Surgıcal Techniques for the Treatment of Concha Bullosa: A Systematic Review

Abstract

 Concha bullosa, a pneumatized middle turbinate, is one of the 
most common anatomic variants of the lateral wall of the nose.
 As previously described in literature the most common anatom
ical variations are ager nasi, septal deviation and concha bullosa 
respectively

Objectives
 As there is no defined technique for surgery of concha bullosa the aim of this article is to review the literature and compare dif
ferent techniques used for concha bullosa reduction. 
Methods
 A structured review of the PubMed, Embase and Cochrane Collaboration databases (Cochran Central Register of Controlled 
Trials, Cochran Database of Systemic Reviews) was undertaken, using the terms: conchabullosa, turbinoplasty, partial middle 
turbinectomy and pneumatized middle turbinate.  
Results
 Total of 142 articles were found and only articles addressing surgical procedures of concha bullosa with available full-text articles 
were included, and only 16 articles were eligible for our criteria.
 Conclusion
 A variety of surgical techniques are described to deal with symptomatic concha bullosa. According to this review, the most pre
ferred technique is lateral laminectomy of the middle turbinate. There is a need for larger populated and objectively evaluated 
comparison studies to be done