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Introduction <p>Concha bullosa, a pneumatization of the middle turbinate, can cause significant symptoms like nasal obstruction and headaches due to sinus drainage blockage. Surgical approaches exist, with lateral partial turbinectomy (LPT) and submucosal conchoplasty (SMC) being common endoscopic procedures. </p> Aims <p>To assess the effectiveness of Lateral Partial Turbinectomy (LPT) and Submucosal Conchoplasty (SMC) in providing relief of nasal symptoms in patients diagnosed with concha bullosa. </p> Methods <p>This single-blinded randomized controlled trial, conducted at a tertiary healthcare centre, aimed to assess the effectiveness of LPT versus SMC in relieving nasal symptoms and to compare their postoperative complication profiles in patients with concha bullosa. Sixty adult patients (18–65 years) with confirmed concha bullosa were recruited via convenience sampling and randomly assigned to either the LPT or SMC group (30 per group). Primary outcomes included symptom relief assessed by the Sino-Nasal Outcome Test-22 (SNOT-22) and Visual Analogue Scale (VAS), along with diagnostic nasal endoscopy at specified follow-up intervals (1 week, 4 weeks, 12 weeks). Complications like bleeding, infection crusting and synechiae were also monitored.</p> Results <p>Both groups showed significant improvement in pain and quality of life over 12 weeks (<i>p</i> &lt; 0.001 for both). At 1 week, LPT demonstrated superior pain control (<i>p</i> = 0.0003) and quality of life (SNOT-22, <i>p</i> &lt; 0.0001). At 4 weeks, SMC showed better outcomes (VAS, <i>p</i> &lt; 0.0001; SNOT-22, <i>p</i> = 0.0282). By 12 weeks, both achieved equivalent symptom relief (VAS, <i>p</i> = 0.003; SNOT-22, <i>p</i> = 0.96). Synechia occurred exclusively in LPT group at 1 week (13.3%). Crusting and bleeding were rare with no significant differences.</p> Conclusion <p>Submucosal conchoplasty is an effective, safe, and conservative surgical option for concha bullosa, providing comparable symptom relief to lateral partial turbinectomy but with a significantly reduced risk of postoperative complications.</p>

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A Study Assessing the Effectiveness of Lateral Partial Turbinectomy versus Submucosal Conchoplasty for Concha Bullosa—A Randomized Controlled Trial

  • 期刊论文

  • 发表日期：

    2026年6月15日

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  • Dilshada Pulikkal,
  • Sowmya Gajapathy,
  • Atul Mukul Bage

摘要

Introduction

Concha bullosa, a pneumatization of the middle turbinate, can cause significant symptoms like nasal obstruction and headaches due to sinus drainage blockage. Surgical approaches exist, with lateral partial turbinectomy (LPT) and submucosal conchoplasty (SMC) being common endoscopic procedures.

Aims

To assess the effectiveness of Lateral Partial Turbinectomy (LPT) and Submucosal Conchoplasty (SMC) in providing relief of nasal symptoms in patients diagnosed with concha bullosa.

Methods

This single-blinded randomized controlled trial, conducted at a tertiary healthcare centre, aimed to assess the effectiveness of LPT versus SMC in relieving nasal symptoms and to compare their postoperative complication profiles in patients with concha bullosa. Sixty adult patients (18–65 years) with confirmed concha bullosa were recruited via convenience sampling and randomly assigned to either the LPT or SMC group (30 per group). Primary outcomes included symptom relief assessed by the Sino-Nasal Outcome Test-22 (SNOT-22) and Visual Analogue Scale (VAS), along with diagnostic nasal endoscopy at specified follow-up intervals (1 week, 4 weeks, 12 weeks). Complications like bleeding, infection crusting and synechiae were also monitored.

Results

Both groups showed significant improvement in pain and quality of life over 12 weeks (p < 0.001 for both). At 1 week, LPT demonstrated superior pain control (p = 0.0003) and quality of life (SNOT-22, p < 0.0001). At 4 weeks, SMC showed better outcomes (VAS, p < 0.0001; SNOT-22, p = 0.0282). By 12 weeks, both achieved equivalent symptom relief (VAS, p = 0.003; SNOT-22, p = 0.96). Synechia occurred exclusively in LPT group at 1 week (13.3%). Crusting and bleeding were rare with no significant differences.

Conclusion

Submucosal conchoplasty is an effective, safe, and conservative surgical option for concha bullosa, providing comparable symptom relief to lateral partial turbinectomy but with a significantly reduced risk of postoperative complications.