Background: The middle turbinate is an important anatomical structure and plays as a key
landmark in endoscopic sinus surgery. this study aimed at assessing and comparing intraand postoperative outcomes of different endoscopic turbinoplasty techniques for
symptomatic middle turbinate Concha Bullosa (CB). Methods: This interventional
comparative study included 32 patients with symptomatic CB presented to outpatient clinic
of Benha University Hospitals. Patients were randomly divided into three groups: Group
A (n=10): submitted for chonchal crushing tecnique, Group B (n=11) submitted for lateral
laminectomy chonchoplasty technique. Group C (n=11) submitted for modified Har-El and
Slavit techniques. Results: Most postoperative complications showed no statistically
significant differences between groups, except for synechia at 6 months. At this point,
synechia was observed only in Group B (36.4%), while none were reported in Groups A
or C. Crusting was most common at 1-month post-op, particularly in Group B (90.9%), but
decreased overtime in all groups, resolving completely by 6 months. Similarly, synechia
was highest at 1 month across all groups (71.9% overall), then declined by 3 months and
was significantly less prevalent by 6 months. Conclusion:All three surgical techniques are
effective for symptomatic concha bullosa , but with distinct profiles. Group A (crushing)
was quickest and safest but gave slightly less symptom reduction by 6 months. Group B
(lateral resection) was highly effective but carried higher adhesion risk. Group C (modified
Har-El/Slavit) balanced efficacy and safety, yielding excellent relief with minimal
synechiae at the cost of greater operative time and technically more difficult. |
