“There are three nasal conchae (turbinates) on each lateral wall of the nasal cavity. These structures called inferior, middle and superior turbinates (nasal conchae) consist of bone in their interior part, and soft tissue in their outer part. Turbinates (nasal conchae), which have functions such as moistening, heating and filtering of the inhaled air, may be enlarged due to a variety of reasons such as allergic rhinitis, diabetes, excessive growth hormone, drug use, septum deviation, sinusitis and environmental factors. Turbinate (concha) hypertrophy may lead to difficulty in smelling, pain in the facial area, postnasal drip and nasal obstruction. “Concha bullosa” is one of the most common causes of turbinate (concha) hypertrophy that leads to nasal obstruction”
What is Concha Bullosa?
Concha bullosa is a health problem that cause the enlargement of middle turbinates (nasal conchae) and blockage of the nasal airway and sinuses as a result of the formation of air bubbles in the soft tissue of the middle turbinates (nasal conchae). Although it is not possible to make a sweeping statement that the sinuses will be always blocked, I can say that this health problem significantly increases the complaints of nasal obstruction, especially in people with allergic disorders.
Causes of Concha Bullosa
There is no exact information about the causes of concha bullosa. However, patients with septum deviation have been shown to increase the risk of middle turbinate (nasal concha) hypertrophy as a result of some scientific studies.
Symptoms of Concha Bullosa
Symptoms of concha bullosa may vary depending on how much air accumulates in the turbinate (concha) and thus how much the turbinate (concha) is enlarged. Some patients do not experience any symptom, while others may feel pain and sensitivity as a result of turbinate (concha) hypertrophy. Examples of the most common symptoms of concha bullosa are pain especially around the sinuses and eyes, nasal obstruction and feeling of fullness in the nostrils.
Concha Bullosa Surgery
Concha bullosa is diagnosed with sinus computed tomography. Thanks to sinus computed tomography, the cross section of the turbinates (conchae) and the nose can be seen. As a result of the examinations and the evaluation of patient complaints, concha bullosa surgery may be considered when necessary.
The middle turbinate (concha), which looks too large in the endoscopic examination and blocks the middle meatus that includes sinus drainage, suggests the presence of concha bullosa. In such a case, the operation is decided after a diagnosis is made with paranasal sinus tomography.
Concha bullosa surgery is performed by endoscopic method. In other words, the skin is not incised; the procedure is performed through the nose with an endoscope with a camera at the end. During the concha bullosa surgery, the middle turbinates (conchae) can be compressed in order to remove air bubbles, the bone and soft tissue of the turbinate (concha) can be reduced and the lateral part of the turbinate (concha) is taken either wholly or partially.
I plan the treatment for my patients diagnosed with concha bullosa after evaluating their general health status. The main purpose of concha bullosa surgery is to improve breathing, eliminate the health problems my patients have experienced, and increase their quality of life. Therefore, I can also recommend septoplasty in addition to concha bullosa surgery when necessary.