Concha bullosa and the nasal middle meatus obstructive syndrome
Background. Concha bullosa (CB) is pneumatization of the middle turbinate and one of the most common anatomic variation of the sinonasal region. It is found in about 25% of the population. Middle meatus obstructive syndrome (MMOS) is, usually connected with CB. The main symptoms of this syndrome are...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2008-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2008/0042-84500803255P.pdf |
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| author | Perić Aleksandar Sotirović Jelena Baletić Nenad Kozomara Ružica Bijelić Dušan Rašić Dejan |
| author_facet | Perić Aleksandar Sotirović Jelena Baletić Nenad Kozomara Ružica Bijelić Dušan Rašić Dejan |
| author_sort | Perić Aleksandar |
| collection | DOAJ |
| description | Background. Concha bullosa (CB) is pneumatization of the middle turbinate and one of the most common anatomic variation of the sinonasal region. It is found in about 25% of the population. Middle meatus obstructive syndrome (MMOS) is, usually connected with CB. The main symptoms of this syndrome are headaches, impaired nasal breathing and hyposmia. Headache is the most common symptom and it may occur due to contact between a CB and other structures of the nasal cavity. Case report. We presented a case of 32 year-old-woman with headaches, located in the orbital and the left frontal region. The headaches were intermittent and corresponding to the nasal cycle. After neurologic and alergic examination, endoscopic nasal examination demonstrated a septal deviation to the right side and a large middle turbinate in the left side of the nasal cavity. Coronal computerized tomography (CT) of the paranasal sinuses demonstrated the septal deformation and pneumatization of the left middle turbinate. Diagnosis was confirmed by lidocaine test. In the functional endoscopic surgery (FESS), the lateral lamela of the anterior CB was removed. At the same time, the septoplasty was done. At the control examination, the patient was without symptoms. Conclusion. Although CB is the common anatomic variation of the nasal cavity, MMOS is rare. Headache (rhinogenic origin) is the most important symptom. Surgical treatment is the lateral resection of the CB in the FESS technique and the septoplasty. |
| format | Article |
| id | doaj-art-ba07e271a2d848f498aeb0482ab07707 |
| institution | DOAJ |
| issn | 0042-8450 |
| language | English |
| publishDate | 2008-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-ba07e271a2d848f498aeb0482ab077072025-08-20T03:04:43ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502008-01-0165325525810.2298/VSP0803255PConcha bullosa and the nasal middle meatus obstructive syndromePerić AleksandarSotirović JelenaBaletić NenadKozomara RužicaBijelić DušanRašić DejanBackground. Concha bullosa (CB) is pneumatization of the middle turbinate and one of the most common anatomic variation of the sinonasal region. It is found in about 25% of the population. Middle meatus obstructive syndrome (MMOS) is, usually connected with CB. The main symptoms of this syndrome are headaches, impaired nasal breathing and hyposmia. Headache is the most common symptom and it may occur due to contact between a CB and other structures of the nasal cavity. Case report. We presented a case of 32 year-old-woman with headaches, located in the orbital and the left frontal region. The headaches were intermittent and corresponding to the nasal cycle. After neurologic and alergic examination, endoscopic nasal examination demonstrated a septal deviation to the right side and a large middle turbinate in the left side of the nasal cavity. Coronal computerized tomography (CT) of the paranasal sinuses demonstrated the septal deformation and pneumatization of the left middle turbinate. Diagnosis was confirmed by lidocaine test. In the functional endoscopic surgery (FESS), the lateral lamela of the anterior CB was removed. At the same time, the septoplasty was done. At the control examination, the patient was without symptoms. Conclusion. Although CB is the common anatomic variation of the nasal cavity, MMOS is rare. Headache (rhinogenic origin) is the most important symptom. Surgical treatment is the lateral resection of the CB in the FESS technique and the septoplasty.http://www.doiserbia.nb.rs/img/doi/0042-8450/2008/0042-84500803255P.pdfturbinatesheadacheotorhinolaryngologic surgical procedures |
| spellingShingle | Perić Aleksandar Sotirović Jelena Baletić Nenad Kozomara Ružica Bijelić Dušan Rašić Dejan Concha bullosa and the nasal middle meatus obstructive syndrome Vojnosanitetski Pregled turbinates headache otorhinolaryngologic surgical procedures |
| title | Concha bullosa and the nasal middle meatus obstructive syndrome |
| title_full | Concha bullosa and the nasal middle meatus obstructive syndrome |
| title_fullStr | Concha bullosa and the nasal middle meatus obstructive syndrome |
| title_full_unstemmed | Concha bullosa and the nasal middle meatus obstructive syndrome |
| title_short | Concha bullosa and the nasal middle meatus obstructive syndrome |
| title_sort | concha bullosa and the nasal middle meatus obstructive syndrome |
| topic | turbinates headache otorhinolaryngologic surgical procedures |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2008/0042-84500803255P.pdf |
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