scholarly journals Concha bullosa and the nasal middle meatus obstructive syndrome

2008 ◽  
Vol 65 (3) ◽  
pp. 255-258 ◽  
Author(s):  
Aleksandar Peric ◽  
Jelena Sotirovic ◽  
Nenad Baletic ◽  
Ruzica Kozomara ◽  
Dusan Bijelic ◽  
...  
Keyword(s):  
Nasal Cavity ◽  
Anatomic Variation ◽  
Middle Turbinate ◽  
Common Symptom ◽  
Middle Meatus ◽  
Concha Bullosa ◽  
Nasal Breathing ◽  
Nasal Cycle ◽  
Important Symptom ◽  
The Right

Background. Concha bullosa (CB) is pneumatization of the middle turbinate and one of the most common anatomic variation of the sinonasal region. It is found in about 25% of the population. Middle meatus obstructive syndrome (MMOS) is, usually connected with CB. The main symptoms of this syndrome are headaches, impaired nasal breathing and hyposmia. Headache is the most common symptom and it may occur due to contact between a CB and other structures of the nasal cavity. Case report. We presented a case of 32 year-old-woman with headaches, located in the orbital and the left frontal region. The headaches were intermittent and corresponding to the nasal cycle. After neurologic and alergic examination, endoscopic nasal examination demonstrated a septal deviation to the right side and a large middle turbinate in the left side of the nasal cavity. Coronal computerized tomography (CT) of the paranasal sinuses demonstrated the septal deformation and pneumatization of the left middle turbinate. Diagnosis was confirmed by lidocaine test. In the functional endoscopic surgery (FESS), the lateral lamela of the anterior CB was removed. At the same time, the septoplasty was done. At the control examination, the patient was without symptoms. Conclusion. Although CB is the common anatomic variation of the nasal cavity, MMOS is rare. Headache (rhinogenic origin) is the most important symptom. Surgical treatment is the lateral resection of the CB in the FESS technique and the septoplasty.

scholarly journals Nasal leiomyoma

2009 ◽  
Vol 48 (173) ◽  
Author(s):  
Urmila Gurung ◽  
B Gurung ◽  
A Jha
Keyword(s):  
Smooth Muscle ◽  
Nasal Cavity ◽  
Benign Tumor ◽  
Middle Turbinate ◽  
Good Prognosis ◽  
Middle Meatus ◽  
Rare Entity ◽  
Endoscopic Excision ◽  
Nasal Symptoms ◽  
The Right

Leiomyoma is a benign tumor showing smooth muscle differentiation. Leiomyoma in the nasal cavity is a rare entity which can present with common nasal symptoms. We report a case of 19 years old male patient with nasal leiomyoma. The patient presented with recurrent episodes of nasal obstruction and epistaxis. On nasoendoscopy, there was a single grayish polypoidal mass in the right middle meatus which bled on touch. CT-scan of nose and paranasal sinus showed homogenous opacity indistinguishable from the right middle turbinate. The mass was excised endoscopically. There is no recurrence a year after the endoscopic excision of the nasal leiomyoma. Nasal leiomyoma carries a good prognosis after complete excision.Key words: endoscopic excision, leiomyoma, nasal cavity

scholarly journals Large Doubly Septated Concha Bullosa: An Unusual Anatomic Variation

2009 ◽  
Vol 52 (3) ◽  
pp. 129-131 ◽  
Author(s):  
Aleksandar Perić ◽  
Svjetlana Matković-Jožin ◽  
Nenad Baletić
Keyword(s):  
Nasal Obstruction ◽  
Rare Case ◽  
Anatomic Variation ◽  
Middle Turbinate ◽  
Lateral Nasal Wall ◽  
Middle Meatus ◽  
Anatomic Variations ◽  
Concha Bullosa ◽  
Frontal Recess ◽  
Different Sources

Partial or total pneumatization of the middle turbinate is called concha bullosa. It’s one of the most common anatomic variations of the lateral nasal wall. The exact reason of such pneumatization is not known. It can originate from the frontal recess, middle meatus, sinus lateralis or, less frequently, from the posterior ethmoid cells. Concha bullosa remains usually asymptomatic. However, an extensively pneumatized middle turbinate may constitute space-occupying mass, and thus, it may cause nasal obstruction. We report an extremely rare case of a patient with a large, doubly septated concha bullosa with four different sources of aeration.

