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Massive concha bullosa with secondary maxillary sinusitis.
Joong Seob Lee1, Il Ju Ko, Han Dong Kang
1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Hallym University, Seoul, Korea.
Clinical and Experimental Otorhinolaryngology
|May 13, 2009
Summary
A rare case of maxillary sinusitis caused by a large concha bullosa is presented. This anatomical variation of the middle turbinate led to significant nasal symptoms and required surgical intervention for drainage.
Area of Science:
- Otolaryngology
- Anatomy
- Pathology
Background:
- Concha bullosa, an anatomical variation of the middle turbinate, is common.
- Sinusitis secondary to concha bullosa is considered rare.
Purpose of the Study:
- To report a rare case of massive concha bullosa leading to secondary maxillary sinusitis.
- To highlight the clinical presentation and management of this condition.
Main Methods:
- A 52-year-old woman with nasal obstruction and posterior nasal drip was evaluated.
- Computed tomography and nasal cavity examination identified septal deviation, massive concha bullosa, and right maxillary sinusitis.
- Surgical removal of the lateral lamella of the affected turbinate and drainage of inspissated material were performed.
Main Results:
- Histopathology of the concha bullosa revealed bacterial colonies within a mucus plug.
- The patient presented with symptoms attributed to the concha bullosa and secondary sinusitis.
Conclusions:
- Massive concha bullosa can be a cause of secondary maxillary sinusitis.
- Prompt diagnosis and surgical management are crucial for symptom relief.
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