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Large Concha Bullosa Is a Risk Factor for Chronic Sinusitis: A Case Control Study

Received: 26 June 2019     Accepted: 17 July 2019     Published: 31 July 2019
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Abstract

The study analyzed the correlation between the presence of concha bullosa with the presence of radiological sinus opacity and sinonasal functional symptoms. All patients whose computed tomography (CT) findings were positive for concha bullosa were included in the study. The CT parameters taken in consideration were the presence and volume of concha bullosa, the aspect of the ipsilateral maxillary sinus (normal transparency, presence of sinus opacity). Clinical parameters were sinonasal functional signs. Statistical comparisons were made using the Pearson Chi square test. Over a four years period, 2436 CTs were interpreted, 276 of which presenting a concha bullosa (prevalence of 11.33%). The average age was 33 (19 to 63). Females (204 either 74%) outnumbered men (72 either 26%). An opacification of the ipsilateral maxillary sinus seen upon CT was statistically related to the presence of a large concha bullosa (p = 0.02). On the other hand, the presence of a clinical symptomatology of maxillary sinusitis crossed with the presence of a large concha bullosa was not significant (p ˃ 0.50). This study has demonstrated a close correlation between the existence of a large concha-bullosa and an ipsilateral maxillary sinusitis seen on CT-Scan without necessarily having clinical manifestation of sinusitis. The diagnosis of sinusitis must remain primarily clinical.

Published in International Journal of Otorhinolaryngology (Volume 5, Issue 2)
DOI 10.11648/j.ijo.20190502.11
Page(s) 35-38
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Concha Bullosa, Sinusitis, Opacified Sinus

References
[1] Marsot-dupuch. K, Genty E Les variantes Anatomiques des Sinus de la Face. J RADIOL 2003; 84: 357-367.
[2] Jamie S. Stallman, Joao N. Lobo, and Peter M. Som. The Incidence of Concha Bullosa and Its relationship to Nasal Septal Deviation and Paranasal Sinus Disease. AJNR Am J Neuroradiol. 2004; 25: 1613–1618.
[3] P Lehmann, R Bouaziz, C Page, M Warin, G Saliou, B Deschepper, V Strunski, H Deramond. Cavités sinusiennes de la face: aspect scanographique des variantes anatomiques et leur risque chirurgical. J Radiol. 2009; 90: 21-30.
[4] Livre «Imagerie en ORL» Frédérique Dubrulle Elsevier-Masson, 2010 (ISBNh 978-2-294-70498-7).
[5] Mcdonnell D, Esposito M, Todd ME (1992) A teaching model to illustrate the variation in size and shape of the maxillary sinus. J Anat 181: 377-380.
[6] Riellol APL and Boasquevisque EM (2008) Anatomical variants of the osteomeatal complex: tomographic findings in 200 patients. Radiol Bras 41 (3): 149-154.
[7] Shin HS. Clinical significance of unilateral sinusitis. J Korean Med. Sci 1986; 1: 69–74.
[8] Calhoun KH, Waggenspack GA, Simpson CB, et al. CT evaluation of the paranasal sinuses in symptomatic and asymptomatic populations. Otolaryngol Head Neck Surg 1991; 104: 480–483.
[9] Anukaran Mahajan, Anupama Mahajan, Karunesh Gupta, Pankaj Verma. Anatomical Variations of Osteomatal Complex: An Endoscopic Study. Anatomy Physiol Biochem Int J: 2018; 5 (2): 555659. DOI: 10.19080/APBIJ.2018.05.555660.
[10] Lloyd G, Lund V, Scadding G. CT of the paranasal sinuses and functional endoscopic surgery: a critical analysis of 100 symptomatic patients. J Laryngol Otol 1991; 105: 181–185.
[11] Lloyd GA. CT of the paranasal sinuses: study of a control series in relation to endoscopic sinus surgery. J Laryngol Otol 1990; 104: 477–81.
[12] Fadda GL, Rosso S, Aversa S, Petrelli A, Ondolo C, Succo G. Multiparametric statistical correlations between paranasal sinus anatomic variations and chronic rhinosinusitis. Acta Otorhinolaryngol Ital 2012; 32: 244–51.
[13] Soo Kweon Koo, Jong Deok Kim, Ji Seung Moon, Sung Hoon Jung, Sang Hoon Lee. The incidence of concha bullosa, unusual anatomic variation and its relationship to nasal septal deviation: A retrospective radiologic study. Auris Nasus Larynx (2017), http://dx.doi.org/10.1016/j.anl.2017.01.003.
[14] Saarthak W, Naveen S, Uma G, Prishni D. Concha bullosa: types and relationship with chronic sinusitis. International Journal of Otorhinolaryngology and Head and Neck Surgery. 2017 Jul; 3 (3): 482-485.
[15] Duran Karatas; Fatih Yüksel; Ali Koç. Volumetric correlation between concha bullosa and paranasal sinuses. Journal of the Anatomical Society of India 2017; 66 (2): 131-134. https://doi.org/10.1016/j.jasi.2017.05.011.
[16] Johnny Wu; Ravi Jain; Richard Douglas. Effect of paranasal anatomical variants on outcomes in patients with limited and diffuse chronic rhinosinusitis. Auris Nasus Larynx 2017; 44 (4): 417-421. https://doi.org/10.1016/j.anl.2016.08.009.
[17] Paige Moore, Brian Blakley, Eric Meen. Clinical predictors of chronic rhinosinusitis: do the Canadian clinical practice guidelines for acute and chronic rhinosinusitis predict CT-confirmation of disease? Journal of Otolaryngology - Head and Neck Surgery 2017; 46: 65.
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    Alexis Do Santos Zounon, Ulrich Bidossessi Vodouhe, Jean-Baptiste Agai, Djibril Balde, Sonia Adjanohoun, et al. (2019). Large Concha Bullosa Is a Risk Factor for Chronic Sinusitis: A Case Control Study. International Journal of Otorhinolaryngology, 5(2), 35-38. https://doi.org/10.11648/j.ijo.20190502.11

