TY  - JOUR
T1  - Concha Bullosa as a Cause of Rhinological Halitosis
AU  - Yılmaz, Eren
AU  - Kesimli, Mustafa Caner
AU  - Yağcı, İbrahim
AU  - Altundağ, Aytuğ
PY  - 2023
DA  - December
DO  - 10.26650/Tr-ENT.2023.1344644
JF  - The Turkish Journal of Ear Nose and Throat
JO  - Tr-ENT
PB  - Istanbul University
WT  - DergiPark
SN  - 2602-4837
SP  - 123
EP  - 127
VL  - 33
IS  - 4
LA  - en
AB  - Objective: Sinonasal diseases are one of the main causes of foul breath. Disruption of mucus drainage leading to bacterial putrefaction is the leading factor of volatile organic compounds (VOCs) production. Concha bullosa (CB) is also one of the factors affecting mucus drainage. Its effect on foul breath was investigated in this study.Materials and methods: Sixty patients were included in the study. The participants were selected from those complaining of halitosis, who have CB formation on at least one side, and pathologic VOCs, hydrogen sulfide, methylmercaptan, and dimethylsulfide levels in their OralChroma measurements. The patients were divided into two groups. Surgery was applied to 32 patients, and no treatment was given to 28 patients. The VOCs levels were evaluated using OralChroma.Results: Sixty patients with a mean age of 36.5 years were included in the study. Before and after the operation of concha bullosa and also when the surgical group and control groups were compared, the decrease in methylmercaptan values was shown to be statistically significant (p<0.05).Conclusion: Concha bullosa should be considered in the etiology of halitosis in cases with no determined cause and high methylmercaptan values.
KW  - Halitosis
KW  - concha bullosa
KW  - VOCs
KW  - oral chroma
KW  - methyl mercaptan
CR  - Tonzetich J. Production and origin of oral malodor: a review of mechanisms and methods of analysis. J Periodontol 1977;48(1):13-20. google scholar
CR  - Avincsal MO, Altundag A, Ulusoy S, Dinc ME, Dalgic A, Topak M. Halitosis associated volatile sulphur compound levels in patients with laryngopharyngeal reflux. Eur Arch Otorhinolaryngol 2016;273(6):1515-20. google scholar
CR  - Quirynen M, Dadamio J, Van den Velde S, De Smit M, Dekeyser C, Van Tornout M et al. Characteristics of 2000 patients who visited a halitosis clinic. J Clin Periodontol 2009;36(11):970-5. google scholar
CR  - Tangerman A. Halitosis in medicine: a review. Int Dent J. 2002;52 Suppl 3:201-6. google scholar
CR  - Tangerman A, Winkel EG. The portable gas chromatograph OralChroma: a method of choice to detect oral and extra-oral halitosis. J Breath Res 2008;2(1):017010. google scholar
CR  - Tangerman A, Winkel EG. Extra-oral halitosis: an overview. J Breath Res 2010;4(1):017003. google scholar
CR  - Tangerman A, Winkel EG. Intra- and extra-oral halitosis: finding of a new form of extra-oral blood-borne halitosis caused by dimethyl sulphide. J Clin Periodontol 2007;34(9):748-55. google scholar
CR  - Avincsal MO, Altundag A, Dinc ME, Cayonu M, Topak M, Kulekci M. Evaluation of halitosis using OralChroma in patients with allergic rhinitis. Eur Ann Otorhinolaryngol Head Neck Dis 2016;133(4):243-6. google scholar
CR  - Dinc ME, Altundag A, Dizdar D, Avincsal MO, Sahin E, Ulusoy S et al. An objective assessment of halitosis in children with adenoid vegetation during pre- and post-operative period. Int J Pediatr Otorhinolaryngol 2016;88:47-51. google scholar
CR  - Zinreich SJ, Mattox DE, Kennedy DW, Chisholm HL, Diffley DM, Rosenbaum AE. Concha bullosa: CT evaluation. J Comput Assist Tomogr 1988;12(5):778-84. google scholar
CR  - Maru YK, Gupta Y. Concha bullosa: Frequency and appearances on sinonasal CT. Indian J Otolaryngol Head Neck Surg 1999;52(1):40-4. google scholar
CR  - Stammberger H, Wolf G. Headaches and sinus disease: the endoscopic approach. Ann Otol Rhinol Laryngol Suppl 1988;134:3-23. google scholar
CR  - Krespi YP, Shrime MG, Kacker A. The relationship between oral malodor and volatile sulfur compound-producing bacteria. Otolaryngol Head Neck Surg 2006;135(5):671-6. google scholar
CR  - Elmassry MM, Piechulla B. Volatilomes of bacterial ınfections in humans. Front Neurosci 2020;14:257. google scholar
CR  - Dadamio J, Laleman I, De Geest S, Vancauwenberghe F, Dekeyser C, Coucke W et al. Usefulness of a new malodour-compound detection portable device in oral malodour diagnosis. J Breath Res 2013;7(4):046005. google scholar
CR  - Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101(1 Pt 1):56-64. google scholar
CR  - El-Din WAN, Madani GA, Fattah IOA, Mahmoud E, Essawy AS. Prevalence of the anatomical variations of concha bullosa and its relation with sinusitis among Saudi population: a computed tomography scan study. Anat Cell Biol 2021;54(2):193-201. google scholar
CR  - Shetty SR, Al Bayatti SW, Al-Rawi NH, Kamath V, Reddy S, Narasimhan S, et al. The effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study. BMC Oral Health 2021;21(1):607. google scholar
CR  - Li L, Zang H, Han D, Ramanathan M, Jr., Carrau RL, London NR, Jr. Impact of a concha bullosa on nasal airflow characteristics in the setting of nasal septal deviation: a computational fluid dynamics analysis. Am J Rhinol Allergy 2020;34(4):456-62. google scholar
CR  - Takeshita T, Suzuki N, Nakano Y, Yasui M, Yoneda M, Shimazaki Y, et al. Discrimination of the oral microbiota associated with high hydrogen sulfide and methyl mercaptan production. Sci Rep 2012;2:215. google scholar
UR  - https://doi.org/10.26650/Tr-ENT.2023.1344644
L1  - https://dergipark.org.tr/en/download/article-file/3338895
ER  -