Abstract
Purpose
The objective of this study was to assess the effects of concha bullosa variation on maxillary sinus volume and uncinate angle.
Method
The study group included 169 patients (338 sides) who underwent either surgical or medical treatment with the diagnosis of chronic rhinosinusitis. The paranasal sinus computed tomography of these patients was analyzed to measure maxillary sinus volume, uncinate angle and existence of concha bullosa. Subsequently, these variables were evaluated to find out possible relationship inbetween.
Results
Mean maxillary sinus volume and uncinate angle at right and left sides were 15.21 ± 0.47 and 15.51 ± 0.48 mm3, 30.57 ± 0.62° and 30.20 ± 0.68°, respectively. There was no difference between patients with or without concha bullosa in regard to maxillary sinus volume and uncinate angle at both sides. Maxillary sinus volume and degree of uncinate angle did not show any significant correlation at both sides; r = −0.124, p = 0.107 and r = −0.136, p = 0.078.
Conclusion
In conclusion, concha bullosa is a common anatomical variation at nasal cavity. The existence of concha bullosa does not have any association with the volume of maxillary sinus and angle of uncinate process.
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References
Aktas D, Kalcioglu MT, Kutlu R, Ozturan O, Oncel S (2003) The relationship between the concha bullosa, nasal septal deviation and sinusitis. Rhinology 41:103–106
Apuhan T, Yıldırım YS, Özaslan H (2011) The developmental relation between adenoid tissue and paranasal sinus volumes in 3-dimensional computed tomography assessment. Otolaryngol Head Neck Surg 144:964–971
Arredondo de Arreola G, López Serna N, de Hoyos Parra R, Arreola Salinas MA (1996) Morphogenesis of the lateral nasal wall from 6 to 36 weeks. Otolaryngol Head Neck Surg 114:54–60
Asaumi R, Sato I, Miwa Y, Imura K, Sunohara M, Kawai T et al (2010) Understanding the formation of maxillary sinus in Japanese human foetuses using cone beam CT. Surg Radiol Anat 32:745–751
Belli E, Rendine G, Mazzone N (2009) Concha bullosa: endoscopic treatment. J Craniofac Surg 20:1165–1168
Bolger WE, Butzin CA, Parsons DS (1991) Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 101:56–64
Calhoun KH, Waggenspack GA, Simpson CB, Hokanson JA, Bailey BJ (1991) CT evaluation of the paranasal sinuses in symptomatic and asymptomatic populations. Otolaryngol Head Neck Surg 104:480–483
Caughey RJ, Jameson MJ, Gross CW, Han JK (2005) Anatomic risk factors for sinus disease: fact or fiction? Am J Rhinol 19:334–339
Cho SH, Kim TH, Kim KR, Lee JM, Lee DK, Kim JH et al (2010) Factors for maxillary sinus volume and craniofacial anatomical features in adults with chronic rhinosinusitis. Arch Otolaryngol Head Neck Surg 136:610–615
Cho SH, Shin KS, Lee YS, Jeong JH, Lee SH, Tae K et al (2008) Impact of chronic rhinosinusitis and endoscopic sinus surgery on bone remodeling of the paranasal sinuses. Am J Rhinol 22:537–541
Emirzeoglu M, Sahin B, Bilgic S, Celebi M, Uzun A (2007) Volumetric evaluation of the paranasal sinuses in normal subjects using computer tomography images: a stereological study. Auris Nasus Larynx 34:191–195
Gevorgyan A, La Scala GC, Neligan PC, Pang CY, Forrest CR (2007) Radiation-induced craniofacial bone growth disturbances. J Craniofac Surg 18:1001–1007
Hatipoğlu HG, Cetin MA, Yüksel E (2005) Concha bullosa types: their relationship with sinusitis, ostiomeatal and frontal recess disease. Diagn Interv Radiol 11:145–149
