Massive concha bullosa pyocele with orbital extention

Bahadır, Osman; İmamoğlu, Mehmet; Bektaş, Devrim

doi:10.1016/j.anl.2005.11.007

Cited by 18 publications

(24 citation statements)

References 9 publications

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“…mucocele or mucopyocele in the English-language literature, [6][7][8][9] and only 2 of the cases were in children. 6,9 The concha bullosa presented here replaced the anterior ethmoid sinus and was contiguous with the frontal sinus (Figs 1C and 2B).…”

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confidence: 99%

Large Concha Bullosa Mucopyocele Replacing the Anterior Ethmoid Sinuses and Contiguous with the Frontal Sinus

Cohen¹,

Matthews²

2008

Ann Otol Rhinol Laryngol

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Concha bullosa, a pneumatized middle turbinate, is a common anatomic variant found in the paranasal sinuses. When a concha bullosa becomes obstructed, it can form a mucocele and, eventually, a mucopyocele if it becomes secondarily infected. This is a rare phenomenon; only 9 concha bullosa mucopyoceles have been previously reported in the English-language literature. We present the case of a large concha bullosa mucopyocele in a pediatric patient in which the concha bullosa replaced the anterior ethmoid sinuses and was contiguous with the frontal sinus.

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confidence: 99%

Large Concha Bullosa Mucopyocele Replacing the Anterior Ethmoid Sinuses and Contiguous with the Frontal Sinus

Cohen¹,

Matthews²

2008

Ann Otol Rhinol Laryngol

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“…Literatürde konka bülloza piyoseline bağlı subdural ampiyem ve orbital komplikasyonlar bildirilmiştir [6]. Bu nedenle mutlaka cerrahi olarak tedavi edilmelidir.…”

Section: Discussionunclassified

Dev konka bülloza piyoseli

Kucur¹,

Erdoğan²,

Tok³

et al. 2014

Cumhuriyet Med J

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ÖzetKonka bülloza,havalanmış (pnömatize) veya içinde bir havalı hücre bulunan orta konka için kullanılan bir terimdir. Genellikle asemptomatik olmakla birlikte pnömatizasyonun büyüklüğüne ve nazal septumla olan ilişkisine göre burun tıkanıklığı semptomları verebilir ve ostiomeatal komplekse bası oluşturmakta ise tikanmasina neden olarak sinüzite yol açabilir. Piyosele dönüşmesi nadirdir. Dev konka bülloza endoskopİk muayenede orta konkanin genişlemiş bir bölümü olarak görülür. Konka bülloza kesin tanısı paranazal sinus bilgisayarlı tomografisi (BT) ile koyulur. Tedavisinde endoskopik olarak orta konkanın lateral parsiyel rezeksiyonu yeterli ve minimal invazif bir yöntemdir. Bu yazıda sağ nazal pasajı tamamen tıkayan ve nazal vestibüle kadar uzanım gösteren ve aynı tarafta sinüzite yol açan tek taraflı dev konka bülloza piyoseli olgusu sunulmuştur. Anahtar sözcükler: Orta konka, konka bülloza, piyoselAbstract "Concha bullosa" is the term used for pneumatized or air cell-containing middle turbinate. It is usually asymptomatic. However, depending on its size, contact with the nasal septum and infringement to the ostio-meatal complex, it may cause nasal obstruction and sinusitis. Rarely, it turns into a "pyocele". Giant or extensive concha bullosa is seen as an enlarged portion of middle turbinate. It is diagnosed through paranasal computarized tomography. Endoscopic partial medial resection of the enlarged turbinate is sufficient for its surgical treatment. We herewith present a case with extensive concha bullosa, which transformed into a pyocele and extended to the nasal vestibule. It had caused total nasal obstruction and complicated with the sinusitis on the same side.

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“…When it comes to treatment of mucoceles and pyoceles, endoscopic surgery is the method of choice [21,22]. Other surgical methods described for the treatment of concha bullosa and its complications (mucocele/pyocele) are lateral marsupialisation, medial marsupialisation, crushing and transverse excision [11].…”

Section: Discussionmentioning

confidence: 99%