scholarly journals Concha Bullosa in Paradoxical Middle Turbinate: A New Variation

2016 ◽  
Vol 9 (3) ◽  
pp. 141-142 ◽  
Author(s):  
Mohammad W El-Anwar ◽  
Ahmed I Ali
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Laboratory Tests ◽  
Anatomic Variation ◽  
Middle Turbinate ◽  
Anatomic Variations ◽  
Concha Bullosa ◽  
Normal Limits ◽  
Osteomeatal Complex ◽  
The Right

ABSTRACT Introduction Concha bullosa is the most common anatomic variation of osteomeatal complex region that is generally seen in the middle turbinate (MT). Materials and methods A 25-year-old male presented with headache and nasal obstruction. Computed tomography (CT) scan documented right paradoxical MT. The right MT also showed aerated concha bullosa with narrow right osteomeatal area. Routine preoperative laboratory tests were within normal limits. Results This case of concha bullosa in paradoxically bent MT was reported, described, and could be safely managed endoscopically. Patient was symptom free up to date without any complication, recurrence, or other pathology. Conclusion Computed tomography may easily identify such uncommon anatomic variations of the osteomeatal region. This directs the surgeon attention to these variations as a cause of headache and osteomeatal area obstruction. How to cite this article El-Anwar MW, Ali AI. Concha Bullosa in Paradoxical Middle Turbinate: A New Variation. Clin Rhinol An Int J 2016;9(3):141-142.

scholarly journals Two Rhinoliths in a Single Nasal Cavity in an Elderly Patient Mimicking Fungal Sinusitis

2014 ◽  
Vol 7 (2) ◽  
pp. 76-79
Author(s):  
Vishal Prasad ◽  
Chandrakala Srinivas ◽  
Sheetal Krishnappa ◽  
Suresh T Narayan Rao ◽  
Harshitha T Rajanna
Keyword(s):  
Elderly Patient ◽  
Differential Diagnosis ◽  
Nasal Cavity ◽  
Histopathological Examination ◽  
Middle Turbinate ◽  
The Elderly ◽  
Nasal Discharge ◽  
Fungal Sinusitis ◽  
Nasal Mass ◽  
The Right

ABSTRACT Objective To highlight an interesting and a rare case of two rhinoliths in a single nasal cavity of an elderly male patient, mimicking fungal sinusitis or malignancy. To emphasize that rhinolith has to be considered in the differential diagnosis of unilateral nasal mass even in the elderly. Case report A 55-year-old man presented with a right-sided nasal obstruction, foul-smelling nasal discharge and a mass in the right nasal cavity of 6 months duration. Endoscopic examination revealed a gritty, blackish brown mass filling the entire right nasal cavity. A clinical differential diagnosis of malignancy or fungal sinusitis was made. CT scan of paranasal sinus was suggestive of fungal sinusitis following which patient was posted for biopsy. Intraoperatively, patient was found to have two separate masses in the right nasal cavity which were removed. We found a septal perforation adjoining the area where the rhinolith was impacted, with septum pushed laterally and adherent to middle turbinate. However, there were no features suggestive of malignancy. Histopathological examination also ruled out malignancy and confirmed a vegetable foreign body with calcification around an acellular material. Conclusion Rhinolith, though rare should be considered in the differential diagnosis of unilateral nasal mass in the elderly. How to cite this article Prasad V, Srinivas C, Krishnappa S, Rao STN, Rajanna HT. Two Rhinoliths in a single nasal Cavity in an Elderly Patient Mimicking fungal sinusitis. Clin Rhinol An Int J 2014;7(2):76-79.

scholarly journals Significance of accessory opening of maxillary air sinus

2020 ◽  
Vol 11 (4) ◽  
pp. 5980-5984
Author(s):  
Shashikant Mane ◽  
Ashwini Desai ◽  
Rajiv Desai ◽  
Priya Roy
Keyword(s):  
Nasal Cavity ◽  
Average Diameter ◽  
Middle Meatus ◽  
Natural Orifice ◽  
High Significance ◽  
Endoscopic Procedures ◽  
Exact Position ◽  
Typical Shape ◽  
The Right

