Medial Laminectomy of the Large Concha Bullosa in Crooked Nose

Crooked or deviated nose is one that varies from the straight vertical orientation of the face. Crooked nose is associated with nasal obstruction, sinus headaches and sinus infections. It is essential the external nasal frame, and the internal nasal structures such as nasal valve, and turbinates in crooked nose.1,2 Middle turbinate pneumatization or concha bullosa (CB) is one of the most common anatomical variations of the middle meatus.3 It has been reported that there is a relationship between septum deviation (SD) and CB in the literature.4 Therefore, there is a relationship between crooked nose and CB, too and because of that, intervention for the concha is important in crooked nose cases. There are many methods have been described for the surgical treatment of the CB: crushing, turbinoplasty and partial resection. Partial resection methods are medial and lateral laminectomy.5 The aim of the medial laminectomy of the large CB technique in the crooked nose is the prevention of contact of medial lamina of the middle turbinate and ethmoid perpendicula plate, and the nasal axis deviation in the postoperative period.