scholarly journals Mucocele of the middle turbinate: A rare entity

2020 ◽  
Vol 10 (38) ◽  
pp. 59-62
Author(s):  
Nitin Gupta ◽  
Madhur Kalia ◽  
Arjun Dass ◽  
Surinder K Singhal
Keyword(s):  
Nasal Obstruction ◽  
Middle Turbinate ◽  
Rare Condition ◽  
Careful Examination ◽  
Concha Bullosa ◽  
Common Site ◽  
Diagnostic Challenge ◽  
Pterygoid Process ◽  
Possible Cause ◽  
Sinus Ostium

AbstractBACKGROUND. Mucocele is a benign expansile cyst-like lesion seen in the paranasal sinuses, which has a tendency to expand and erode the surrounding sinus walls. These mucoceles develop as a result of obstruction of the sinus ostium and superadded infection. As such, the frontoethmoidal area is the most common site, followed by the maxillary sinus and the sphenoid sinus. Rarely, mucocele may also develop in abnormally aerated bones, such as middle turbinate (concha bullosa), clinoid process and pterygoid process.CASE REPORT. We report two infrequent cases of mucocele of concha bullosa, clinically presenting as the cause of nasal obstruction, which were completely removed endoscopically, and patients were symptomatically relieved.CONCLUSION. Mucocele of the middle turbinate represents a diagnostic challenge to surgeons both in terms of symptoms and risk of complications. Therefore, the condition should be considered as a possible cause of progressive nasal obstruction by otolaryngologists, and careful examination of the nasal cavity is necessary to determine the existence of this rare condition.

scholarly journals Evaluation of the Prevalence of Concha Bullosa in Cone-Beam Computed Tomography Images

2020 ◽  
Vol 12 (3) ◽  
pp. 93-96
Author(s):  
Nasim Shams ◽  
Bahareh Shams ◽  
Zahra Sajadi
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Middle Turbinate ◽  
Cone Beam ◽  
P Value ◽  
Concha Bullosa ◽  
Computed Tomography Images ◽  
Significant Difference ◽  
And Gender ◽  
Sinus Ostium

Background: The ostiomeatal complex (OMC) is not a separate anatomical structure although it is a functional unit of structures, including the middle meatus, uncinate process, infundibulum, maxillary sinus ostium, ethmoidal bulla, anterior ethmoid sinus ostium, and frontal recess. Concha bullosa is the pneumatization of the concha, which is one of the most common anatomical variations in the middle turbinate. Methods: This study was conducted using the cone-beam computed tomography (CBCT) images of 172 patients in the archives of the Department of Oral and Maxillofacial Radiology, Dentistry School, Ahvaz Jundishapur. Patient information including age and gender, presence or absence of concha bullosa, the involved side (left or right), and its type (i.e., extensive, lamellar, and bulbous) were collected in the information form. Finally, the chi-square test (with SPSS, version 22) was used to analyze the data, and P value less than 0.05 was considered statistically significant. Results: Patients with and without concha bullosa were 39.1 and 41.7 years, respectively, but it was no significant difference in terms of age (P = 0.321). Out of 52 patients with concha bullosa, 19 (36.5%) cases were males and 33 (63.5%) of them were females. The prevalence of concha bullosa was higher for the bilateral side (20 patients, 38.5%, P = 0.000). The prevalence of bulbulsand lamellar-shape was nearly the same (32.7% and 30.8%, respectively). Eventually, the extensive shape with 36.5% was more frequent for the shape of concha bullosa (P = 0.000). Conclusions: The prevalence of concha bullosa was high. There was no significant difference in terms of age (P = 0.321) and gender (P = 0.058) of patients with concha bullosa. The extensive type and the bilateral appearance of concha bullosa were more significant (P = 0.000).

scholarly journals Concha Bullosa Mucopyocele: a Case Report

2015 ◽  
Vol 58 (4) ◽  
pp. 147-149 ◽  
Author(s):  
Kamran Sari ◽  
Zeliha Kapusuz Gencer ◽  
Yunus Kantekin
Keyword(s):  
Case Report ◽  
Nasal Obstruction ◽  
Middle Turbinate ◽  
Lateral Part ◽  
Mucociliary Transport ◽  
Anatomic Variations ◽  
Concha Bullosa ◽  
Left Nasal Cavity ◽  
Nasal Mass ◽  
History Of

Concha bullosa (CB) is among the most common anatomic variations of sinonasal anatomy. Although usually asymptomatic, CB can occasionally cause nasal obstruction or headache. Obstructions within the mucociliary transport system can develop into a mucocele or mucopyocele. A 48-year-old female, with a history of progressive headache and nasal obstruction, was referred to our department. Paranasal sinus tomography revealed a nasal mass in the left nasal cavity resembling a mucopyocele in the middle turbinate. Under general anesthesia, the purulent material was aspirated, and the lateral part of the left turbinate was resected. Mucopyoceles are common within the paranasal sinuses, but uncommon with CB; thus, they should be considered in patients with a large hyperemic nasal mass.

