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INTRODUCTION
Concha bullosa (CB) is the pneumatisation of the
concha (turbinate) and is most commonly encountered
in the middle concha. It is rarely found in the superior
and inferior conchae[1]. According to Bolger et al., there
are 3 types of concha bullosa, namely- lamellar type
with pneumatisation of the vertical lamella of the
concha; bulbous type with pneumatisation of the
bulbous segment; extensive type with pneumatisation
of both the lamellar and bulbous parts [2] . The
osteomeatal unit as defined by Stammberger& Kennedy
is a functional unit of the anterior ethmoid complex
representing the final common pathway for drainage
and ventilation of the frontal, maxillary and anterior
ethmoid cells[3]. Although the role of the concha bullosa
in rhinosinusitis is still debatable, a large concha bullosa
may narrow the middle meatus from the medial side
and thus may block the osteomeatal unit[4].
Different surgical techniques have been described
for treating CB, including partial or complete resection,
turbinoplasty, and crushing [2, 5-8] . All these techniques
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REFERENCES:
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CONCLUSION:
Crushing and wedge resection of concha bullosa
is an easy and minimally invasive technique for
management of concha bullosa. Our study shows that
there is a significant reduction of size of concha bullosa
even after one year after surgery. However, a longterm follow-up is required to get more conclusive
results.
DISCLOSURES:
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Sponsorships None
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Funding - None
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