Mucopyocele of the Concha Bullosa Presenting as a Large Nasal Mass

Abdel‐Aziz, Mosaad

doi:10.1097/scs.0b013e318210b95a

Cited by 12 publications

(18 citation statements)

References 5 publications

(5 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1,7,11,17 However, mucoceles and mucopyoceles cannot be differentiated on CT. 18 The anticipated finding of a CBM on CT consists of a soft-tissue mass with a bony contour, which usually causes deviation or compression of surrounding structures. 6 There also can be enhancement on the periphery of the mass.…”

Section: Discussionmentioning

confidence: 99%

“…5,9,11–13 There are 22 reported cases in the literature, of which 15 are mucopyoceles and 7 are CBMs. A CT was used in 21 cases, whereas magnetic resonance imaging (MRI) use was scarce.…”

mentioning

confidence: 99%

“…There are no known predominant risk factors for CBMs, although certain studies indicate that nasal trauma, previous surgery, polyps, or infection are predisposing factors. 5,9,11–13 There are 22 reported cases in the literature, of which 15 are mucopyoceles and 7 are CBMs. A CT was used in 21 cases, whereas magnetic resonance imaging (MRI) use was scarce.…”

mentioning

confidence: 99%

See 2 more Smart Citations

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: 99%

“…5,9,11–13 There are 22 reported cases in the literature, of which 15 are mucopyoceles and 7 are CBMs. A CT was used in 21 cases, whereas magnetic resonance imaging (MRI) use was scarce.…”

mentioning

confidence: 99%

See 1 more Smart Citation

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

“…CB that is a pneumatization of the middle turbinate is one of the most common variations of the sinonasal anatomy [3]. Like other aerated cells, the CB possesses a mucociliary transport system [5], with the ostium connecting the air cell lumen to the frontal recess [2].…”

Section: Discussionmentioning

confidence: 99%

“…The majority of mucoceles are situated in the ethmoid and/or frontal sinuses [1,2]. If a mucocele becomes infected, it is referred to as a pyocele [3]. Although concha bullosa (CB) is the most common variants of the middle turbinate, mucocele or pyocele of CB has been rarely reported [2-5].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2013

View full text Add to dashboard Cite

BackgroundAlthough concha bullosa (CB) is the most common variants of the middle turbinate, mucocele of CB is uncommon. Furthermore, CB mucocele with orbital invasion and secondary frontal sinusitis has not been reported previously.Case presentationA 42-year-old Korean male presented with gradually progressive proptosis of right eye and right-sided frontal headache. He had previously undergone endoscopic sinus surgery (ESS) 15 and 9 years ago. The endoscopic examination showed an expansive, large middle turbinate with normal mucosa filled the majority of right nasal cavity and displaced the septum to the left. A computed tomography and magnetic resonance imaging showed a well demarcated cystic huge mass at right nasal cavity extending to ethmoid sinus and orbit. The mass caused a bony defect on the lamina papyracea and displaced medial rectus muscle and orbit laterally. Moreover, the right frontal and ethmoid sinus was totally opacified. This article reports orbital invasion and frontal sinusitis complicating a CB mucocele, which was successfully treated by endoscopic resection of the lateral wall of CB and frontal sinusotomy.ConclusionsThis case illustrates that CB mucocele could develop to such a massive extent that it leads to orbital complication and secondary frontal sinusitis. Therefore, we consider this entity in the differential diagnosis of orbital complications and secondary sinusitis caused by intranasal mass.

show abstract