title: A comparison of the long-term results of crushing and crushing with intrinsic stripping techniques in concha bullosa surgery.
abstract: BACKGROUND
  A prospective endoscopic and radiologic evaluation of long-term outcomes of crushing and crushing with intrinsic stripping, 2 minimally destructive techniques used for the surgical treatment of concha bullosa.
  
  
  METHODS
  Forty-two patients who underwent concha bullosa surgery (a total of 55 conchae surgeries) were included in the study. The patients were allocated consecutively to either of the 2 groups: Group 1 (crushing, n = 28) and Group 2 (crushing with intrinsic stripping, n = 27). All procedures were performed endoscopically. The presurgical and 1-year postsurgical endoscopic nasal cavity images and computed tomography (CT) scans of all patients were recorded. Preoperative and postoperative measurements were compared using paired t test and Student t test.
  
  
  RESULTS
  Gender and mean age of the 42 patients (55 conchae bullosa) were as follows: 23 males, mean age 25.6 (range, 18 to 41) years; 18 females, mean age 24.2 (range, 18 to 33) years. The patients were followed for 12.5 ± 1.3 months. Comparisons of both the grading of endoscopic images and the concha bullosa volumes measured in CT images before and after treatment showed significant postsurgical reductions in both groups; comparison between groups showed significant postsurgical decreases for Group 2 in both concha bullosa volumes and in endoscopic scoring (p < 0.05).
  
  
  CONCLUSIONS
  Crushing with intrinsic stripping is an effective and easy technique; when compared to crushing alone; this technique provides a significantly more decrease in middle concha volumes as demonstrated both by the CT and by endoscopic evaluations.
authors.affiliation: Department of Otorhinolaryngology, Bezmialem Vakif University, Fatih, Istanbul, Turkey.
authors.forename: Sabri Baki
authors.initials: SB
authors.lastname: Eren
authors.forename: Ilker
authors.initials: I
authors.lastname: Kocak
authors.forename: Remzi
authors.initials: R
authors.lastname: Dogan
authors.forename: Orhan
authors.initials: O
authors.lastname: Ozturan
authors.forename: Yavuz Selim
authors.initials: YS
authors.lastname: Yildirim
authors.forename: Selahattin
authors.initials: S
authors.lastname: Tugrul
mesh_terms: D000293:Adolescent; D000328:Adult; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D009296:Nasal Cavity / Q000000981:diagnostic imaging / Q000601:surgery; D009668:Nose Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome; D055815:Young Adult
keywords: concha bullosa; crushing; crushing with intrinsic stripping; endoscopic; resection; surgical; treatment