{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:31:01Z","timestamp":1747150261913,"version":"3.40.5"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T00:00:00Z","timestamp":1664928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the impact of functional septorhinoplasty (SRP) with and without concha bullosa resection (CBR) on sinonasal symptoms and nasal obstruction severity using the Nasal Obstruction Symptom Evaluation (NOSE) and Sino\u2010Nasal Outcome Test\u201022 (SNOT\u201022) scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Consecutive adult participants who underwent SRP were retrospectively analyzed. Patients were divided into two groups: Group 1 (SRPwCB) underwent SRP with CBR (bulbous or extensive type MTs), and Group 2 (SRPO) underwent SRP only (normal or lamellar\u2010type MTs). The NOSE and SNOT\u201022 scales were assessed preoperatively and at the 3\u2010month follow\u2010up evaluation. Patient demographics, self\u2010reported outcomes, nasoseptal angle (NSA), and Lund\u2010Mackay scores (LMS) were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 119 participants (SRPwCB <jats:italic>n<\/jats:italic>\u00a0=\u200957; SPRO <jats:italic>n<\/jats:italic>\u00a0=\u200962). There were no statistically significant differences in age, sex, allergy, smoking, LMS, and NSA according to the presence of MTCB. Compared to SRPO, SRPwCB patients had significantly higher preoperative NOSE and SNOT\u201022 scores, whereas their postoperative NOSE and SNOT\u201022 scores were similar. SRPwCB patients also had significantly more postnasal discharge, ear fullness, facial pain\/pressure, poor sleep, night waking, daytime fatigue, sense of taste\/smell, and blockage symptoms before surgery compared with SRPO patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>SRPwCB patients had higher nasal obstruction and sinonasal symptom scores and greater improvement after surgery than SRPO patients. Therefore, evaluating the middle turbinate before functional SRP may be an important for surgical treatment of sinonasal symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3 <jats:italic>Laryngoscope<\/jats:italic>, 133:1375\u20131381, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30428","type":"journal-article","created":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T11:25:14Z","timestamp":1664969114000},"page":"1375-1381","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of Functional Septorhinoplasty with Concha Bullosa Resection on Sinonasal Symptoms"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8821-4481","authenticated-orcid":false,"given":"Serhat","family":"Inan","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Ba\u015fkent University Faculty of Medicine  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9001-7812","authenticated-orcid":false,"given":"Goknil","family":"Gultekin","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Ba\u015fkent University Faculty of Medicine  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismail","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Ba\u015fkent University Faculty of Medicine  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adnan Fuat","family":"Buyuklu","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Ba\u015fkent University Faculty of Medicine  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2018.05.001"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-015-0449-0"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1625978"},{"issue":"3","key":"e_1_2_7_5_1","first-page":"185","article-title":"Anatomical variations in sinus imaging in sinusitis: a case control study","volume":"8","author":"Sadr SM","year":"2012","journal-title":"B\u2010ENT"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-198809010-00012"},{"issue":"2","key":"e_1_2_7_7_1","first-page":"87","article-title":"The incidence of concha bullosa and the correlation with nasal septal deviation","volume":"4","author":"Sazgar AA","year":"2008","journal-title":"B\u2010ENT"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-010-1228-9"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2017.01.003"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.2007.01404.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004211"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199101000-00010"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21360"},{"issue":"9","key":"e_1_2_7_14_1","first-page":"1613","article-title":"The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease","volume":"25","author":"Stallman JS","year":"2004","journal-title":"AJNR Am J Neuroradiol"},{"issue":"4","key":"e_1_2_7_15_1","first-page":"244","article-title":"Multiparametric statistical correlations between paranasal sinus anatomic variations and chronic rhinosinusitis","volume":"32","author":"Fadda GL","year":"2012","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2009.01.008"},{"issue":"1","key":"e_1_2_7_17_1","first-page":"23","article-title":"Concha bullosa","volume":"23","author":"Unl\u00fc HH","year":"1994","journal-title":"J Otolaryngol"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e318188a29d"},{"issue":"2","key":"e_1_2_7_19_1","first-page":"103","article-title":"The relationship between the concha bullosa, nasal septal deviation and sinusitis","volume":"41","author":"Aktas D","year":"2003","journal-title":"Rhinology"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1262314"},{"issue":"4","key":"e_1_2_7_21_1","first-page":"183","article-title":"Staging in rhinosinusitus","volume":"31","author":"Lund VJ","year":"1993","journal-title":"Rhinology"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1996.tb01009.x"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6815-12-15"},{"issue":"4","key":"e_1_2_7_24_1","first-page":"291","article-title":"Concha bullosa, nasal septal deviation and paranasal sinusitis; 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