Case study of double concha bullosa in the middle turbinate

The turbinates are crucial structures in nasal anatomy, serving multiple functions such as humidification, filtration, and thermoregulation of inhaled air. Turbinate bullosa most commonly affects the middle turbinate, characterized by pneumatization of the turbinate bone leading to swelling. It represents an anatomical variation that can impact turbinate function. Understanding this condition is essential due to its increasing incidence and potential effects on nasal health. We present the case of a 46-year-old female who complained of snoring, sleep disturbances, and intermittent alternating nasal obstruction. During her evaluation, an incidental finding of double turbinate bullosa was discovered. Double turbinate bullosa is a rare anatomical variant. Its effect on nasal airflow and function may lead to significant clinical symptoms. This case highlights the importance of recognizing turbinate bullosa and its variants to better understand their prevalence and clinical impact. Given the rising incidence of turbinate bullosa, further investigation into its implications for nasal function and overall health is warranted. Greater awareness among clinicians can improve diagnosis and treatment strategies for affected patients. A thorough clinical evaluation was conducted, including a detailed medical history and physical examination. Fiberoptic endoscopic examination revealed bilateral hypertrophic inferior turbinates, thick nasal secretions, and a deviated septum to the left side. Following the initial assessment, the patient was treated for an upper respiratory tract infection with antibiotics and intranasal corticosteroids for her allergic rhinitis. She was also advised to quit smoking. After resolution of the respiratory infection, a computed tomography (CT) scan was performed to further evaluate the nasal anatomy. The CT scan revealed mild left nasal septal deviation and an incidental finding of double turbinate bullosa on the right side. This work has been reported in accordance with the SCARE (Surgical CAse REport) criteria to ensure transparency and standardization in case reporting.