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Concha Bullosa Mucopyocele: a Case Report
Kamran Sari1, Zeliha Kapusuz Gencer2, Yunus Kantekin2
1Bozok University School of Medicine, Ear Nose & Throat Department, Yozgat, Turkey. kamransari@gmail.com.
Acta Medica (Hradec Kralove)
|March 11, 2016
Summary
A concha bullosa (CB) mucopyocele, though rare, can cause nasal obstruction and headache. This case highlights the importance of considering CB mucopyoceles in patients with nasal masses.
Area of Science:
- Otolaryngology
- Rhinology
- Medical Imaging
Background:
- Concha bullosa (CB) is a common sinonasal anatomical variation.
- CB is typically asymptomatic but can lead to nasal obstruction or headache.
- Obstruction of mucociliary transport can result in mucoceles or mucopyoceles.
Observation:
- A 48-year-old female presented with progressive headache and nasal obstruction.
- Paranasal sinus tomography identified a left nasal mass, suspected to be a mucopyocele within the middle turbinate.
- The mass was aspirated, and the affected turbinate portion was resected under general anesthesia.
Findings:
- A rare case of a mucopyocele arising from a concha bullosa was diagnosed.
- Surgical intervention successfully removed the purulent material and resected the involved turbinate.
Implications:
- Mucopyoceles within concha bullosa are uncommon but should be considered in differential diagnoses.
- This case underscores the need for thorough evaluation of nasal masses, especially when associated with sinonasal variations.
- Early diagnosis and management are crucial for alleviating symptoms and preventing complications.