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 Rhinolith in the concha bullosa as a rare location: a case report

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052095101
Author(s):  
Tolga Ersözlü ◽  
Erdogan Gültekin
Keyword(s):  
Case Report ◽  
Nasal Obstruction ◽  
Clinical Examination ◽  
Rare Condition ◽  
Concha Bullosa ◽  
Computed Tomographic ◽  
The Third ◽  
Computed Tomographic Scan ◽  
Rare Location ◽  
The Right

The presence of a rhinolith is a rare condition, which can cause long-standing symptoms, such as rhinorrhea, foul-smelling discharge, nasal obstruction, and headache. A rhinolith is usually easily diagnosed by a clinical examination and a paranasal computed tomographic scan. Rhinoliths are usually found in nasal cavities, but rare locations are also possible. We report a patient who was evaluated in our clinic for nasal obstruction, headache, and snoring symptoms. A clinical examination showed no major findings, but a paranasal computed tomographic scan of coronal sections showed a hyperdense mass within the right concha bullosa. A rhinolith in the concha bullosa is a rare condition. Our case is the third case of a rhinolith in the concha bullosa to be reported in the literature.

Autoimmune Pancreatitis – Diagnosis, Management and Longterm Follow-up

2014 ◽  
Vol 23 (2) ◽  
pp. 179-185 ◽  
Author(s):  
Suvadip Chatterjee ◽  
Kofi W. Oppong ◽  
John S. Scott ◽  
Dave E. Jones ◽  
Richard M. Charnley ◽  
...  
Keyword(s):  
Autoimmune Pancreatitis ◽  
Rare Condition ◽  
Team Approach ◽  
Diagnostic Challenge ◽  
Multisystem Disorder ◽  
North East ◽  
The North ◽  
Work Up ◽  
Igg4 Level

Background & Aims: Autoimmune pancreatitis (AIP) is a fibroinflammatory condition affecting the pancreas and could present as a multisystem disorder. Diagnosis and management can pose a diagnostic challenge in certain groups of patients. We report our experience of managing this condition in a tertiary pancreaticobiliary centre in the North East of England.Methods: Patients were identified from a prospectively maintained database of patients diagnosed with AIP between 2005 and 2013. Diagnosis of definite/probable AIP was based on the revised HISORt criteria. When indicated, patients were treated with steroids and relapses were treated with azathioprine. All patients have been followed up to date.Results: Twenty-two patients were diagnosed with AIP during this period. All patients had pancreatic protocol CT performed while some patients had either MR or EUS as part of the work up. Fourteen out of 22 (64%) had an elevated IgG4 level (mean: 10.9 g/L; range 3.4 - 31 g/L). Four (18%) patients underwent surgery. Extrapancreatic involvement was seen in 15 (68%) patients, with biliary involvement being the commonest. Nineteen (86%) were treated with steroids and five (23%) required further immunosuppression for treatment of relapses. The mean follow up period was 36.94 months (range 7 - 94).Conclusion: Autoimmune pancreatitis is being increasingly recognized in the British population. Extrapancreatic involvement, particularly extrahepatic biliary involvement seems to be a frequent feature.Diagnosis should be based on accepted criteria as this significantly reduces the chances of overlooking malignancy. Awareness of this relatively rare condition and a multi-disciplinary team approach will help us to diagnose and treat this condition more efiectively thereby reducing unnecessary interventions.

Struma Ovarii: Clinico-Morphological Features and Therapeutic Experience of a Romanian Institution over 20 Years

2021 ◽  
Vol 11 (20) ◽  
pp. 9427
Author(s):  
Mihaela Camelia Tîrnovanu ◽  
Vlad Gabriel Tîrnovanu ◽  
Bogdan Florin Toma ◽  
Elena Cojocaru ◽  
Carmen Ungureanu ◽  
...  
Keyword(s):  
Rare Condition ◽  
Diagnostic Algorithm ◽  
Complete Information ◽  
Published Data ◽  
Struma Ovarii ◽  
Therapeutic Approaches ◽  
Diagnostic Challenge ◽  
Benign Ovarian Tumors ◽  
The Right ◽  
Clinical Conditions

Struma ovarii is a rare condition with scarce published data regarding clinical, morphological, and therapeutic approaches. This study reports the experience of 25 patients with struma ovarii who received surgical treatment in a gynecology department in Romania. The study was conducted from January 1999 to September 2021 and included patients with confirmed struma ovarii whose medical records were retrospectively reviewed and evaluated. Struma ovarii represented 2.8% of the total number of benign ovarian tumors treated by surgery. The age of the patients was between 24 and 71 years. The tumor was unilateral in 24 cases, 13 cases on the left ovary, 11 on the right side, and bilateral in 1 case. Tumor dimensions ranged between 1 cm and 20 cm. In two cases, the patients had symptoms of hyperthyroidism. The procedure was performed on four women for diagnoses other than an ovarian tumor. In another five situations, there was suspicion of ovarian malignancy. In addition, struma ovarii was associated with other clinical conditions in 22 cases. These lesions represent a diagnostic challenge with heterogeneous clinical and imaging manifestations. Complete information of clinical, morphologic, and surgical findings may improve the diagnostic algorithm and better predict patient outcomes.

