Endoscopic Excision of Concha Bullosa
Contributors: Gresham Richter
Here we present endoscopic excision of a concha bullosa (a pneumatized middle turbinate) that was causing obstruction in the left nasal cavity. This particular patient failed medical management of his chronic sinusitis including antibiotic and steroid therapy. The concha bullosa was causing obstruction of the maxillary sinus ostium and deviation of the nasal septum. Resection of the concha bullosa was necessary in order to complete a functional endoscopic sinus surgery afterward and septoplasty (not shown).
DOI # 10.17797/pyzfxehca8
Author Recruited by: Gresham Ritcher
The concha bullosa was excised using Afrin and 1% lidocaine with 1:100,000 epinephrine for local anesthesia and to help with hemostasis. The concha bullosa is incised with a freer and the lateral portion is removed with a through-cut instrument and microdebrider.
Nasal obstruction, poor visualization during FESS or septoplasty.
None.
Endoscope
Microdebrider, Zero degree operating endoscope.
CT sinus.
Left = septum; right inferior turbinate; middle of the screen = middle turbinate/concha bullosa.
Bleeding
Bleeding
N/A
Sign in to write a review
Reviews are open to CSurgeries members. Sign in to share your feedback on this case.
Sign in Don’t have an account? Create one freeHave a question about this case? Send a note to Dr. Adam Johnson — they'll reply by email.
Register today to continue watching
Sign up for our free membership to watch and submit videos today! If you are already a member please log in to access your account.
Sign Up NowAlready a member? Click here to log in
Register today to submit a video
Sign up for our free membership to watch and submit videos today! If you are already a member please log in to access your account.
Sign Up NowAlready a member? Click here to log in
Upgrade your membership to continue watching
Please upgrade to membership to continue watching more videos.
Upgrade NowRenew your subscription to continue watching
Please renew your subscription to continue watching.
Renew Now