Al Maraghy, A., Yonis, M., Al Sharkawy, M., Zewail, A. (2018). Comparison between lateral partial turbinectomy and conchoplasty for concha bullosa. The Egyptian Journal of Hospital Medicine, 73(3), 6348-6353. doi: 10.21608/ejhm.2018.14087
Atef Abd Allah Al Maraghy; Mohammed Abd Al Mon`em Yonis; Mohammed Ahmed Al Sharkawy; Alaa Gamal Eldeen Ebrahim Zewail. "Comparison between lateral partial turbinectomy and conchoplasty for concha bullosa". The Egyptian Journal of Hospital Medicine, 73, 3, 2018, 6348-6353. doi: 10.21608/ejhm.2018.14087
Al Maraghy, A., Yonis, M., Al Sharkawy, M., Zewail, A. (2018). 'Comparison between lateral partial turbinectomy and conchoplasty for concha bullosa', The Egyptian Journal of Hospital Medicine, 73(3), pp. 6348-6353. doi: 10.21608/ejhm.2018.14087
Al Maraghy, A., Yonis, M., Al Sharkawy, M., Zewail, A. Comparison between lateral partial turbinectomy and conchoplasty for concha bullosa. The Egyptian Journal of Hospital Medicine, 2018; 73(3): 6348-6353. doi: 10.21608/ejhm.2018.14087
Comparison between lateral partial turbinectomy and conchoplasty for concha bullosa
Otorhinolaryngology, Faculty of Medicine, Al- Azhar University, Egypt
Abstract
Background: pneumatization of the middle turbinate is common anatomic variations of lateral nasal wall, whereas rare in the superior and the inferior turbinate. Objective: to compare the efficacy of conchoplasty to lateral partial turbinectomy in the treatment of concha bullosa. Patients and Methods: this study included randomly selected 40 patients, who attended the ENT clinic at Al-Hussein University Hospital, Faculty of Medicine, Al-Azhar University during the period from June 2016 to November 2017.All patients have a symptomatic unilateral or bilateral concha bullosa. Patients were classified randomly into 2 groups; Group (1): 20 patients (50%) underwent lateral partial turbinectomy. Group (2): 20 patients (50%) underwent conchoplasty. Results: there was complete cure or significant reduction in severity of complaints in 15 patients (75%) who underwent LPT. In the conchoplasty group 17 patients (85%) were significantly symptoms free at the end of the follow up period. 1 case which underwent LPT developed post-operative epistaxis requiring intervention. There were no cases of epistaxis requiring intervention in the conchoplasty group. Other complications noted in the LPT group included synechiae formation in three cases (15%). Conclusion: as compared to lateral partial turbinectomy, conchoplasty is an equally effective surgery in the treatment of concha bullosa with lesser incidence of complications.