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. 2008 Dec;1(4):221-3.
doi: 10.3342/ceo.2008.1.4.221. Epub 2008 Dec 26.

Massive concha bullosa with secondary maxillary sinusitis

Joong Seob Lee  1 , Il Ju Ko, Han Dong Kang, Hun Suk Lee
Affiliations

Massive concha bullosa with secondary maxillary sinusitis

Joong Seob Lee et al. Clin Exp Otorhinolaryngol. 2008 Dec.

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.

Keywords: Massive concha bullosa; Sinusitis.

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Figures

Fig. 1
Fig. 1
Coronal & Axial CT of the paranasal sinus shows the right huge concha bullosa and maxillary sinusitis.
Fig. 2
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.
See this image and copyright information in PMC

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