Comparative Study between lateral laminectomy and conchoplasty in the surgical treatment of symptomatic middle turbinate Concha Bullosa

Abstract

Objective: To evaluate and compare the short term outcomes of lateral laminectomy (partial turbinectomy) and conchoplasty (turbinoplasty) techniques in the surgical treatment of symptomatic middle turbinate concha bullosa.Background: Concha bullosa (pneumatized nasal turbinate) is one of the most common anatomical variants of the lateral nasal wall which occurs mainly at the middle turbinates.The effective method to control symptomatic Concha bullosa is mainly surgical via various techniques.Patients and Methods: This prospective study was carried out on 40 patients from October 2016 till April 2018. All patients who were presented with symptomatic concha bullosa, and then subjected to preoperative clinical, endoscopical, radiological assessment and by using an evaluation tests . Patients were divided equally and randomly into two groups, group A for lateral laminectomy and group B for conchoplasty, and all of them were arranged to postoperative re-evaluation follow up visits after 3 and 6 months.Results: The mean age group of our studied patients was 31.8 ±8.4 years. (37.5%) of patients were male, while (62.5%) of them were female. The most recorded postoperative complications in group A were development of nasal crustations (35%) and synechia formation (20%),the postoperative minimal epistaxis was more in group A (15%) than in group B (5%).Conclusion: Conchoplasty is an effective, safe and conservative procedure for the surgical treatment of symptomatic concha bullosa with anatomical and physiological preservation of the middle turbinate.