Maxillary air sinus opens in hiatus semilunaris of middle meatus of the nasal cavity. Drainage of sinus should happen through a natural orifice. That is mandatory because there are cases where there is an additional opening of sinus posterior to the hiatus semilunaris. In this case, there may be recirculation of mucus between natural and accessory opening leading to complications and recurrence of the patient’s problem during various endoscopic procedures. So noting this high significance of accessory opening, the present study was conducted. Total of 50 specimens (27 were from the right side, and 23 were from the left side) was studied. Presence of accessory opening of maxillary air sinus was noted. Position of the opening was noted. The shape of the opening was noted. The diameter of the accessory opening was measured using Sliding Vernier Caliper. Observations on the above parameters show the accessory opening of maxillary air sinus was present in 21 specimens out of a total of 50 specimens (42%). Typical Shape of the opening on the left side was Circular and on the right side was Oval. The average diameter of the opening on the right side was 24mm and on the left side was 46mm. So definitely significance of the accessory opening of maxillary air sinus was found. That’s why surgeons, especially, Otorhinolaryngologists, should note and explore the exact position of the accessory opening of maxillary air sinus, during various sinus surgeries.

scholarly journals Cavernous hemangioma of left nasal meatus

2019 ◽  
Vol 5 (4) ◽  
pp. 1115
Author(s):  
Anil Hanakere Thimmaiah ◽  
Smitha Soubhagya Gangaraj ◽  
Thara Rachel Paul
Keyword(s):  
Nasal Cavity ◽  
Cavernous Hemangioma ◽  
Middle Turbinate ◽  
Inferior Turbinate ◽  
Benign Tumors ◽  
Antrochoanal Polyp ◽  
Middle Meatus ◽  
Left Nasal Cavity ◽  
Left Middle ◽  
Skin Mucosa

<p class="abstract">Hemangiomas are benign accumulations of blood vessels which occur in any tissue that includes vascular components like skin, mucosa, muscles, glands and bones. Hemangiomas arising in the nose are rare and account for less than 20% of all benign tumors of nose. They usually arise from inferior turbinate, middle turbinate and vomer. We present a case of cavernous hemangioma of left nasal cavity arising from mucosa of left middle meatus mimicking an antrochoanal polyp. Hemangiomas arising from middle meatus are extremely rare and to our knowledge this is the second case reported in literature.</p><p> </p>

scholarly journals Myoepithelioma of the Nasal Cavity

2015 ◽  
Vol 8 (2) ◽  
pp. 89-91
Author(s):  
D Ramesh ◽  
Grace Corrine Khong ◽  
V Sumathi
Keyword(s):  
Early Detection ◽  
Nasal Cavity ◽  
Salivary Glands ◽  
Nasal Obstruction ◽  
Histopathological Examination ◽  
Middle Meatus ◽  
Rare Tumor ◽  
Endoscopic Excision ◽  
Resected Tumor ◽  
The Right

ABSTRACT Myoepithelioma is a rare tumor of the salivary glands. Only three cases of myoepithelioma in the nasal cavity have been reported. A 29-year-old male presented to us with epistaxis and nasal obstruction. There was a fleshy mass occupying the right middle meatus. Biopsy showed evidence of myoepithelioma and an endoscopic excision of the tumor was done. Histopathological examination of the resected tumor was consistent with myoepithelioma. Due to its rarity, the nature of the tumor is not known and regular follow-ups are needed for early detection of recurrence and malignancy. How to cite this article Ramesh D, Khong GC, Sumathi V. Myoepithelioma of the Nasal Cavity. Clin Rhinol An Int J 2015;8(2):89-91.

scholarly journals Triple-Divided Concha Bullosa: A New Anatomic Variation

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Turhan San ◽  
Barış Erdoğan ◽  
Bülent Taşel
Keyword(s):  
Computed Tomography ◽  
Paranasal Sinus ◽  
Imaging Techniques ◽  
Anatomic Variation ◽  
Middle Turbinate ◽  
Anatomical Variations ◽  
Concha Bullosa ◽  
Paranasal Sinus Computed Tomography

In recent years, with the widespread use of imaging techniques such as paranasal sinus computed tomography (CT), many variations of nasal turbinates have been described. One of these variations known as concha bullosa (CB) is pneumatization of nasal turbinates. CB is the most frequently encountered anatomical variations of the middle turbinate. The term of septated concha bullosa has been described recently and it is an uncommon pneumatization anomaly of the middle turbinate. There has not been any study that correlates the number of septations and the presence of sinonasal pathologies. We hereby present a case of triple septated concha bullosa that has not been reported so far.

