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Concha Bullosa: A Shield against Allergens?
- Source :
-
ORL; journal for oto-rhino-laryngology and its related specialties [ORL J Otorhinolaryngol Relat Spec] 2015; Vol. 77 (5), pp. 281-6. Date of Electronic Publication: 2015 Sep 05. - Publication Year :
- 2015
-
Abstract
- Purpose: Concha bullosa (CB) alters the intranasal anatomy and may influence the buffering of inhalant allergens and the inflammatory microenvironment central to chronic rhinosinusitis (CRS). By investigating the link between allergies and CB, we can examine this theoretical benefit, which has implications on the extent of resection in endoscopic sinus surgery.<br />Methods: Forty-three adults treated between 2010 and March 2014 with chronic sinonasal symptoms were retrospectively analyzed by skin prick allergy testing, maxillofacial computed tomography scan, and Lund-Mackay score. x03C7;2 analysis and t tests were employed to determine statistical significance.<br />Results: Subjects were divided into 30 positive cases and 13 pan-negative allergy controls. No difference in CB prevalence was observed between those with positive (70%) and those with negative (69.2%) allergy tests (p = 0.93). Furthermore, no association between CB and Lund-Mackay score was identified (p = 0.69). Overall, 83.3% of CB were located in the middle turbinate, 16.7% in the superior turbinate, and 20% occurred in the middle turbinate bilaterally.<br />Conclusions: Although an enlarged, pneumatized turbinate could function as a physical barrier to inhalant allergens, documented allergies demonstrate no association with CB formation. Furthermore, this study finds no correlation between CB and radiographic evidence of CRS.<br /> (© 2015 S. Karger AG, Basel.)
- Subjects :
- Chronic Disease
Endoscopy
Female
Follow-Up Studies
Humans
Male
Retrospective Studies
Rhinitis, Allergic epidemiology
Rhinitis, Allergic etiology
Sinusitis epidemiology
Sinusitis etiology
Skin Tests
Tomography, X-Ray Computed
Turbinates pathology
Allergens adverse effects
Rhinitis, Allergic diagnosis
Sinusitis diagnosis
Turbinates diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1423-0275
- Volume :
- 77
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- ORL; journal for oto-rhino-laryngology and its related specialties
- Publication Type :
- Academic Journal
- Accession number :
- 26340345
- Full Text :
- https://doi.org/10.1159/000438763