IJAR.2020.184

Type of Article:  Original Research

Volume 8; Issue 3.2 (August 2020)

Page No.: 7669-7673

DOI: https://dx.doi.org/10.16965/ijar.2020.184

CT SCAN EVALUATION OF PREVALENCE OF CONCHA BULLOSA IN ADULT EASTERN INDIAN POPULATION

Raag Reeti 1, Md Jawed Akhtar *2, Avanish Kumar 3, Binod Kumar 4, Rajiv Ranjan Sinha 4, Rishi Mani Srivastava 5.

1 Tutor, Department of Anatomy, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

*2 Assistant Professor, Department of Anatomy, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

3 Professor and Head, Department of Anatomy, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

4 Additional Professor, Department of Anatomy, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

5 Rishi Clinic and Research Centre, Patna, Bihar, India.

Corresponding Author: Md. Jawed Akhtar, Assistant Professor, Department of Anatomy, Indira Gandhi Institute of Medical Sciences, Patna (Bihar), India. E-Mail: drjawed2k@gmail.com

ABSTRACT

Introduction: The middle turbinate may be pneumatized and ballooned up. This is called a concha bullosa. The concha bullosa may show isolated involvement with the disease process. It may compromise ventilation and drainage of secretions to produce chronic infections of the paranasal sinuses. This study aimed at determining the prevalence of concha bullosa in the adult Eastern Indian Population.

Materials and Methods: This was a retrospective study being conducted on 150 patients who presented to the Department of Radiodiagnosis, Bangur Institute of Neurosciences, Kolkata. Their CT scans were analysed for the presence of Concha Bullosa. The results were analysed as percentage and ‘p’ value was calculated using Fischer’s Exact Test.

Results: Presence of Concha Bullosa was observed in 48 cases i.e. 32% in the present study, out of which 21 (14%) were present in males and 27 (18%) in females.  ‘p’ value in this case was 0.162 on applying Fisher’s Exact test.

Conclusion: Anatomical variations of the paranasal sinus region like concha bullosa are quite common and they must be searched for by the surgeons before planning any endoscopic sinus surgery. This study attempted to provide the prevalence of the Concha Bullosa which will definitely help the FESS surgery and its outcomes.

Key Words:  Middle Turbinate, Concha Bullosa, Functional Endoscopic Sinus Surgery.

