Is pneumatization of middle turbinates compensatory or congenital?

Uzun, Lokman; Aslan, Gaffar; Mahmutyazıcıoğlu, Kamran; Yazgan, H; Savranlar, Ahmet

doi:10.1259/dmfr/31644208

Cited by 10 publications

(17 citation statements)

References 17 publications

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“…Pneumatization of the middle turbinate is augmented in the contralateral side as the airflow is markedly reduced in the nasal cavity due to the convexity of the deviation. (23) On contrary to the previous reports of extensive and bulbar type predominance, (8,16) this study found the lamellar variety in increased incidence in the population of southern Tamil Nadu.…”

Section: Discussioncontrasting

confidence: 75%

“…(8) Nasal septal deviation was claimed to occur due to CB, while contradicting claims stated that a prominent CB was found only on the contra lateral side of deviation or no association between them. (9,10,11) The existence of CB in sinusitis patients was noted in few studies but not statistically proven by them. (12,13,14,15) A lot of studies discussed the relation between extensive type CB,DNS and sinusitis, expect few (7,16,17) all described mainly extensive type of CB.…”

Section: Introductionmentioning

confidence: 99%

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A Study of Morphology of Air Cells in the Middle Turbinate and It’s Relationship With Sinusitis and Deviated Nasal Septum

Kamala¹,

Kumar²,

Raj³

et al. 2015

jebmh

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Concha bullosa, the pneumatisation of the middle turbinate is commonly found as an anatomical variation and is said to be usually associated with deviated nasal septum. It is classified into bulbous, lamellar and extensive variety. METHODS: 100 coronal CT images of chronic sinusitis patients of both sexes were studied for the 3 varieties of concha bullosa and its association with deviated nasal septum and sinusitis. RESULTS: The concha bullosa found was classified into lamellar (23%), bulbous (3%) and extensive (16%) variety based on the definitions and compared. The results obtained shows that in southern Tamil Nadu population the lamellar variety of concha bullosa was more prevalent than the other two varieties. Also a significant relationship was found to exist between concha bullosa, deviated nasal septum and sinusitis (19%). Similarly, the association of concha bullosa and deviated nasal septum and with sinusitis was seen in 16% and 4% respectively. CONCLUSION: Hence the study suggests that the otolaryngologists should be aware of the prevalence of lamellar variety of concha bullosa and familiar with the coexistence of concha bullosa, deviated nasal septum and sinusitis for proper interpretation and diagnosis.

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Section: Discussioncontrasting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

A Study of Morphology of Air Cells in the Middle Turbinate and It’s Relationship With Sinusitis and Deviated Nasal Septum

Kamala¹,

Kumar²,

Raj³

et al. 2015

jebmh

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“…MTP, which is also referred to as bullous middle turbinate was firstly described as a transformation of the anterior part of the middle turbinate into a bubble, by Santorini [9]. This type of pneumatization is considered to represent a variation of ethmoid air cell development, not the outcome of an intranasal process [9,10]. According to the previous studies, the incidence of MTP ranges from 14 to 53%, and the incidence of bilateral MTP has been reported to be between 45 and 61.5% [11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Assessment of the superior turbinate pneumatization and concomitant nasal pathologies on computed tomography

Özdemir¹,

Kavak²

2019

Journal of Surgery and Medicine

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Aim: Knowledge of the anatomical variations of the nasal cavity is extremely important for the safety and ease of endoscopic sinus surgery applications. The aim of the current study was to evaluate the incidence and uni/bilaterality of superior nasal turbinate pneumatization (STP). In addition, we aimed to investigate the frequency of middle turbinate pneumatization (MTP), nasal septum deviation (NSD) and paradoxical middle concha (PMC), and to relate the presence of these pathologies to the presence of STP. Methods: We retrospectively reviewed the images of 358 consecutive patients who undertaken paranasal sinus computed tomography within five months' time in our institution. The presence and uni/bilaterality of the STP and MTP as well as the presence of NSD and PMC were noted. The relation of the STP with MTP, NSD and PMC were evaluated. Besides, the relationship between nasal variations and gender and age was evaluated. Results: Of 358 patients, 105 (29.3%) had STP with 51 (48.6%) being bilateral and the remaining 54 (51.4%) being unilateral. The number of patients with accompanying MTP, NSD and PMC were 84 (80%), 63 (60%) and 32 (30.5%), respectively. No significant relationship between STP with NSD or PMC was recorded. However, STP significantly associated with MTP. We also noted that the patients with either STP or MTP were significantly younger than those without STP or MTP. Conclusion: The knowledge of the variations of the structures that determine the nasal cavity anatomy and how often these variations are seen will enable the endoscopic surgical procedures to be performed easily and safely.

