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Screening of patients can cover presence of breathing difficulty when it is too large, because nasal airways are blocked by inflammation. [2] Some experts call pain associated with enlarged concha bullosa " will not go away with surgery when concha bullosa small in size and not blocking the airway, surgery can help for breathing improvement."
Concha bullosa is an abnormal pneumatization of the middle turbinate, which may interfere with normal ventilation of the sinus ostia and can result in recurrent sinusitis. In some cases, the concha bullosa may be resected to help resolve persistent symptoms.
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]
It may develop with anatomic derangements, including deviation of the nasal septum and the presence of concha bullosa (pneumatization of the middle concha) that inhibit the outflow of mucus, or with allergic rhinitis, asthma, cystic fibrosis, and dental infections. [41]
The major symptoms of ENS include a sensation of suffocation, nasal dryness, nasal burning, nasal crusting, and an impaired sense of airflow through the nose in patients who have had surgery or injury to nasal turbinates. [13] ENS can greatly reduce a patient's quality of life and many patients struggle to complete activities of daily living.
A CT scan showing evidence of the nasal cycle: the more patent airway is on the right of the image, the swollen turbinates congesting the left. The nasal cycle is the subconscious [1] [2] alternating partial congestion and decongestion of the nasal cavities in humans and other animals. This results in greater airflow through one nostril with ...
Nasal mucous become edematous and block the airway. Some may develop secondary infection and even sinusitis in such cases. Care should be taken while prescribing drugs. Generally, local measures such as limited use of nasal drops, topical steroids and limited surgery (cryosurgery) to turbinates are sufficient to relate the symptoms.
Patients usually complain of nasal obstruction despite the roomy nasal cavity, which can be caused either by the obstruction produced by the discharge in the nose, or as a result of sensory loss due to atrophy of nerves in the nose, so the patient is unaware of the air flow.