The fact that the ternary operator is an expression, not a statement, allows it to be used in macro expansions for function-like macros that are used as part of an expression. Const may not have been part of original C, but the macro pre-processor goes way back.
One place where I've seen it used is in an array package that used macros for bound-checked array accesses. The syntax for a checked reference was something like aref(arrayname, type, index), where arrayname was actually a pointer to a struct that included the array bounds and an unsigned char array for the data, type was the actual type of the data, and index was the index. The expansion of this was quite hairy (and I'm not going to do it from memory), but it used some ternary operators to do the bound checking.
You can't do this as a function call in C because of the need for polymorphism of the returned object. So a macro was needed to do the type casting in the expression.
In C++ you could do this as a templated overloaded function call (probably for operator[]), but C doesn't have such features.
Edit: Here's the example I was talking about, from the Berkeley CAD array package (glu 1.4 edition). The documentation of the array_fetch usage is:
type
array_fetch(type, array, position)
typeof type;
array_t *array;
int position;
Fetch an element from an array. A
runtime error occurs on an attempt to
reference outside the bounds of the
array. There is no type-checking
that the value at the given position
is actually of the type used when
dereferencing the array.
and here is the macro defintion of array_fetch (note the use of the ternary operator and the comma sequencing operator to execute all the subexpressions with the right values in the right order as part of a single expression):
#define array_fetch(type, a, i) \
(array_global_index = (i), \
(array_global_index >= (a)->num) ? array_abort((a),1) : 0,\
*((type *) ((a)->space + array_global_index * (a)->obj_size)))
The expansion for array_insert ( which grows the array if necessary, like a C++ vector) is even hairier, involving multiple nested ternary operators.