Concha bullosa and concha bullosa mucocele – indications for endoscopic surgery

Abstract

Concha bullosa is the widely accepted name of the hyperpneumatized middle turbinate and it represents one of the most common causes of obstruction at the middle meatus. A rare clinical situation is the concha bullosa mucocele. These pathological entities determine the growth of the middle turbinate, leading to negative consequences on the nasal physiology: local obstruction, impaired mucociliary clearance, alteration of the sinus ventilation and sinus drainage, chronic inflammation. Most of the time, patients are describing the presence of a persistent headache syndrome. The surgical techniques under endoscopic control aim at solving these elements of pathology in order to improve the quality of life for these patients.