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Massive Concha Bullosa with Secondary Maxillary Sinusitis

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초록

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.

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.

참고문헌 (5)

  1. Bahadir O, "Massive concha bullosa pyocele with orbital extention", Auris Nasus Larynx, 33(2), pp.195~198 (2006)
  2. Stammberger H, "Functional endoscopic sinus surgery: the messerklinger technique", pp.162~ (1991), B.C. Decker
  3. Stallman JS, "The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease", AJNR Am J Neuroradiol, 25(9), pp.1613~1618 (2004)
  4. Yousem DM, "Imaging of sinonasal inflammatory disease", Radiology, 188(2), pp.303~314 (1993)
  5. Uygur K, "The correlation between septal deviation and concha bullosa", Otolaryngol Head Neck Surg, 129(1), pp.33~36 (2003)

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