Middle turbinate mucopyocele: a case report

Pinto, José Antônio; Cintra, Pedro Paulo Vivacqua Cunha; Marqui, Ana Carla Souza de; Perfeito, Delmer J. P.; Ferreira, Roberto D. P.; Silva, Rubens H. da

doi:10.1016/s1808-8694(15)31340-9

Cited by 7 publications

(5 citation statements)

References 6 publications

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“…Concha bullosa mucopyocele happens due to chronic obstruction of the CB ostium, which prevents the optimal air current flow between the CB cavity and the surrounding structures, such as the frontal recess, ethmoidal cells or middle meatus. [17][18][19] For this reason, the epithelial lining in a CB mucocele/pyocele remains intact, lacking an epithelial covering in other types of mucocele. 18,19 It is important to differentiate between CB mucocele/pyocele and eth-moidal pyocele.…”

Section: Discussionmentioning

confidence: 99%

“…[17][18][19] For this reason, the epithelial lining in a CB mucocele/pyocele remains intact, lacking an epithelial covering in other types of mucocele. 18,19 It is important to differentiate between CB mucocele/pyocele and eth-moidal pyocele. Concha bullosa pyocele shows an enlarged tip or body of the MT that touches the nasal septum medially and bulges into the lateral wall of the nose laterally or into the medial wall of the orbit.…”

Section: Discussionmentioning

confidence: 99%

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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

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

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

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“…Mucoceles of the middle turbinate, since their first description by Badia et al in 1994, have been associated with nasal obstruction, nasal discharge, diplopia, exophthalmos and chronic sinusitis symptoms owing to the blockage of ethmoidal infundibulum 8 .…”

Section: Discussionmentioning

confidence: 99%

Mucocele of the middle turbinate: A rare entity

Gupta

Kalia

Dass

et al. 2020

Romanian Journal of Rhinology

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BACKGROUND. 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.

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“…15 CT and MRI help to diagnose mucoceles and to evaluate their relationship with the surrounding tissues. 6,16,17 The most common radiologic finding on CT was bony defect of lamina papyracea and/or medial superior orbital rim. 18 Surgical treatment is indicated for these cystic lesions.…”

Section: Discussionmentioning

confidence: 99%

Ocular Manifestations of Bilateral Ethmoidal Sinus Mucopyocele: Case Report

Saraç¹,

Bozdemir²,

Yalçıner³

et al. 2011

tjo

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Mucoceles of the paranasal sinuses are slowly growing, epithelium-lined cystic lesions with sterile content. When the mucocele content becomes infected with a bacterial super-infection, the lesion is defined as mucopyocele. Mucoceles or mucopyoceles are commonly located in the frontal and anterior ethmoidal sinuses and can manifest with ocular signs and symptoms, mostly proptosis. In this report, we demonstrate a case of bilateral ethmoidal mucopyocele in a 53-year-old female who presented with reduced vision, diplopia, and proptosis. Computed tomography (CT) scanning of the paranasal sinuses revealed cystic lesions filling the maxillary sinuses and anterior ethmoidal cells bilaterally and causing erosion in the walls of the sinuses. After marsupialization of the mucopyoceles was performed by endoscopic sinus surgery, the symptoms of the patient recovered rapidly.

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Middle turbinate mucopyocele: a case report

Abstract: Mucopycocele of the middle turbinate is an uncommon disease. Most mucoceles are situated in the frontal and/or ethmoid sinuses. In this paper we will describe a mucopyocele of the middle turbinate associated with pansinus disease.

Cited by 7 publications

References 6 publications

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

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

Mucocele of the middle turbinate: A rare entity

Ocular Manifestations of Bilateral Ethmoidal Sinus Mucopyocele: Case Report

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