scholarly journals Post-operative compressive pneumocephalus: A rare complication of lumbar spinal drainage

2020 ◽  
Vol 10 (4) ◽  
pp. 127-128
Author(s):  
F Lakhdar ◽  
M Benzagmout ◽  
K Chakour ◽  
ME Chaoui
Keyword(s):  
Oxygen Therapy ◽  
Rare Complication ◽  
Rare Condition ◽  
Bed Rest ◽  
Fluid Replacement ◽  
Primary Surgery ◽  
Csf Leakage ◽  
Lumbar Spinal ◽  
Possible Cause ◽  
Inspired Oxygen

Compressive pneumocephalus is a rare condition, most often secondary to head trauma or surgery. We report post-operativecompressive pneumocephalus in a patient who underwent primary surgery for anterior clinoidmeningioma complicated by CSF leakage treated by lumbar spinal drainage. CT scanclearly demonstrates a compressive pneumocephaluswith the sign of the Mount Fuji. The patient was treated with definite bed rest and plenty of fluid replacement with good outcome. Compressive pneumocephalus is a serious, infrequent complication anda possible cause of postoperative worsening.Medical treatment combining highly inspired oxygen therapy and rehydration are sufficient to correct the condition.

Intranasal Sphenoethmoidectomy: An Evolution of Technique

1994 ◽  
Vol 111 (6) ◽  
pp. 781-786 ◽  
Author(s):  
George P. Katsantonis ◽  
William H. Friedman ◽  
Matthew Bruns
Keyword(s):  
Middle Turbinate ◽  
Sinus Disease ◽  
Pterygoid Process ◽  
Primary Indication ◽  
Orbital Wall ◽  
Middle Meatal Antrostomy ◽  
Medial Orbital Wall ◽  
Palatine Bone ◽  
Maxillary Sinuses

Intranasal sphenoethmoldectomy was originally used primarily for the provision of adequate drainage of acute and subacute bacterial sinusitis. However, the spectrum of inflammatory sinus disease has changed dramatically since the popularization of broad-spectrum antibiotics, and chronic hyperplastic rhinosinusitis has replaced acute sinusitis as the primary indication for ethmoidectomy. In such cases total or almost total disease removal is crucial to providing long-term drainage and ventilation. We describe several modifications of the Yankauer sphenoethmoldectomy technique that enable the sinus surgeon to provide clearance of disease and excellent drainage for all sinuses by complete marsupialization of the sphenoid, ethmoid, and maxillary sinuses. These modifications include (1) complete rather than partial removal of the middle turbinate. (2) extended middle meatal antrostomy with palatine bone resection to the pterygoid process with delineation of the inferior and medial orbital wall, and (3) Introduction of operative endoscopes as adjunctive tools in areas inaccessible to conventional visualization. The current technique and results in nearly 2000 procedures are described.

scholarly journals Isolated Pancreatic Tuberculosis Mimicking Pancreatic Cancer: A Diagnostic Challenge

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Abhishek Bhurwal ◽  
Muhammad Masoodul Haq ◽  
Sunil Sapru ◽  
Matthew Tortora ◽  
Dhanasekaran Ramasamy
Keyword(s):  
Pancreatic Tumor ◽  
Extrapulmonary Tuberculosis ◽  
Rare Condition ◽  
Abdominal Tuberculosis ◽  
Needle Aspiration ◽  
Diagnostic Challenge ◽  
Prognostic Implication ◽  
Pancreatic Tuberculosis ◽  
Antituberculosis Therapy ◽  
Persistent Abdominal Pain

Isolated pancreatic tuberculosis is an exceedingly rare condition, even in areas of the world where the disease is highly prevalent. Abdominal tuberculosis is a common form of extrapulmonary tuberculosis but involvement of the pancreas is very rare. We report a case of isolated pancreatic tuberculosis presenting as a pancreatic mass in a patient with persistent abdominal pain and jaundice. Clinically and radiologically, the mass mimicked a malignant pancreatic tumor with a vastly different prognostic implication and therapeutic approach. Endoscopic ultrasound with fine-needle aspiration (EUS-FNA) can provide valuable diagnostic information in this scenario. After the tissue showed evidence of acid-fast bacilli and the cultures showed growth of Mycobacterium tuberculosis, antituberculosis therapy was initiated. Conservative management is usually successful in alleviating symptoms and leading to a cure. The excellent response to ATT makes it imperative that these patients are diagnosed early and managed appropriately to avoid unnecessary surgery and associated morbidity.

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