A comparison of the long‐term results of crushing and crushing with intrinsic stripping techniques in concha bullosa surgery. Issue 9 (22nd August 2014)

• Record Type: Journal Article
• Authors: Eren, Sabri Baki; Kocak, Ilker; Dogan, Remzi; Ozturan, Orhan; Yildirim, Yavuz Selim; Tugrul, Selahattin
• Is Part Of: International forum of allergy & rhinology. Volume 4:Issue 9(2014:Sep.)
• Page Start: 753
• Page End: 758
• Publication Date: 2014-08-22
• Subjects: 617.51005
• DOI: 10.1002/alr.21360
• Languages: English
• ISSNs: 2042-6976

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="alr21360-sec-0010" sec-type="section"> <title>Background</title> <p>A prospective endoscopic and radiologic evaluation of long‐term outcomes of crushing and crushing with intrinsic stripping, 2 minimally destructive techniques used for the surgical treatment of concha bullosa.</p> </sec> <sec id="alr21360-sec-0020" sec-type="section"> <title>Methods</title> <p>Forty‐two patients who underwent concha bullosa surgery (a total of 55 conchae surgeries) were included in the study. The patients were allocated consecutively to either of the 2 groups: Group 1 (crushing, n = 28) and Group 2 (crushing with intrinsic stripping, n = 27). All procedures were performed endoscopically. The presurgical and 1‐year postsurgical endoscopic nasal cavity images and computed tomography (CT) scans of all patients were recorded. Preoperative and postoperative measurements were compared using paired <italic>t</italic> test and Student <italic>t</italic> test.</p> </sec> <sec id="alr21360-sec-0030" sec-type="section"> <title>Results</title> <p>Gender and mean age of the 42 patients (55 conchae bullosa) were as follows: 23 males, mean age 25.6 (range, 18 to 41) years; 18 females, mean age 24.2 (range, 18 to 33) years. The patients were followed for 12.5 ± 1.3 months. Comparisons of both the grading of endoscopic images and the concha bullosa volumes measured in CT images before and after treatment showed significant postsurgical reductions in both groups; comparison between groups showed significant postsurgical decreases for Group 2 in both concha bullosa volumes and in endoscopic scoring (<italic>p</italic> < 0.05).</p> </sec> <sec id="alr21360-sec-0040" sec-type="section"> <title>Conclusion</title> <p>Crushing with intrinsic stripping is an effective and easy technique; when compared to crushing alone; this technique provides a significantly more decrease in middle concha volumes as demonstrated both by the CT and by endoscopic evaluations.</p> </sec> </abstract>