Research Article
BibTex RIS Cite

Concha Bullosa as a Cause of Rhinological Halitosis

Year 2023, Volume: 33 Issue: 4, 123 - 127, 31.12.2023

Eren Yılmaz Mustafa Caner Kesimli İbrahim Yağcı Aytuğ Altundağ

https://doi.org/10.26650/Tr-ENT.2023.1344644

Abstract

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.

Keywords

Halitosis concha bullosa VOCs oral chroma methyl mercaptan

References

  • 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
  • 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
  • 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
  • Tangerman A. Halitosis in medicine: a review. Int Dent J. 2002;52 Suppl 3:201-6. google scholar
  • 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
  • Tangerman A, Winkel EG. Extra-oral halitosis: an overview. J Breath Res 2010;4(1):017003. google scholar
  • 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
  • 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
  • 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
  • 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
  • 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
  • Stammberger H, Wolf G. Headaches and sinus disease: the endoscopic approach. Ann Otol Rhinol Laryngol Suppl 1988;134:3-23. google scholar
  • 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
  • Elmassry MM, Piechulla B. Volatilomes of bacterial ınfections in humans. Front Neurosci 2020;14:257. google scholar
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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

Year 2023, Volume: 33 Issue: 4, 123 - 127, 31.12.2023

Eren Yılmaz Mustafa Caner Kesimli İbrahim Yağcı Aytuğ Altundağ

https://doi.org/10.26650/Tr-ENT.2023.1344644

Abstract

References

  • 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
  • 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
  • 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
  • Tangerman A. Halitosis in medicine: a review. Int Dent J. 2002;52 Suppl 3:201-6. google scholar
  • 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
  • Tangerman A, Winkel EG. Extra-oral halitosis: an overview. J Breath Res 2010;4(1):017003. google scholar
  • 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
  • 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
  • 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
  • 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
  • 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
  • Stammberger H, Wolf G. Headaches and sinus disease: the endoscopic approach. Ann Otol Rhinol Laryngol Suppl 1988;134:3-23. google scholar
  • 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
  • Elmassry MM, Piechulla B. Volatilomes of bacterial ınfections in humans. Front Neurosci 2020;14:257. google scholar
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
There are 20 citations in total.

Details

Primary Language English
Subjects Otorhinolaryngology
Journal Section Research Articles
Authors

Eren Yılmaz 0000-0002-5349-9699

Mustafa Caner Kesimli 0000-0003-1675-0394

İbrahim Yağcı 0000-0003-0755-2695

Aytuğ Altundağ 0000-0003-0794-5050

Publication Date December 31, 2023
Submission Date August 17, 2023
Published in Issue Year 2023 Volume: 33 Issue: 4

Cite

APA Yılmaz, E., Kesimli, M. C., Yağcı, İ., Altundağ, A. (2023). Concha Bullosa as a Cause of Rhinological Halitosis. The Turkish Journal of Ear Nose and Throat, 33(4), 123-127. https://doi.org/10.26650/Tr-ENT.2023.1344644
AMA Yılmaz E, Kesimli MC, Yağcı İ, Altundağ A. Concha Bullosa as a Cause of Rhinological Halitosis. Tr-ENT. December 2023;33(4):123-127. doi:10.26650/Tr-ENT.2023.1344644
Chicago Yılmaz, Eren, Mustafa Caner Kesimli, İbrahim Yağcı, and Aytuğ Altundağ. “Concha Bullosa As a Cause of Rhinological Halitosis”. The Turkish Journal of Ear Nose and Throat 33, no. 4 (December 2023): 123-27. https://doi.org/10.26650/Tr-ENT.2023.1344644.
EndNote Yılmaz E, Kesimli MC, Yağcı İ, Altundağ A (December 1, 2023) Concha Bullosa as a Cause of Rhinological Halitosis. The Turkish Journal of Ear Nose and Throat 33 4 123–127.
IEEE E. Yılmaz, M. C. Kesimli, İ. Yağcı, and A. Altundağ, “Concha Bullosa as a Cause of Rhinological Halitosis”, Tr-ENT, vol. 33, no. 4, pp. 123–127, 2023, doi: 10.26650/Tr-ENT.2023.1344644.
ISNAD Yılmaz, Eren et al. “Concha Bullosa As a Cause of Rhinological Halitosis”. The Turkish Journal of Ear Nose and Throat 33/4 (December 2023), 123-127. https://doi.org/10.26650/Tr-ENT.2023.1344644.
JAMA Yılmaz E, Kesimli MC, Yağcı İ, Altundağ A. Concha Bullosa as a Cause of Rhinological Halitosis. Tr-ENT. 2023;33:123–127.
MLA Yılmaz, Eren et al. “Concha Bullosa As a Cause of Rhinological Halitosis”. The Turkish Journal of Ear Nose and Throat, vol. 33, no. 4, 2023, pp. 123-7, doi:10.26650/Tr-ENT.2023.1344644.
Vancouver Yılmaz E, Kesimli MC, Yağcı İ, Altundağ A. Concha Bullosa as a Cause of Rhinological Halitosis. Tr-ENT. 2023;33(4):123-7.
 Download Cover Image