To study the relationship between concha bullosa deviated nasal septum & sinusitis

Abstract

The aim of present study is to study the relationship between concha bullosa deviated nasal septum & sinusitis. The study included those patients who were clinically and/or radiologically diagnosed as having chronic rhino sinusitis and were refractory to optimal medical therapy for a minimum of 3 months prior to undergoing nasal endoscopy and CT imaging. Chronic rhino sinusitis was defined as representing a state of persistent sinus disease associated with at least one of the following; nasal congestion, hyposmia, facial pain, or nasal discharge. Result: With respect to the type of concha bullosa; the true and bulbous type contributed mostly to pathogenesis of the sinus disease resulting in increased ostiomeatal complex disease in such cases. Conclusion: Chronic rhino sinusitis is fairly a common disease condition affecting most commonly the age group between 21-40 years. The chief symptoms of all patients were nasal obstruction, nasal discharge and headache. It was seen in this study that when a unilateral concha bullosa is present, there is no statistical relationship with any sinus disease. There is however, a strong relationship between the presence of unilateral concha & contra-lateral nasal septal deviation while the air channel between concha & nasal septum is preserved thus disproving that concha bullosa by mass effect causes deviations on nasal septum.