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Huge Concha Bullosa and Septal Perforation: A Case Study
Shohreh Norouzi1, Seyyed Mohammad Tabibzadeh1, Milad Zarei1
1Department of Otolaryngology - Head and Neck Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.
A large concha bullosa (a nasal cavity variation) may cause nasal septal perforation, leading to symptoms like nasal obstruction. This rare complication requires awareness in clinical practice.
Area of Science:
- Otolaryngology
- Anatomy
- Pathophysiology
Background:
- Concha bullosa is a common nasal anatomical variation that can cause sinonasal symptoms.
- Septal perforation is a nasal septum defect typically caused by trauma, with no prior reported cases linked to concha bullosa.
Observation:
- A 15-year-old female presented with chronic nasal obstruction due to a large right concha bullosa.
- The concha bullosa had caused a perforation of the nasal septum.
- The patient had no history of nasal surgery, substance abuse, or prolonged nasal spray use.
Findings:
- Endoscopic surgery successfully resolved the patient's symptoms.
- The perforation was attributed to mechanical pressure from the concha bullosa, potentially causing chondrocyte apoptosis.
- Tests for tuberculosis, Wegener's granulomatosis, and malignancy were negative.
Implications:
- This case highlights an uncommon but possible complication of concha bullosa: nasal septal perforation.
- Clinicians should consider the potential for septal perforation in patients with concha bullosa, especially before surgical intervention.
- Increased awareness can improve diagnosis and management of this rare condition.
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