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    ACS Style

    Alexis Do Santos Zounon; Ulrich Bidossessi Vodouhe; Jean-Baptiste Agai; Djibril Balde; Sonia Adjanohoun, et al. Large Concha Bullosa Is a Risk Factor for Chronic Sinusitis: A Case Control Study. Int. J. Otorhinolaryngol. 2019, 5(2), 35-38. doi: 10.11648/j.ijo.20190502.11

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    AMA Style

    Alexis Do Santos Zounon, Ulrich Bidossessi Vodouhe, Jean-Baptiste Agai, Djibril Balde, Sonia Adjanohoun, et al. Large Concha Bullosa Is a Risk Factor for Chronic Sinusitis: A Case Control Study. Int J Otorhinolaryngol. 2019;5(2):35-38. doi: 10.11648/j.ijo.20190502.11

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  • @article{10.11648/j.ijo.20190502.11,
      author = {Alexis Do Santos Zounon and Ulrich Bidossessi Vodouhe and Jean-Baptiste Agai and Djibril Balde and Sonia Adjanohoun and Wassi Adjibabi and Bernadette Vignikin-Yehouessi},
      title = {Large Concha Bullosa Is a Risk Factor for Chronic Sinusitis: A Case Control Study},
      journal = {International Journal of Otorhinolaryngology},
      volume = {5},
      number = {2},
      pages = {35-38},
      doi = {10.11648/j.ijo.20190502.11},
      url = {https://doi.org/10.11648/j.ijo.20190502.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20190502.11},
      abstract = {The study analyzed the correlation between the presence of concha bullosa with the presence of radiological sinus opacity and sinonasal functional symptoms. All patients whose computed tomography (CT) findings were positive for concha bullosa were included in the study. The CT parameters taken in consideration were the presence and volume of concha bullosa, the aspect of the ipsilateral maxillary sinus (normal transparency, presence of sinus opacity). Clinical parameters were sinonasal functional signs. Statistical comparisons were made using the Pearson Chi square test. Over a four years period, 2436 CTs were interpreted, 276 of which presenting a concha bullosa (prevalence of 11.33%). The average age was 33 (19 to 63). Females (204 either 74%) outnumbered men (72 either 26%). An opacification of the ipsilateral maxillary sinus seen upon CT was statistically related to the presence of a large concha bullosa (p = 0.02). On the other hand, the presence of a clinical symptomatology of maxillary sinusitis crossed with the presence of a large concha bullosa was not significant (p ˃ 0.50). This study has demonstrated a close correlation between the existence of a large concha-bullosa and an ipsilateral maxillary sinusitis seen on CT-Scan without necessarily having clinical manifestation of sinusitis. The diagnosis of sinusitis must remain primarily clinical.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Large Concha Bullosa Is a Risk Factor for Chronic Sinusitis: A Case Control Study
    AU  - Alexis Do Santos Zounon
    AU  - Ulrich Bidossessi Vodouhe
    AU  - Jean-Baptiste Agai
    AU  - Djibril Balde
    AU  - Sonia Adjanohoun
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    AU  - Bernadette Vignikin-Yehouessi
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    N1  - https://doi.org/10.11648/j.ijo.20190502.11
    DO  - 10.11648/j.ijo.20190502.11
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
    SP  - 35
    EP  - 38
    PB  - Science Publishing Group
    SN  - 2472-2413
    UR  - https://doi.org/10.11648/j.ijo.20190502.11
    AB  - The study analyzed the correlation between the presence of concha bullosa with the presence of radiological sinus opacity and sinonasal functional symptoms. All patients whose computed tomography (CT) findings were positive for concha bullosa were included in the study. The CT parameters taken in consideration were the presence and volume of concha bullosa, the aspect of the ipsilateral maxillary sinus (normal transparency, presence of sinus opacity). Clinical parameters were sinonasal functional signs. Statistical comparisons were made using the Pearson Chi square test. Over a four years period, 2436 CTs were interpreted, 276 of which presenting a concha bullosa (prevalence of 11.33%). The average age was 33 (19 to 63). Females (204 either 74%) outnumbered men (72 either 26%). An opacification of the ipsilateral maxillary sinus seen upon CT was statistically related to the presence of a large concha bullosa (p = 0.02). On the other hand, the presence of a clinical symptomatology of maxillary sinusitis crossed with the presence of a large concha bullosa was not significant (p ˃ 0.50). This study has demonstrated a close correlation between the existence of a large concha-bullosa and an ipsilateral maxillary sinusitis seen on CT-Scan without necessarily having clinical manifestation of sinusitis. The diagnosis of sinusitis must remain primarily clinical.
    VL  - 5
    IS  - 2
    ER  - 

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Author Information
  • Department of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Department of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Department of Radiology, Military University Hospital, Cotonou, Benin

  • ENT and Cervico Facial Surgery Department, Regional Hospital Heinrich Lubke, Diourbel, Senegal

  • Department of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Department of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Department of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

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