Conchas: There are 3 chonchas in both nasal cavity. The size of bottom, middle and top conchas increase from top to bottom. Thats, top concha is the smallest and bottom concha is the greatest one.
The main functions of conchas with blood vessels in large quantities is to warm, cool, hydrate and filter the breathing air. The size of conchas is stable and it varies depending on a number of factors such as air temperature, humidity, physiological processes in the body and hormonal changes. Normally, the size of conchas in the right and left nose cavities varies with an interval of a few hours during a day, for example, when the conchas on the right side grow, those on the left side get smaller and then, exactly the opposite occurs.
Growing is mostly observed in the bottom conchas. If there is septum deviation along with concha hypertrophy, nasal congestion becomes more obvious. The most common cause of concha hypertrophy is allergy. Among other causes, there are chronic sinusitis, smoking, inhalation of chemical gases, air pollution, long - term use of nasal decongestant sprays and drops.
Treatment: First of all, drug treatment is started in concha hypertrophy.
Concha surgery: In this case, the enlarged concha is detracted. Detraction is carried out by different methods:
The final decision for these methods varies according to the doctors choice and the condition of concha.
Tampons or silicones can be placed into the nose for one or two days in order to reduce bleeding after concha surgery. There can be nasal congestion due to nose swelling, peeling, increase and condensation of nasal discharge in the first week after concha surgery. The result of the treatment appears within 6 – 8 weeks. Therefore, the elimination of nasal congestion shouldnt be expected in the early period.