Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2012

Open Access 01-12-2012 | Case report

A patient presenting with concha bullosa in another concha bullosa: a case report

Authors: Ibrahim Cukurova, Aytekin Yaz, Murat Gumussoy, Orhan G Yigitbasi, Yucel Karaman

Published in: Journal of Medical Case Reports | Issue 1/2012

Login to get access

Abstract

Introduction

Anatomic variations of the paranasal sinuses are very common. The paranasal sinus anatomy should be carefully examined prior to performing endoscopic sinus surgery in terms of both existent pathologies and anatomic variations. The anatomy of the paranasal sinuses and its variations have gained importance, along with advances in coronal paranasal sinus computed tomography and extensive use of endoscopic sinus surgery.

Case presentation

A 53-year-old Caucasian woman was admitted to our clinic with complaints of nasal breathing difficulties and headache persisting for a long time. Another concha bullosa was detected in the middle concha bullosa on preoperative paranasal computed tomography examination. It is known that the paranasal sinuses have a number of anatomical variations.

Conclusion

Herein we report a rare case, along with a review of the literature, to emphasize that a concha bullosa inside another concha bullosa should not be ignored.
Appendix
Available only for authorised users
Literature
1.
go back to reference Unlü HH, Akyar S, Caylan R, Nalça Y: Concha bullosa. J Otolaryngol. 1994, 23: 23-27.PubMed Unlü HH, Akyar S, Caylan R, Nalça Y: Concha bullosa. J Otolaryngol. 1994, 23: 23-27.PubMed
2.
go back to reference Bolger WE, Butzin CA, Parsons DS: Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope. 1991, 101: 56-64.CrossRefPubMed Bolger WE, Butzin CA, Parsons DS: Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope. 1991, 101: 56-64.CrossRefPubMed
3.
go back to reference Tonai A, Baba S: Anatomic variations of the bone in sinonasal CT. Acta Otolaryngol Suppl. 1996, 525: 9-13.PubMed Tonai A, Baba S: Anatomic variations of the bone in sinonasal CT. Acta Otolaryngol Suppl. 1996, 525: 9-13.PubMed
4.
go back to reference Scribano E, Ascenti G, Loria G, Cascio F, Gaeta M: The role of the ostiomeatal unit anatomic variations in inflammatory disease of the maxillary sinuses. Eur J Radiol. 1997, 24: 172-174. 10.1016/S0720-048X(96)01073-X.CrossRefPubMed Scribano E, Ascenti G, Loria G, Cascio F, Gaeta M: The role of the ostiomeatal unit anatomic variations in inflammatory disease of the maxillary sinuses. Eur J Radiol. 1997, 24: 172-174. 10.1016/S0720-048X(96)01073-X.CrossRefPubMed
5.
go back to reference Setliff RC, Catalano PJ, Catalano LA, Francis C: An anatomic classification of the ethmoidal bulla. Otolaryngol Head Neck Surg. 2001, 125: 598-602. 10.1067/mhn.2001.120398.CrossRefPubMed Setliff RC, Catalano PJ, Catalano LA, Francis C: An anatomic classification of the ethmoidal bulla. Otolaryngol Head Neck Surg. 2001, 125: 598-602. 10.1067/mhn.2001.120398.CrossRefPubMed
6.
go back to reference Wright ED, Bolger WE: The bulla ethmoidalis: lamella or a true cell?. J Otolaryngol. 2001, 30: 162-166. 10.2310/7070.2001.20206.CrossRefPubMed Wright ED, Bolger WE: The bulla ethmoidalis: lamella or a true cell?. J Otolaryngol. 2001, 30: 162-166. 10.2310/7070.2001.20206.CrossRefPubMed
7.
