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Occasionally, a large concha bullosa may cause it to bulge sufficiently to obstruct the opening of an adjacent sinus, possibly leading to sleeping apnea or breathing disorder related to areas innervated by the trigeminal nerve. [2] In such a case the turbinate can be reduced in size by endoscopic nasal surgery (turbinectomy).
A turbinectomy or turbinoplasty (preserving the mucosal layer) is a surgical procedure, that removes tissue, and sometimes bone, of the turbinates in the nasal passage, particularly the inferior nasal concha. The procedure is usually performed to relieve nasal obstructions. [1]
However, the cost of the procedure can cost $300 to $800 with insurance. The septoplasty procedure involves a doctor reshaping or removing bent cartilage and bone to straighten the nasal septum.
A common anatomic variant is an air-filled cavity within a concha known as a concha bullosa. [77] In rare cases a polyp can form inside a bullosa. [78] Usually a concha bullosa is small and without symptoms but when large can cause obstruction to sinus drainage. [79]
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
Functional endoscopic sinus surgery (FESS) is a procedure that is used to treat sinusitis and other conditions that affect the sinuses. Sinusitis is an inflammation of the sinuses that can cause symptoms such as congestion, headaches, and difficulty breathing through the nose.
[17] [15] Surgery may be recommended in those with chronic disease who have failed medical management. [18] Sinusitis is a common condition. [19] It affects between about 10 and 30 percent of people each year in the United States and Europe. [19] [5] The management of sinusitis in the United States results in more than US$ 11 billion in costs. [19]
The surgery lasts roughly one hour and does not result in any cosmetic alteration or external scars. Nasal congestion, pain, [8] drainage or swelling may occur within the first few days after the surgery. [9] Recovery from the procedure may take anywhere from two days to four weeks to heal completely. [citation needed] Septal bones never regrow ...