CONCHA BULLOSA: ANATOMICAL VARIATION AND ITS CLINICAL IMPLICATIONS IN NASAL PATHOLOGIES AT TERTIARY CARE CENTER.
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Keywords
Concha bullosa, deviated nasal septum, chronic sinusitis, nasal obstruction, computed tomography
Abstract
Background: Concha bullosa, a pneumatization of the middle turbinate, is a common anatomical variation associated with various nasal pathologies, including deviated nasal septum (DNS) and chronic sinusitis. However, the extent of its clinical significance remains debated. This study aims to investigate the prevalence of concha bullosa and its association with nasal pathologies using computed tomography (CT) imaging.
Methods: This prospective observational study included 74 patients, aged 18 years and older, presenting with nasal symptoms such as nasal obstruction, headache, and postnasal drainage. High-resolution CT scans were used to evaluate the presence and types of concha bullosa, DNS, and other nasal pathologies. Demographic, clinical, and radiological data were collected from 2017 to 2019 and analyzed using chi-square tests to assess associations between concha bullosa and nasal pathologies.
Results: Concha bullosa was present in 48 patients (64.86%). DNS was found in 20 patients with concha bullosa and 11 without, but no statistically significant relationship was found between the two (p = 0.9574). Similarly, no significant association was observed between concha bullosa and chronic sinusitis, nasal polyps, or other nasal masses. However, symptoms like headache (94.59%) and nasal obstruction (67.57%) were more prevalent among patients with concha bullosa.
Conclusion: While concha bullosa frequently coexists with DNS and other nasal pathologies, it may not be a direct contributor to these conditions. Further research is needed to clarify its clinical relevance. Understanding these anatomical variations can aid in better diagnosis and management of sinonasal disorders.
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Dr. Hemant kumar Ramdas Borse
Assistant Professor (ENT) Vilasrao Deshmukh Government Medical College, Latur