Concha bullosa: CT evaluation.

Abstract:

:Aeration of the middle turbinate, termed "concha bullosa," is a common anatomical variant of intranasal anatomy. Of 320 patients evaluated for sinus disease with coronal CT, 34% had concha bullosa on at least one side. The overall incidence of inflammatory disease in the ostiomeatal complex in these symptomatic patients was not different between those with and without concha bullosa. However, there were many cases in which an abnormally large middle turbinate appeared to obstruct the ostiomeatal complex causing secondary infection of the ethmoid, frontal, and maxillary sinuses. Obstruction of drainage of the concha bullosa itself can lead to mucocele formation. Furthermore, the presence of a concha bullosa has important implications for the technique of endoscopic surgery used in the management of the sinus disease. The anatomy, pathophysiology, and CT findings in patients with concha bullosa are reviewed.

journal_name

J Comput Assist Tomogr

authors

Zinreich SJ,Mattox DE,Kennedy DW,Chisholm HL,Diffley DM,Rosenbaum AE

doi

10.1097/00004728-198809010-00012

subject

Has Abstract

pub_date

1988-09-01 00:00:00

pages

778-84

issue

5

eissn

0363-8715

issn

1532-3145

journal_volume

12

pub_type

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