I have a nasal deviation with nasal septal spur and bilateral concha bullosa and bilateral onodi cell. Options? (photos)

I would say your options all depend on your symptoms.  If no symptoms, then no need for surgical intervention. If your major symptom is problems breathing, then correcting your septum and also performing concha bullectomy would help improve your breathing status.  If you have issues with facial pain or pressure, performing sinus surgery could help although quite honestly I think your CT scan of the sinuses is fairly clear.  Hope this helps!