Jun BC, Song SW, Park CS, Lee DH, Cho KJ, Cho JH (2005) The analysis of maxillary sinus aeration according to aging process; volume assessment by 3-dimensional reconstruction by high-resolutional CT scanning. Otolaryngol Head Neck Surg 132:429–434
Kapusuz Gencer Z, Ozkırış M, Okur A, Karaçavuş S, Saydam L (2013) The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis. Eur Arch Otorhinolaryngol 270:3069–3073
Karakas S, Kavakli A (2005) Morphometric examination of the paranasal sinuses and mastoid air cells using computed tomography. Ann Saudi Med 25:41–45
Khalid AN, Hunt J, Perloff JR, Kennedy DWAN (2002) The role of bone in chronic rhinosinusitis. Laryngoscope 112:1951–1957
Kim HY, Kim MB, Dhong HJ, Jung YG, Min JY, Chung SK et al (2008) Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in longstanding pediatric chronic rhinosinusitis. Int J Pediatr Otorhinolaryngol 72:103–108
Kim HJ, Jung Cho M, Lee JW, Tae Kim Y, Kahng H, Sung Kim H et al (2006) The relationship between anatomic variations of paranasal sinuses and chronic sinusitis in children. Acta Otolaryngol 126:1067–1072
Kossowska E, Gasik C (1979) Results of surgical treatment of choanal atresia. Rhinology 17:155–160
Lam WW, Liang EY, Woo JK, Van Hasselt A, Metreweli C (1996) The etiological role of concha bullosa in chronic sinusitis. Eur Radiol 6:550–552
Lawson W, Patel ZM, Lin FY (2008) The development and pathologic processes that influence maxillary sinus pneumatization. Anat Rec 291:1554–1563
Lee DH, Shin JH, Lee DC (2012) Three-dimensional morphometric analysis of paranasal sinuses and mastoid air cell system using computed tomography in pediatric population. Int J Pediatr Otorhinolaryngol 76:1642–1646
Lee KC, Lee SS, Lee JK, Lee SH (2009) Medial fracturing of the inferior turbinate: effect on the ostiomeatal unit and the uncinate process. Eur Arch Otorhinolaryngol 266:857–861
Maru YK, Gupta Y (1999) Concha bullosa: frequency and appearances on sinonasal CT. Indian J Otolaryngol Head Neck Surg 52:40–44
Mehta R, Kaluskar SK (2013) Endoscopic turbinoplasty of concha bullosa: long term results. Indian J Otolaryngol Head Neck Surg 65(Suppl 2):251–254
Park IH, Song JS, Choi H, Kim TH, Hoon S, Lee SH et al (2010) Volumetric study in the development of paranasal sinuses by CT imaging in Asian: a pilot study. Int J Pediatr Otorhinolaryngol 74:1347–1350
Parsons DS, Wald ER (1996) Otitis media and sinusitis: similar diseases. Otolaryngol Clin North Am 29:11–25
Pochon N, Lacroix JS (1994) Incidence and surgery of concha bullosa in chronic rhinosinusitis. Rhinology 32:11–14
Pruna X (2003) Morpho-functional evaluation of osteomeatal complex in chronic sinusitis by coronal CT. Eur Radiol 13:1461–1468
Sivasli E, Sirikci A, Bayazit YA, Gümüsburun E, Erbagci H, Bayram M et al (2003) Anatomic variations of the paranasal sinus area in pediatric patients with chronic sinusitis. Surg Radiol Anat 24:400–405
Stallman JS, Lobo JN, Som PM (2004) The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol 25:1613–1618
Unlü HH, Akyar S, Caylan R, Nalça Y (1994) Concha bullosa. J Otolaryngol 23:23–27
Acknowledgments
This study was presented as an oral presentation at the 36th Turkish National Otolaryngology and Head and Neck Surgery Congress, 5–9 November 2014, Antalya, Turkey.
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Demir, U.L., Akca, M.E., Ozpar, R. et al. Anatomical correlation between existence of concha bullosa and maxillary sinus volume. Surg Radiol Anat 37, 1093–1098 (2015). https://doi.org/10.1007/s00276-015-1459-y
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DOI: https://doi.org/10.1007/s00276-015-1459-y