REFERENCES

  1. Standring S, editor in chief, Jafek BW. Gray’s anatomy: the anatomical basis of clinical practice.40th ed. Churchill Livingstone Elsevier; 2008. p. 556-559.
  2. Bradoo R. Anatomical Principles of Endoscopic Sinus Surgery: A Step by Step Approach. Jaypee Brothers Medical Publishers (P) Ltd. 2007.
  3. Mazza D, Bontempi E, Guerisi A, elonti S, Cipolla G, Perrone A, Lomele L, et al. Paranasal sinuses anatomic variants : 64- slice CT evaluation. Inerve Stomatol 2007 Jun; 56(6):311-18.
  4. Liu X, Zhang G, Xu G. Anatomic variations of osteomeatal complex & their correlation with chronic sinusitis: CT evaluation. Zhonghua Er Bi Yan Hou Ke Za Zhi 1999 Jun; 34(3):143-6.
  5. Nitinavakarn B, Thanaviratananich S, Sangsilp N. Anatomical variations of the lateral nasal wall & paranasal sinuses: A CT study for endoscopic sinus surgery(ESS) in Thai patients. J Med Assoc Thai 2005 Jun;88(6):763-8.
  6. Robinson M, Donlon D, Harrison H, Houang M, Stammberger H, Wolf G. Variations of the paranasal sinuses in Melanesians as observed by CT. Rhinology 2010 Mar; 48(1):11-7. https://doi.org/10.4193/Rhin09.083 PMid:20502729
  7. Chakraborty P, Jain RK. Radiologic variations of ose and paranasal sinuses: A CT based study. JMSCR May 2016;4(5):10536-41. https://doi.org/10.18535/jmscr/v4i5.25
  8. Deosthale N, Khadakkar S, Singh B, Harkare VV, Dhoke PR, Dhote KS. Anatomical variations of Nose and Paranasal Sinuses in Chronic Rhinosinusitis. People’s Journal of Scientific Research. 2014;7(2):1-7.
  9. Arslan H, Aydinlioglu A, Bozkurt M, Egeli E. Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx 1999 jan; 26(1):39-48. https://doi.org/10.1016/S0385-8146(98)00024-8
  10. Chandel NS, Gupta R, Vyas MM. Computerized Tomographic Evaluation of Antomical Variations of Paranasal Sinus & Nose. National Journal of Medical & Dental Research Oct- Dec 2015;4(1):48-72.
  11. Pinas IP, Sabate J, Carmona A, Catalina-Herrera CJ, Castellanos JJ. Anatomical variations in the human paranasal sinus region studied by CT. J Anat 2000 Aug; 197(pt2):221-227. https://doi.org/10.1017/S0021878299006500
    PMid:11005714 PMCid:PMC1468121
  12. Kayalioglu G, Oyar O, Govsa F. Nasal cavity and paranasal sinus bony variations: a computerized tomographic study. Rhinology Sep 2000;38(3):108-13.
  13. Adeel M, Rajput M S, Akhtar S, Ikram M, Arain A, Khattak YJ. Anatomical variations of nose and paranasal sinuses: CT scan review. J Pak Med Assoc 2013 Mar; 63(3):317-319.
  14. Shpilberg KA, Daniel SC, Doshi AH, Lawson W, Som PM. CT of Anatomic Variants of the Paranasal Sinuses and Nasal Cavity: Poor correlation with radiologically significant rhinosinusitis but importance in surgical planning. American Journal of Roentgenology June 2015;204(6):1255-60. https://doi.org/10.2214/AJR.14.13762 PMid:26001236
  15. Ahmed W, Rimi KR, Raahman MH, Bose BK, Paul DR. Morphological variations in paranasal air sinus region studied by CT scan. Dinajpur Med Col J 2013 Jan;6(1):33-36.
  16. Kate Sarika P, Mandke ND, Bahetee BH. Anatomic variations of paranasal sinuses in patients with chronic sinusitis and their correlation with CT scan study. Int Journal of Current Research and Review 2015;7(15):49-55.
  17. Dua K, Chopra H, Khurana AS, Munjal M. CT scan variations in chronic sinusitis. Indian J Radiol Imaging 2005; 15:315-20. https://doi.org/10.4103/0971-3026.29144
  18. Talaiepour AR, Sazgar AA, Bagheri A. Anatomic variations of the paranasal sinuses on CT scan images. J Dentistry Tehran Univ Med Sci 2005;2(4).
  19. Sheetal D, Devan PP, Manjunath P, Martin P, Satish K, Sreekantha, Satish TG, et al. CT PNS : Do w ereally require before FESS? J Clin Diag Res 2011;5(2):179-81.
  20. Leipzig JR, Martin DS, Eisenbeis JF, Slavin RG. Computed tomographic study of the paranasal sinuses in allergic rhinitis. J Allergy Clin Immunol 1996;98:1130-1. https://doi.org/10.1016/S0091-6749(96)80206-5
  21. Chaitanya D, Suseclamma D, Singh V. Anatomical variations of paranasal air sinuses – A CT scan study. Journal of the Anatomical Society of India June 2015;64(1):87-90. https://doi.org/10.1016/j.jasi.2015.04.017

Cite this article: Raag Reeti, Md Jawed Akhtar, Avanish Kumar, Binod Kumar, Rajiv Ranjan Sinha, Rishi Mani Srivastava. CT SCAN EVALUATION OF PREVALENCE OF CONCHA BULLOSA IN ADULT EASTERN INDIAN POPULATION. Int J Anat Res 2020;8(3.2):7669-7673. DOI: 10.16965/ijar.2020.184