scholarly journals RIGID NASAL ENDOSCOPY; EFFICACY IN SINONASAL PATHOLOGIES

1969 ◽  
Vol 4 (2) ◽  
pp. 483-486
Author(s):  
ADNAN ◽  
IHSANULLAH ◽  
MIRBACHA ◽  
MAHID IQBAL ◽  
M. JAVAID ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Anatomic Variation ◽  
Nasal Endoscopy ◽  
Atrophic Rhinitis ◽  
Middle Meatus ◽  
Anatomic Variations ◽  
Concha Bullosa ◽  
Nasal Sinus ◽  
Nasopharyngeal Mass ◽  
Nasal Bleed

OBJECTIVE: To evaluate efficacy of nasal endoscopy in diagnosing nasal pathologies.DURATION OF STUDY: 01 November 2013 to 30 Jun 2014STUDY DESIGN: ProspectivePLACE OF STUDY: ENT A Unit Hayatabad Medical Complex, Peshawar, ENT unit Saidu group ofteaching hospitals, swat.MATERIAL & METHODS: Eighty (80) patients were included in the present study, with fifty sixmale and 24 female. They presented with nasal obstruction 54 (67.5%), persistent rhinorrheal6 (20%),Nasal bleed 50 (62.5%), headaches, 18(22.5%) foul breath 6 (7.5%) and olfactory disturbances 7(8.75%). Anatomic variations were found on nasal endoscopy, Concha bullosa 9 (11.25%) was thecommonest anatomic variation followed by enlarged bulla.RESULTS:Enlarged adenoids were found in 3(3.75%) patients, Hypertrophy of posterior end of inferiorturbinate 5 (6.25%)Discharge in middle meatus 12 (15%),Polyps in 9 (11.25%), Nasopharyngeal mass 4(5%), Mass in nasal cavity 7 (8.75%), Posterior spur 11 (13.75%), Angifibroma 3 (3.75%), Nasalsynaechia 4(5%), Antrochonal polyp 3 (3.75%), Inverted papiloma 3 (3.75%), Rhinolith 2 (2.25%),Atrophic rhinitis 3 (3.75%) and Allergic rhinitis 13 (16.25%).CONCLUSION: Nasal endoscopy can find nasal and sinus pathology that might easily be missed withroutine speculum and nasopharyngeal examination. For patients with unexplained nasal sinus symptoms,the general otolaryngologist might consider rigid nasal endoscopic office examination as part of theroutine office examination.KEY WORDS: Nasal Endoscopy, Nasal Pathologies.

EVALUATION OF SUGICAL RESULTS OF SEPTOPLASTY COMBINED WITH PARTIALLY REMOVAL OF MIDDLE CONCHA BULLOSA

2016 ◽  
pp. 25-32
Author(s):  
Trung Kien Pham ◽  
Thanh Thai Le
Keyword(s):  
Key Words ◽  
Treatment Time ◽  
Common Symptom ◽  
Age Group ◽  
Concha Bullosa ◽  
Interventional Study ◽  
Average Treatment ◽  
Functional Symptoms ◽  
Study Results ◽  
The Right

Objective: To survey some results of septoplasty and combined cut partially outside concha bullosa. Patients and Method: The study having population of 36 patients who underwent septoplasty and remove concha bullosa and designed as an prospective, descriptive and interventional study. Results: 16-30 age group is mainly (47.2%). The reason most of them are headache (52.8%), and stuffiness (33.3%). Functional symptoms most common were headache (83.3%), followed by stuffiness (77.8%). Majority is malformed septum (80.6%). 42 concha bullosa on 36 patients including 16 patients only is the left concha bullosa, only 14 patients is the right concha bullosa and 6 patients is the both sides concha bullosa. Concha bullosa size of 1 is mainly, the right is 70% and left is 59.1%. There is a relationship between the level stuffiness and type of malformed septum. Concha bullosa greater is the more headache. The average treatment time is 7 days. 30.6% had complications in surgery. 5.6% had complications after surgery. Almost of patients improved symptoms, 97.2% after 3 months had not headache and stuffiness. The proportion of patients with better treatment was 80.6% and it is increase 91.7% after 3 months. Conclusions: Headache and stuffiness are 2 most common symptom in patients who have concha bullossa and malformed septum, this is also the main reason make patients go to hospital. 2 symptoms improved after septum surgery combined cut outside concha bullosa. Key words: malformed septum, concha bullosa, headache, stuffiness

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