Concha bullosa mucocele with orbital invasion and secondary frontal sinusitis: a case report

Lee, Jung‐Hoon; Hong, Seung Ho; Roh, Hwan‐Jung; Cho, Kyu‐Sup

doi:10.1186/1756-0500-6-501

Cited by 14 publications

(15 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…12,13 However, for CBMs, a cause-effect mechanism is not yet clear. Previous studies indicate either a mechanical (history of trauma, surgery, nasal polyposis, or benign tumors) or an inflammatory etiology (infection, allergy, cystic fibrosis), 5,8,12,14 whereas others did not support the obstructive causes of mucoceles. 14 …”

Section: Discussionmentioning

confidence: 95%

Concha Bullosa Mucocele: A Case Series and Review of the Literature

Khalifé

Marchica

Zawawi

et al. 2016

Allergy�Rhinol (Providence)

View full text Add to dashboard Cite

Background:Concha bullosa mucocele is a rare diagnosis that presents as a nasal mass. It impinges on surrounding structures and can easily be mistaken for a neoplasm.Objective:The objective of this study was to shed light on this rare entity and report its diagnostic features and treatment outcomes.Methods:A case series conducted in a tertiary health care center. Demographic data, clinical presentation, imaging, cultures, and treatments were recorded. Operative video illustration and key images were obtained. A review of the literature was also performed.Results:A total of five cases were reviewed, four of which were concha bullosa mucoceles and one was a mucopyocele. Three of the patients had some form of previous nasal trauma. Headache and nasal obstruction were the most common symptoms with a nasal mass finding on physical examination. Computed tomography was used in all the patients, and magnetic resonance imaging was used in four of the five patients. Four patients had coexistent chronic rhinosinusitis, and three had positive bacterial cultures. All these patients were treated endoscopically either with middle turbinate marsupialization or subtotal resection. No recurrence has been noted thus far.Conclusion:Concha bullosa mucocele is a rare diagnosis. Imaging characteristics are helpful in considering the diagnosis, although surgical intervention is often necessary to confirm the diagnosis and treat concha bullosa mucocele.

show abstract

Section: Discussionmentioning

confidence: 95%

Concha Bullosa Mucocele: A Case Series and Review of the Literature

Khalifé

Marchica

Zawawi

et al. 2016

Allergy�Rhinol (Providence)

View full text Add to dashboard Cite

show abstract

“…Lee et al, Yasan et al, and Armengot et al also reported similar findings in their case studies that CB mucocele/pyocele cause ipsilateral sinusitis. 3,18,23 Aktas D et al studied the CT paranasal scans of 54 patients with CB and found no relationship between unilateral and bilateral CB with sinusitis. 24…”

Section: Discussionmentioning

confidence: 99%

“…The incidence rates for pneumatization of the MT is between 13 and 53.6%. [1][2][3][4] Concha bullosa is generally asymptomatic and diagnosed incidentally by computed tomography. Sometimes, an over-pneumatized MT can lead to nasal obstruction, contact headache, deviated nasal septum and chronic sinusitis.…”

Section: Introductionmentioning

confidence: 99%

Anatomical Variations of the Middle Turbinate Concha Bullosa and its Relationship with Chronic Sinusitis: A Prospective Radiologic Study

Raja

Venkataramanan

Poyyamoli

2018

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction A pneumatized turbinate, also called concha bullosa, is a normal anatomical variant of the paranasal sinus region. Depending on the site of pneumatization, the concha is classified into extensive, bulbous or lamellar type. The middle turbinate concha bullosa has been implicated as a possible etiological factor in chronic sinusitis. Objectives The aim of this study was to investigate the anatomical variations of the concha bullosa, based on paranasal sinus imaging, and its possible association with sinusitis. Methods This prospective descriptive study was performed at the Department of ENT and Head Neck Surgery over a period of one year, from 2016 to 2017. We studied the computed tomography scans of the nose and paranasal sinuses— in axial, coronal and sagittal planes—of patients who had symptoms of nasal obstruction, or headache and features of chronic sinusitis. Results Out of the 202 scans studied, the prevalence of concha bullosa was 31.7%. The concha was bilateral in 35 (54.7%) patients and unilateral in 29 (45.3%) patients. Out of 99 conchae, 54 were on the right side and 45 were on left side. Ipsilateral sinusitis was found in 40.4% of the sides in the scans of subjects with concha. There was no statistically significant association between any type of middle turbinate concha with sinusitis, but sinusitis was more predominant with the extensive type of concha ( p > 0.05). Conclusion Multiple air cells, mucocele, pyocele and inflammatory mucosal thickenings in the concha are relatively rare. Detailed knowledge of anatomic variations of the concha bullosa is imperative for the radiologists and the operating surgeons.

