Large Concha Bullosa Is a Risk Factor for Chronic Sinusitis: A Case Control Study
International Journal of Otorhinolaryngology
Volume 5, Issue 2, December 2019, Pages: 35-38
Received: Jun. 26, 2019;
Accepted: Jul. 17, 2019;
Published: Jul. 31, 2019
Views 74 Downloads 19
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
Follow on us
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.
Concha Bullosa, Sinusitis, Opacified Sinus
To cite this article
Alexis Do Santos Zounon,
Ulrich Bidossessi Vodouhe,
Large Concha Bullosa Is a Risk Factor for Chronic Sinusitis: A Case Control Study, International Journal of Otorhinolaryngology.
Vol. 5, No. 2,
2019, pp. 35-38.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Marsot-dupuch. K, Genty E Les variantes Anatomiques des Sinus de la Face. J RADIOL 2003; 84: 357-367.
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.
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.
Livre «Imagerie en ORL» Frédérique Dubrulle Elsevier-Masson, 2010 (ISBNh 978-2-294-70498-7).
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.
Riellol APL and Boasquevisque EM (2008) Anatomical variants of the osteomeatal complex: tomographic findings in 200 patients. Radiol Bras 41 (3): 149-154.
Shin HS. Clinical significance of unilateral sinusitis. J Korean Med. Sci 1986; 1: 69–74.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.