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Comparison of nasal and olfactory functions between two surgical approaches for the treatment of concha bullosa: a randomised clinical trial

Published online by Cambridge University Press:  30 September 2019

C Andaloro ,
I La Mantia ,
V Castro  and
C Grillo
C Andaloro*
Affiliation:
ENT Unit, Santa Marta e Santa Venera Hospital, Acireale, Catania, Italy
I La Mantia
Affiliation:
Department of Medical Sciences, Surgical and Advanced Technologies ‘G.F. Ingrassia’, University of Catania, Italy
V Castro
Affiliation:
Department of Medical Sciences, Surgical and Advanced Technologies ‘G.F. Ingrassia’, University of Catania, Italy
C Grillo
Affiliation:
Department of Medical Sciences, Surgical and Advanced Technologies ‘G.F. Ingrassia’, University of Catania, Italy
*
Author for correspondence: Dr Claudio Andaloro, ENT Unit, Santa Marta e Santa Venera Hospital, 95123 Acireale, Catania, Italy E-mail: [email protected] Fax: +39 516 742 409
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Abstract

Objective

Concha bullosa may be associated with paranasal sinus infections and nasal obstruction. Middle concha mucosa membranes have olfactory neurofibrils. This study investigated the impact of routinely used concha bullosa surgery techniques – crushing and lateral laminectomy – on nasal and olfactory functions.

Methods

Forty-three adult patients who had undergone surgery for a symptomatic concha bullosa completed the odour test, nasal obstruction visual analogue scale, 22-item Sino-Nasal Outcome Test, and peak nasal inspiratory flow test, pre-operatively and three months post-operatively. The pre- and post-operative results within and between the two treatment groups were compared.

Results

Intragroup comparison of mean pre- versus post-treatment changes revealed statistically significant findings for the nasal obstruction visual analogue scale, Sino-Nasal Outcome Test, peak nasal inspiratory flow and olfaction tests (all p < 0.05). However, there were no statistically significant changes when comparing the scores between the groups (intergroup comparison).

Conclusion

Lateral laminectomy and crushing in concha bullosa surgery have no negative effects on olfactory function. Concha bullosa surgery provides positive outcomes regarding nasal complaints in symptomatic patients.

Keywords

Nasal ObstructionTurbinatesOlfactory MucosaParanasal Sinus Diseases
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 10 , October 2019 , pp. 913 - 917
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr C Andaloro takes responsibility for the integrity of the content of the paper

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