgical treatment involving septal spur removal and septoplasty effectively improved patient symptoms.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Innovation
Background:
- Recurrent rhinosinusitis can significantly impact quality of life.
- Concha compression syndrome (CCS) is a recently identified condition potentially contributing to rhinosinusitis symptoms.
- Accurate diagnosis and effective treatment strategies for CCS are crucial.
Purpose of the Study:
- To outline the diagnostic criteria for concha compression syndrome (CCS).
- To describe the surgical treatments employed for CCS.
- To evaluate the clinical outcomes following surgical intervention for CCS.
Main Methods:
- Study included 85 patients with at least 3 annual rhinosinusitis attacks.
- Diagnosis involved clinical history, endoscopic evidence of septal spur compressing concha, and specific CT findings.
- Patients underwent surgical treatment, including septal spur removal and/or septoplasty.
Main Results:
- 85 patients were diagnosed with CCS, categorized by middle, inferior, or combined involvement.
- Surgical procedures included septal spur removal (16 patients) or spur removal with septoplasty (69 patients).
- The majority of patients experienced significant clinical symptom improvement post-surgery.
Conclusions:
- This study highlights concha compression syndrome (CCS) as a distinct clinical entity.
- Further research is warranted to fully understand CCS and its role in rhino-neurologic symptoms.
- Surgical management appears effective in alleviating symptoms associated with CCS.
