Comparison between the Effect of Concha Bullosa Alone and Concha Bullosa with Deviated Nasal Septum on the Incidence of Sinusitis

Abstract Background: The relationship between conchae bullosa and sinusitis is unclear. Although previous studies have sug-gested that even large conchae bullosa may not cause sinusitis, there appeared to be a correlation between the degree of middle turbinate pneumatization with obstruction at the complex and the prevalence of ipsilateral sinus disease. This association is difficult of quantify, because patients’ preoperative sinus com-plaints were not graded by scale of symptom severity. Aim of Study: The aim of this study is to compare between the effect of concha bullosa alone or with deviated nasal sep-tum on the incidence of chronic sinusitis and by then decide the medical or surgical intervention will help the patients more. Material and Methods: Prospective clinical and radiolog-ical study was conducted on 50 patients with concha bullosa alone or associated with deviated nasal septum regarding the incidence of developing chronic sinusitis. This study had been carried out in the department of Otorhinolaryngology-Head and Neck surgery, Faculty of Medicine, MUST University in col-laboration with ENT clinic of the memorial Souad Kafafi Uni-versity Hospital, in Cairo, Egypt. This study was performed in the period of January 2023 till January 2024. 50 adult patients, aged 18 years or over had been included to obtain the final data in this study. This study had been approved by ethical commit-tee, MUST University. Results: Chronic rhinosinusitis occurred in 17 (34%) pa-tients out of total 50 patients including 10 patients (59%) of group A with concha bullosa alone compared to 7 (41%) pa-tients in group B with concha bullosa and DNS. All the 17 chronic sinusitis patients presented with maxillary sinusitis (100%), Sphenoid sinusitis in 3 patients (17.6%), frontal sinus-itis in 2 patients only (11.8%) and ethmoidal sinusitis occurred into 6 patients (35.3%). Conclusion: The incidence of chronic sinusitis occurred more in group A with concha bullosa alone more than group B with concha bullosa and deviated nasal septum. There was minimal differences between genders in all examined parame-ters. There was no correlation between the incidence of chronic sinusitis and the presence of concha bullosa alone or with devi-ated nasal septum.