STUDY THE CLINICAL CHARACTERISTICS , COMPUTERIZED TOMOGRAPHY IMAGES AND SURGICAL OUTCOMES OF PATIENTS WITH CONCHA BULLOSA

Abstract

Background: This study aims to describe clinical characteristics, computerized tomography image of concha bullosa and evaluate the results of surgical patients with concha bullosa. Patients and method: 37 patients with 51 concha bullosa surgeried to partially outside, by the method described cross, from October 2012 to June 2014. Result: Main symptoms of patients with CB is headache (89.2 %) and nasal congestion (67.6 %). In patients with CB often changes the anatomy and pathology with particularly crooked nasal septum (75.7 %). Patients with bilateral CB accounted for 62.2 % of patients had unbiliteral CB is 37.8 %. Location CB: 88.2 % the previous section, the following 2 %, both before and after 9.8 %. Ventilation position of CB: 68.7 % lamellar type, type bulbous 7.8%, and type extensive 23.5 %. The size of CB as assigned Thomas: highest grade 3 (31.1 %) followed by grade 2 (27 %) and grade 4 (6.7 %) was the last grade 1 (4.1%). The size of CB according classified Nadas: highest level 1 (59.5 %), followed by the 0 (31.1 %) and grade 3 (8.1%), and finally grade 4 (1.3 %). Complications of surgery: tear the lining of the septum (18.9 %), multiple intraoperative bleeding (representing 8.1%), mucosal abrasions middle turbinate (accounting for 2.7 %). The incidence of post-operative Art: meche withdrawal bleeding after surgery (13.5 %), bleeding early before 6 hours (5.4 %); Roll stick after surgery (representing 2.7 %), postoperative bleeding before 24 hours. Functional impairment in patients after surgery: After 3 months of headaches decreased 84.8 %, stuffy nose fell 92 %, 90.9 % of reduction talks flow, Itchy nose, sneezing decreased 42.9 %. Middle turbinate endoscopic nasal after surgery: 100 % middle turbinate slim nose. Conclusion: The combined clinical and endoscopic sinus CT will improve the efficiency of diagnosis and treatment concha bullosa. Key words: concha bullosa, deviated nasal septum, rhinosinusal computerized tomographic scanner.