If there is a concha bullosa, the lateral half of the turbinate can be resected. This can be done by incising the anterior surface with a sickle knife and then removing the lateral portion by cutting it free with microscissors or with straight through-cutting forceps (Fig. 5.90 a-c).
Occasionally a concha bullosa restricts access when only an infundibulotomy is required. A minimally traumatic technique is to gently crush the turbinate; this preserves the olfactory mucosa and there is no bleeding, so patients can go home the same day.
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