Bilateral middle concha bullosa mucopyocele connecting to headache disablement: a case study

Concha Bullosa (CB) is the most common anatomic variations of sinonasal anatomy in which the middle nasal turbinate contains pneumatized cells. The most usual variation is concha bullosa in nasal cavity. Sometimes the cause of headache or nasal obstruction is CB. This study describes the case of Computed Tomography (CT) findings of bilateral middle and inferior concha bullosa in a 38-year-old female with nasal obstruction and headache. We obtained paranasal sinus CT examinations from the Department of Radiology, Ear Nose and Throat of Sifa Hospital in Antalya. The patient was operated victoriously with endoscopicsurgery of conchas by Ear Nose and Throat surgeon.

[1]  D. Rašić,et al.  Surgical Treatment of Rhinogenic Contact Point Headache: An Experience from a Tertiary Care Hospital , 2016, International Archives of Otorhinolaryngology.

[2]  E. Cantone,et al.  Concha bullosa related headache disability. , 2015, European review for medical and pharmacological sciences.

[3]  N. A. Roozbahany,et al.  Nasal and paranasal sinus anatomical variations in patients with rhinogenic contact point headache. , 2013, Auris, nasus, larynx.

[4]  M. Luntz,et al.  A Concha Bullosa Mucopyocele Manifesting as Migraine Headaches: A Case Report and Literature Review , 2012, Ear, nose, & throat journal.

[5]  M. J. Nadoushan,et al.  Effect of turbinoplasty in concha bullosa induced rhinogenic headache, a randomized clinical trial , 2012, Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences.

[6]  N. Baletić,et al.  A case of an uncommon anatomic variation of the middle turbinate associated with headache. , 2010, Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale.

[7]  Z. C. Wang,et al.  CT appearance of pneumatized inferior turbinate. , 2008, Clinical radiology.

[8]  N. Alatas,et al.  Pneumatization of the Inferior Turbinates: Incidence and Radiologic Appearance , 2005, Journal of computer assisted tomography.

[9]  O. M. Arıyürek,et al.  Pneumatised superior turbinate: a common anatomic variation? , 2005, Surgical and Radiologic Anatomy.

[10]  J. Lobo,et al.  The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. , 2004, AJNR. American journal of neuroradiology.

[11]  O. Onbas,et al.  Remarkable anatomic variations in paranasal sinus region and their clinical importance. , 2004, European journal of radiology.

[12]  H. H. Unlu,et al.  Inferior concha bullosa. , 2002, The Journal of otolaryngology.

[13]  D. Clerico.  Pneumatized Superior Turbinate as a Cause of Referred Migraine Headache , 1996, The Laryngoscope.

[14]  S. Gassiot,et al.  [Anatomy of the paranasal sinuses]. , 1990, Soins. Chirurgie.