title: Relationships among concha bullosa, nasal septal deviation, and sinusitis: Retrospective analysis of 296 cases.
abstract: We aimed to investigate the relationships among concha bullosa (CB), nasal septal deviation (NSD), and sinus disease. We retrospectively reviewed paranasal sinus computed tomography scans obtained from 296 patients-132 men and 164 women, aged 17 to 76 years (median: 39)-who had been evaluated over a 19-month period. CBs were classified as lamellar, bulbous, and extensive. In cases of bilateral CB, the larger side was designated as dominant. In all, 132 patients (44.6%) exhibited pneumatization of at least one concha, 176 (59.5%) had NSD, and 187 (63.2%) had sinus disease. Some 89 of 106 patients with unilateral or one-side-dominant CB (84.0%) had NSD, 89 of 132 patients with CB (67.4%) had sinus disease, and 109 of the 176 patients with NSD (61.9%) had sinus disease. We found a statistically significant relationship between CB and contralateral NSD, but no significant relationship between CB and sinus disease or NSD and sinus disease. While CB is a common anatomic problem that may accompany NSD, a causal relationship between CB or NSD and sinus disease is dubious.
authors.affiliation: Department of Otorhinolaryngology, Burdur Devlet Hastanesi, Kulak Burun Bogaz Klinigi, 15030, Burdur, Turkey. balikcient@gmail.com.
authors.forename: Hasan H
authors.initials: HH
authors.lastname: Balikci
authors.forename: M Mustafa
authors.initials: MM
authors.lastname: Gurdal
authors.forename: Saban
authors.initials: S
authors.lastname: Celebi
authors.forename: Isa
authors.initials: I
authors.lastname: Ozbay
authors.forename: Mustafa
authors.initials: M
authors.lastname: Karakas
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000002:abnormalities / Q000000981:diagnostic imaging*; D010254:Paranasal Sinus Diseases / Q000000981:diagnostic imaging*; D010256:Paranasal Sinuses / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D012852:Sinusitis / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014420:Turbinates / Q000002:abnormalities / Q000000981:diagnostic imaging*; D055815:Young Adult