25145581
BACKGROUND	A prospective endoscopic and radiologic evaluation of long-term outcomes of crushing and crushing with intrinsic stripping , 2 minimally destructive techniques used for the surgical treatment of concha bullosa .
METHODS	Forty-two patients who underwent concha bullosa surgery ( a total of 55 conchae surgeries ) were included in the study .
METHODS	The patients were allocated consecutively to either of the 2 groups : Group 1 ( crushing , n = 28 ) and Group 2 ( crushing with intrinsic stripping , n = 27 ) .
METHODS	All procedures were performed endoscopically .
METHODS	The presurgical and 1-year postsurgical endoscopic nasal cavity images and computed tomography ( CT ) scans of all patients were recorded .
METHODS	Preoperative and postoperative measurements were compared using paired t test and Student t test .
RESULTS	Gender and mean age of the 42 patients ( 55 conchae bullosa ) were as follows : 23 males , mean age 25.6 ( range , 18 to 41 ) years ; 18 females , mean age 24.2 ( range , 18 to 33 ) years .
RESULTS	The patients were followed for 12.5 1.3 months .
RESULTS	Comparisons of both the grading of endoscopic images and the concha bullosa volumes measured in CT images before and after treatment showed significant postsurgical reductions in both groups ; comparison between groups showed significant postsurgical decreases for Group 2 in both concha bullosa volumes and in endoscopic scoring ( p < 0.05 ) .
CONCLUSIONS	Crushing with intrinsic stripping is an effective and easy technique ; when compared to crushing alone ; this technique provides a significantly more decrease in middle concha volumes as demonstrated both by the CT and by endoscopic evaluations .

