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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Clinical Study to Compare the Efficacy of Partial Turbinectomy and Crushing of Middle Turbinate for Concha Bullosa

G. Sankaranarayanan, Dayana Babu, V. Deepak Rajadurai, B.K. Noorjihan, S. Keerthana and S. Asmitha
Page: 204-207 | Received 01 Jun 2024, Published online: 12 Jun 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.7.204.207

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Abstract

Concha Bullosa, a pneumatised middle turbinate is a normal variant and is one of the most common variation of sino‐nasal anatomy. It is identified in ~35% (range 14‐53%) of patients. A large Concha Bullosa may cause the middle turbinate to bulge into adjacent sinuses, obstruct osteomeatal complex leading to recurrent sinus infections and nasal obstruction. Endoscopic Lateral Partial Turbinectomy (Lateral Laminectomy) is standard procedure for the treatment of Concha Bullosa. However, recurrence of contact points and postoperative synechiae with subsequent frontal recess obstruction are common complications of this technique. Crushing of pneumatised turbinate preserve the mucosa and may carry less risk of complications. The aim of this study is to compare the efficacy of Crushing with Lateral Partial Turbinectomy in the treatment of Concha Bullosa. This is a prospective randomized comparative study with convenient sampling conducted during a period of one year between April 2023 to May2024 at Department of ENT, Sree Mookambika Institute of Medical Sciences kulasekharam. Patients with pneumatisation of middle turbinate, 40 patients having unilateral and 10 patients having bilateral CB satisfying the inclusion and exclusion criteria were subjected to either crushing (group A) or lateral partial turbinectomy (group B). Success of both techniques was compared on the basis of relief of symptoms assessed by Visual Analogue Score. Nasal endoscopy was done at one and six months after surgery to assess the sequelae. Repeat CT scan was done after 6 months to look for re‐pneumatisation in group ’A’ cases. The overall success rate of outcome was equal. There was no statistical difference in the outcome. Most common complication noted in both the groups was synechiae with no difference in the frequency of occurrence in the two groups. Crushing the concha bullosa is as efficient as lateral partial turbinectomy for the treatment of pneumatised middle turbinate.

How to cite this article:

G. Sankaranarayanan, Dayana Babu, V. Deepak Rajadurai, B.K. Noorjihan, S. Keerthana and S. Asmitha. A Clinical Study to Compare the Efficacy of Partial Turbinectomy and Crushing of Middle Turbinate for Concha Bullosa.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.204.207
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.204.207