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“…4 Entre as variantes anatómicas que cursam com obstrução nasal, destacam-se as conchas bolhosas, que são pneumatizações dos cornetos nasais. [5][6] Consensualmente, considera-se uma concha bolhosa quando existe pneumatização de, pelo menos, 50% da altura do corneto médio, avaliada no plano coronal da tomografia computadorizada (TC). 7 No entanto, alguns autores consideram-na como qualquer grau de pneumatização 8 e outros apenas quando ambas as porções do corneto médio (lâmina vertical e porção bulbar) estão envolvidas.…”

Section: Palavras-chave: Obstrução Nasal; Cornetosunclassified

“…9 Envolve mais frequentemente os cornetos médios, seguidos pelos superiores e, em casos muito raros, pode atingir os inferiores. [5][6] A concha bolhosa apresenta uma prevalência nos indivíduos com sinusopatia avaliados por TC entre os 24,5 e 44%. [7][8][9][10][11] A existência deste intervalo de valores prendese com diferenças nas populações estudadas e nos diferentes critérios utilizados.…”

Section: Palavras-chave: Obstrução Nasal; Cornetosunclassified

Concha bolhosa gigante: uma causa curável de obstrução nasal

Ferreira

Ribeiro

Barros

et al. 2016

RPMGF

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GIANT CONCHA BULLOSA: A CURABLE CAUSE OF NASAL OBSTRUCTION Introduction: Nasal obstruction is a common problem in Portugal. It can have negative influences on quality of life and repercussions for family dynamics. It has several causes. Among them is concha bullosa. The objectives of this article are to describe a case of giant concha bullosa and to summarize the approach to the patient with nasal obstruction in primary care. Case description: A 50 year-old woman presented to a hospital emergency department because a blocked right ear. She had experienced chronic bilateral nasal obstruction, snoring and headaches. Right serous otitis media was diagnosed and the middle nasal turbinate was found to extend to the nasal vestibule. There were abundant secretions and adenoid hypertrophy was found on nasal endoscopy. She was treated with corticosteroids and decongestants and referred for otolaryngology consultation. Pharyngeal biopsy was not diagnostic. Computed tomography showed the existence of a right-sided giant concha bullosa. Surgery was performed with resolution of nasal obstruction, relief of headache, and improvement of snoring. Comment: Some patients may present complaints initially to the hospital emergency department. However it is important to stress the role of the family physician as health care provider and case manager. The initial history and physical examination are important in the investigation of complains of nasal obstruction. 'Red flags' must be investigated. If any of these are present or if there is an unsatisfactory response to medical therapy, the patient must be referred for specialist consultation. In this case, the evidence of unilateral serous otitis media required investigation for the exclusion of nasopharyngeal cancer. Anatomical variants are potentially curable causes of nasal obstruction and should be considered in the differential diagnosis of persistent nasal obstruction.

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Is pneumatization of middle turbinates compensatory or congenital?

Cited by 10 publications

References 17 publications

A Study of Morphology of Air Cells in the Middle Turbinate and It’s Relationship With Sinusitis and Deviated Nasal Septum

A Study of Morphology of Air Cells in the Middle Turbinate and It’s Relationship With Sinusitis and Deviated Nasal Septum

Assessment of the superior turbinate pneumatization and concomitant nasal pathologies on computed tomography

Concha bolhosa gigante: uma causa curável de obstrução nasal

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