show abstract

“…CB is the pneumatization of the MT and is one of the most common variations of the sinonasal anatomy. Pneumatization of the MT happens due to variation in the ethmoidal air cell system development (27)(28)(29). The CB turns into apparent after 7-8 years of age and continues its development even after the period of adolescence.…”

Section: Discussionmentioning

confidence: 99%

Effect of Concha Bullosa on Skull Base

Baki¹,

Yıldız²,

Cırık³

et al. 2020

Istanbul Med J

View full text Add to dashboard Cite

Amaç: Konka büllozanın (KB) kafa tabanı yüksekliği üzerindeki etkisini göstermektir. Yöntemler: Hastanemizde sinüzit nedeniyle paranazal sinüs tomografisi çekilen 1022 hastanın dosyaları retrospektif olarak tarandı. Üç yüz otuz hastada bilateral, 330 hastada unilateral KB vardı, ancak 330 hastada KB yoktu. Kesitleri ve pozisyonları uygun olmayan hastalar çalışma dışı bırakıldı. Çalışmaya 18-72 yaş arası toplam 990 hasta dahil edildi. Hastaların beşyüz altmış yedisi kadın, 423'ü erkekti. Her grupta erkek ve kadın hastaların sağ ve sol kafatası tabanının yükseklikleri kendi içlerinde ve birbirleri arasında karşılaştırıldı. Kafatası tabanının yüksekliği, kribriform plaka ile fovea etmoidalis arasındaki lateral lamel boyunca koronal düzlemde ölçülmüş ve bu ölçümler Keros sınıflandırması kullanılarak sınıflandırılmıştır. (Keros tip 1: 1-3 mm, Keros tip 2: 4-7 mm, Keros tip 3: 8-16 mm). Bulgular: Bilateral KB grubunda kadın ve erkek hastaların sağ ve sol kafatası tabanı yükseklikleri arasında istatistiksel olarak anlamlı bir fark saptanmadı. Ayrıca, kadın ve erkeklerin kendi içlerinde yapılan karşılaştırmalarında da istatistiksel anlamlı bir fark saptanmadı. Unilateral KB grubunda kadın ve erkek hastaların KB'si olan ve KB'si olmayan taraf kafatası tabanı yükseklikleri arasında istatistiksel olarak anlamlı bir fark saptanmasına rağmen, kadın ve erkeklerin kendi içlerinde yapılan karşılaştırmalarında istatistiksel anlamlı bir fark saptanmadı. Sonuç: Unilateral KB'li hastalarda, KB olan ve olmayan taraflar arasında kafatası tabanı asimetrisi vardır ve komplikasyonları önlemek için bu dikkate alınmalıdır. Anahtar Kelimeler: Konka bülloza, kafatası tabanı, paranazal sinüs tomografisi Introduction: To demonstrate the effect of concha bullosa (CB) on the height of the skull base. Methods: We retrospectively scanned the files of 1022 patients who had undergone paranasal sinus tomography for sinusitis in our hospital. Three hundred thirty patients had bilateral, and 330 had unilateral CB, but 330 patients did not have CB. Patients with inappropriate sections and positions were excluded from the study. A total of 990 patients aged between 18 and 72 years were included in the study. Five hundred sixtyseven of the patients were female, and 423 were male. In each group, the heights of the right and left skull base of male and female patients were compared within themselves and between each other. The height of the skull base was measured in the coronal plane along the lateral lamella between the cribriform plate and the fovea ethmoidalis, and these measurements were classified as Keros classification. (Keros type 1: 1-3 mm, Keros type 2: 4-7 mm, Keros type 3: 8-16 mm). Results: There was no statistically significant difference in the comparison between right and left skull base heights of female and male patients in bilateral CB group. Also, there was no statistically significant difference between the comparison of women and men within themselves. There was a statistically significant difference between CB side and non-CB side sk...

show abstract

Concha bullosa mucocele with orbital invasion and secondary frontal sinusitis: a case report

Cited by 14 publications

References 7 publications

Concha Bullosa Mucocele: A Case Series and Review of the Literature

Concha Bullosa Mucocele: A Case Series and Review of the Literature

Anatomical Variations of the Middle Turbinate Concha Bullosa and its Relationship with Chronic Sinusitis: A Prospective Radiologic Study

Effect of Concha Bullosa on Skull Base

Contact Info

Product

Resources

About