Endoscopic Resection of Concha Bullosa

Video Type: CVideo
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Author: Kurt Nelson
Published:
Specialties: Otolaryngology, Rhinology Skullbased
Schools:
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Basic Info

Concha bullosa represents a benign entity that can present problems for the endoscopic sinus surgeon by limiting access and visualization to the middle meatus.  Additionally, this may be a significant contributor to a patient's nasal obstruction, or the leading factor for osteomeatal complex obstruction. Endoscopic removal provides a quick, safe, and reliable means to deal with this issue and provide the appropriate surgery for the patient.

Advanced

Procedure

Endoscopic resection of concha bullosa

Indications

Osteomeatal complex obstruction

Contraindications

None

Instrumentation

Setup

Patient is prepped, draped, and image guidance is setup in standard fashion. Afrin or epinephrine soaked pledgets are placed into the nasal cavity for topical decongestion. 1% 1/100,000 lidocaine with epinephrine is injected into the attachment and body of middle turbinate.

Preoperative Workup

CT imaging done for workup of chronic rhinosinusitis identified right sided concha bullosa

Anatomy and Landmarks

Middle turbinate and uncinate process

Advantages/Disadvantages

Complications/Risks

Destabilization of the middle turbinate
Loss of intranasal landmarks
Synechia

Disclosure of Conflicts

None

Acknowledgements

References

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