Abstract
“Concha bullosa” is the term used for pneumatized or air cell-containing middle turbinate. It is usually asymptomatic. However, depending on its size, contact with the nasal septum and infringement to the ostio-meatal complex, it may cause nasal obstruction and sinusitis. Rarely, it turns into a “pyocele”. Giant or extensive concha bullosa is seen as an enlarged portion of middle turbinate. It is diagnosed through paranasal computarized tomography. Endoscopic partial medial resection of the enlarged turbinate is sufficient for its surgical treatment. We herewith present a case with extensive concha bullosa, which transformed into a pyocele and extended to the nasal vestibule. It had caused total nasal obstruction and complicated with the sinusitis on the same side.
Keywords
References
- Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalites: CT analysis for endoscopic sinus surgery. Laryncoscope 1991; 101: 56-64.
- Uygur K, Tüz M, Doğru H. The correlation between septal deviation and concha bullosa. Otolaryngol Head Neck Surg 2003; 129: 33-6.
- Hatipoğlu HG, Cetin MA, Yüksel E. Concha bullosa types: Their relationship with sinusitis, ostiomeatal and frontal recess disease. Diagn Interv Radiol 2005; 11: 145-9.
- Kantarci M, Karasen RM, Alper F, Onbas O, Okur A, Karaman A. Remarkable anatomic variations in paranasal sinus region and their clinical importance. Eur J Radiol 2004; 50: 296-302.
- Caughey RJ, Jameson MJ, Gross CW, Han JK. Anatomic risk factors for sinus disease: Fact or fiction? Am J Rhinol 2005; 19: 334-9.
- Bahadir O, Imamoglu M, Bektas D. Massive concha bullosa pyocele with obital extention. Auris Nasus Larynx 2006; 33: 195-8.
- Eyibilen A. A case of concha bullosa pyocele leading to complete occlusion of the nasal passage. Kulak Burun Bogaz Ihtis Derg 2001; 8: 332-4.
- Stammberger H. Fonctional endoscopic sinus surgery, the Messerklinger technique. Philadelphia: B. C Decker; 1991: 156-68.
- Uzun L, Savranlar A. Orta konka pnömatizasyonu; 140 vakalık serinin bilgisayarlı tomografi ile incelenmesi. Kulak Burun Bogaz ve Bas Boyun Cerrahisi Dergisi 2004; 12: 54-8.
- Unlü HH, Akyar S, Caylan R, Nalça Y. Concha bullosa. J Otolaryngol 1994; 23: 23Kayalioglu G, Oyar O, Govsa F: Nasal cavity and paranasal sinus bony variations: A computed tomographic study, Rhinology 2000; 38: 108-13.
- Abdel-Aziz M. Mucopyocele of concha bullosa presenting as a large nasal mass. J Craniofac surg 2011; 22: 1141-2
- Okuyucu S, Akoğlu E, Dağlı AS. Concha bullosa pyecele. Eur Arch Otorhinolaryngol 2008; 265: 373-5.
- Yuca K, Kiris M, Kiroglu AF, Bayram I, Cankaya H. A case of concha pyocele (concha bullosa mucocele) mimicking intranasal mass. B-ENT 2008; 4: 25-7. Keleş B, Celik H, Aydin E. A case of concha bullosa pyocele Kulak Burun Bogaz Ihtis Derg 2007; 17: 239-41.
Abstract
Konka bülloza,havalanmış (pnömatize) veya içinde bir havalı hücre bulunan orta konka için
kullanılan bir terimdir. Genellikle asemptomatik olmakla birlikte pnömatizasyonun büyüklüğüne
ve nazal septumla olan ilişkisine göre burun tıkanıklığı semptomları verebilir ve ostiomeatal
komplekse bası oluşturmakta ise tikanmasina neden olarak sinüzite yol açabilir. Piyosele
dönüşmesi nadirdir. Dev konka bülloza endoskopİk muayenede orta konkanin genişlemiş bir
bölümü olarak görülür. Konka bülloza kesin tanısı paranazal sinus bilgisayarlı tomografisi (BT) ile
koyulur. Tedavisinde endoskopik olarak orta konkanın lateral parsiyel rezeksiyonu yeterli ve
minimal invazif bir yöntemdir. Bu yazıda sağ nazal pasajı tamamen tıkayan ve nazal vestibüle
kadar uzanım gösteren ve aynı tarafta sinüzite yol açan tek taraflı dev konka bülloza piyoseli
olgusu sunulmuştur
Keywords
References
- Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalites: CT analysis for endoscopic sinus surgery. Laryncoscope 1991; 101: 56-64.
- Uygur K, Tüz M, Doğru H. The correlation between septal deviation and concha bullosa. Otolaryngol Head Neck Surg 2003; 129: 33-6.
- Hatipoğlu HG, Cetin MA, Yüksel E. Concha bullosa types: Their relationship with sinusitis, ostiomeatal and frontal recess disease. Diagn Interv Radiol 2005; 11: 145-9.
- Kantarci M, Karasen RM, Alper F, Onbas O, Okur A, Karaman A. Remarkable anatomic variations in paranasal sinus region and their clinical importance. Eur J Radiol 2004; 50: 296-302.
- Caughey RJ, Jameson MJ, Gross CW, Han JK. Anatomic risk factors for sinus disease: Fact or fiction? Am J Rhinol 2005; 19: 334-9.
- Bahadir O, Imamoglu M, Bektas D. Massive concha bullosa pyocele with obital extention. Auris Nasus Larynx 2006; 33: 195-8.
- Eyibilen A. A case of concha bullosa pyocele leading to complete occlusion of the nasal passage. Kulak Burun Bogaz Ihtis Derg 2001; 8: 332-4.
- Stammberger H. Fonctional endoscopic sinus surgery, the Messerklinger technique. Philadelphia: B. C Decker; 1991: 156-68.
- Uzun L, Savranlar A. Orta konka pnömatizasyonu; 140 vakalık serinin bilgisayarlı tomografi ile incelenmesi. Kulak Burun Bogaz ve Bas Boyun Cerrahisi Dergisi 2004; 12: 54-8.
- Unlü HH, Akyar S, Caylan R, Nalça Y. Concha bullosa. J Otolaryngol 1994; 23: 23Kayalioglu G, Oyar O, Govsa F: Nasal cavity and paranasal sinus bony variations: A computed tomographic study, Rhinology 2000; 38: 108-13.
- Abdel-Aziz M. Mucopyocele of concha bullosa presenting as a large nasal mass. J Craniofac surg 2011; 22: 1141-2
- Okuyucu S, Akoğlu E, Dağlı AS. Concha bullosa pyecele. Eur Arch Otorhinolaryngol 2008; 265: 373-5.
- Yuca K, Kiris M, Kiroglu AF, Bayram I, Cankaya H. A case of concha pyocele (concha bullosa mucocele) mimicking intranasal mass. B-ENT 2008; 4: 25-7. Keleş B, Celik H, Aydin E. A case of concha bullosa pyocele Kulak Burun Bogaz Ihtis Derg 2007; 17: 239-41.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | June 27, 2014 |
| Published in Issue | Year 2014Volume: 36 Issue: 2 |