Clin Exp Otorhinolaryngol.  2008 Dec;1(4):221-223.

Massive Concha Bullosa with Secondary Maxillary Sinusitis

• Lee JS
• Ko IJ
• Kang HD
• Lee HS

Abstract

Concha bullosa is a common anatomic variation of the middle turbinate; however, sinusitis secondary to the concha bullosa is rare. A 52-yr-old woman presented with nasal obstruction and posterior nasal drip. Computed tomography and examination of the nasal cavity revealed septal deviation on the left side, and a massive concha bullosa and maxillary sinusitis on the right side. The lateral lamella of the affected turbinate was removed and the inspissated material was drained. Histopathologic examination of the excised lesion in the concha bullosa revealed bacterial colonies in the mucus plug. We report here on a massive concha bullosa with secondary maxillary sinusitis.

Keyword

Massive concha bullosa; Sinusitis

MeSH Terms

Anatomic Variation
Female
Humans
Maxillary Sinus
Maxillary Sinusitis
Mucus
Nasal Cavity
Nasal Obstruction
Sinusitis
Turbinates

Figure

• 

  Fig. 1 Coronal & Axial CT of the paranasal sinus shows the right huge concha bullosa and maxillary sinusitis.

• 

  Fig. 2 Preoperative finding: telescopic view (0°, 4 mm) of the right nasal cavity shows the huge concha bullosa of the middle turbinate. Intraoperative finding: after resection of lateral lamella of the concha bullosa, telescopic view (0°, 4 mm) shows that it is filled with yellowish, inspissated material.

Reference

1. Bahadir O, Imamoglu M, Bektas D. Massive concha bullosa pyocele with orbital extention. Auris Nasus Larynx. 2006; 6. 33(2):195–198. PMID: 16388925.

2. Stammberger H. Functional endoscopic sinus surgery: the messerklinger technique. 1991. Philadelphia: B.C. Decker;p. 162.

3. Stallman JS, Lobo JN, Som PM. The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol. 2004; 10. 25(9):1613–1618. PMID: 15502150.

4. Yousem DM. Imaging of sinonasal inflammatory disease. Radiology. 1993; 8. 188(2):303–314. PMID: 8327669.

5. Uygur K, Tuz M, Dogru H. The correlation between septal deviation and concha bullosa. Otolaryngol Head Neck Surg. 2003; 7. 129(1):33–36. PMID: 12869913.