The Effects of Concha Bullosa on Lateral Nasal Wall Asymmetries


Ekrem Zorlu M., Acar T., Sen Y., Aysel A., Sevim Akı E.

European Journal of Rhinology and Allergy, cilt.7, sa.2, ss.61-66, 2024 (Scopus, TRDizin) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 7 Sayı: 2
  • Basım Tarihi: 2024
  • Doi Numarası: 10.5152/ejra.2024.24142
  • Dergi Adı: European Journal of Rhinology and Allergy
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.61-66
  • Anahtar Kelimeler: Concha bullosa, crooked nose, nasal septal deviation, septorhinoplasty
  • Gazi Üniversitesi Adresli: Evet

Özet

Objective: The objective is to investigate the effects of unilateral and bilateral concha bullosa (CB) on lateral naswall asymmetries and septal deviation. Methods: Our study was designed retrospectively and included a total of 90 patients: 30 patients without CB (Group 1), 30 with unilateral CB (Group 2), and 30 with bilateral CB (Group 3). Septal deviation angles (SDAs), severities of nasal septal deviation (NSD) based on the NSD angle, deviation shapes, lateral nasal wall lengths, lateral nasal wall– septum distances, and lateral nasal wall morphologies were evaluated on paranasal computed tomography scans. Results: A significant difference was observed in the SDA values among the 3 groups (P = .000). The NSD severity was different among the 3 groups (P = .003): severe deviation was observed in 5 patients (16.7%) in Group 1, 10 patients (33.3%) in Group 2, and 6 patients (20%) in Group 3. In Group 2, a significant difference was observed in the lengths of the lateral nasal walls between the side with and without CB (P = .000). Conclusion: In patients with unilateral CB, lateral nasal wall asymmetries are frequently observed, necessitating plan-ning for osteoplasty, osteotomy, and CB surgery before the procedure.