go back to reference Caughey RJ, Jameson MJ, Gross CW, Han JK: Anatomic risk factors for sinus disease: fact or fiction?. Am J Rhinol. 2005, 19: 334-339.PubMed Caughey RJ, Jameson MJ, Gross CW, Han JK: Anatomic risk factors for sinus disease: fact or fiction?. Am J Rhinol. 2005, 19: 334-339.PubMed
8.
go back to reference Bhatt NJ: Endoscopic Sinus Surgery: New Horizons. 1997, London: Singular Publishing Group Bhatt NJ: Endoscopic Sinus Surgery: New Horizons. 1997, London: Singular Publishing Group
9.
go back to reference Aktas D, Kalcioglu MT, Kutlu R, Ozturan O, Oncel S: The relationship between the concha bullosa, nasal septal deviation and sinusitis. Rhinology. 2003, 41: 103-106.PubMed Aktas D, Kalcioglu MT, Kutlu R, Ozturan O, Oncel S: The relationship between the concha bullosa, nasal septal deviation and sinusitis. Rhinology. 2003, 41: 103-106.PubMed
10.
go back to reference Uygur K, Tüz M, Doüru H: The correlation between septal deviation and concha bullosa. Otolaryngol Head Neck Surg. 2003, 129: 33-36. 10.1016/S0194-5998(03)00479-0.CrossRefPubMed Uygur K, Tüz M, Doüru H: The correlation between septal deviation and concha bullosa. Otolaryngol Head Neck Surg. 2003, 129: 33-36. 10.1016/S0194-5998(03)00479-0.CrossRefPubMed
11.
go back to reference Stallman JS, Lobo JN, Som PM: The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol. 2004, 25: 1613-1618.PubMed Stallman JS, Lobo JN, Som PM: The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol. 2004, 25: 1613-1618.PubMed
12.
go back to reference Yousem DM, Kennedy DW, Rosenberg S: Ostiomeatal complex risk factors for sinusitis: CT evaluation. J Otorhinolaryngol. 1991, 20: 419-424. Yousem DM, Kennedy DW, Rosenberg S: Ostiomeatal complex risk factors for sinusitis: CT evaluation. J Otorhinolaryngol. 1991, 20: 419-424.
13.
go back to reference Peric A, Baletic N, Sotirovic J: A case of an uncommon anatomic variation of the middle turbinate associated with headache. Acta Otorhinolaryngol Ital. 2010, 30: 156-159.PubMedPubMedCentral Peric A, Baletic N, Sotirovic J: A case of an uncommon anatomic variation of the middle turbinate associated with headache. Acta Otorhinolaryngol Ital. 2010, 30: 156-159.PubMedPubMedCentral
14.
go back to reference Ural A, Kanmaz A, Inançli HM, Imamoğlu M: Association of inferior turbinate enlargement, concha bullosa and nasal valve collapse with the convexity of septal deviation. Acta Otolaryngol. 2010, 130: 271-274. 10.3109/00016480903036263.CrossRefPubMed Ural A, Kanmaz A, Inançli HM, Imamoğlu M: Association of inferior turbinate enlargement, concha bullosa and nasal valve collapse with the convexity of septal deviation. Acta Otolaryngol. 2010, 130: 271-274. 10.3109/00016480903036263.CrossRefPubMed
15.
go back to reference Yiğit O, Acioğlu E, Cakir ZA, Sişman AS, Barut AY: Concha bullosa and septal deviation. Eur Arch Otorhinolaryngol. 2010, 267: 1397-1401. 10.1007/s00405-010-1228-9.CrossRefPubMed Yiğit O, Acioğlu E, Cakir ZA, Sişman AS, Barut AY: Concha bullosa and septal deviation. Eur Arch Otorhinolaryngol. 2010, 267: 1397-1401. 10.1007/s00405-010-1228-9.CrossRefPubMed
Metadata
Title
A patient presenting with concha bullosa in another concha bullosa: a case report
Authors
Ibrahim Cukurova
Aytekin Yaz
Murat Gumussoy
Orhan G Yigitbasi
Yucel Karaman
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2012
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-6-87

Other articles of this Issue 1/2012

Journal of Medical Case Reports 1/2012 Go to the issue