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

Alexis Do Santos Zounon; Ulrich Bidossessi Vodouhe; Jean-Baptiste Agai; Djibril Balde; Sonia Adjanohoun; Wassi Adjibabi; Bernadette Vignikin-Yehouessi

doi:doi:10.11648/j.ijo.20190502.11

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

Alexis Do Santos Zounon, Ulrich Bidossessi Vodouhe, Jean-Baptiste Agai, Djibril Balde, Sonia Adjanohoun, Wassi Adjibabi, Bernadette Vignikin-Yehouessi

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.

DOI	10.11648/j.ijo.20190502.11
Published in	International Journal of Otorhinolaryngology (Volume 5, Issue 2, December 2019)
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), 2024. Published by Science Publishing Group

Keywords

Concha Bullosa, Sinusitis, Opacified Sinus

References

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[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.
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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
AU - Wassi Adjibabi
AU - Bernadette Vignikin-Yehouessi
Y1 - 2019/07/31
PY - 2019
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

Alexis Do Santos Zounon

Department of Health Sciences, University of Abomey-Calavi, Cotonou, Benin; ENT and Cervico Facial Surgery Department, Military University Hospital, Cotonou, Benin
Ulrich Bidossessi Vodouhe

Department of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
Jean-Baptiste Agai

Department of Radiology, Military University Hospital, Cotonou, Benin
Djibril Balde

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

Department of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
Wassi Adjibabi

Department of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
Bernadette Vignikin-Yehouessi

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

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APA Style

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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