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Concha bullosa

Nicholas R Rowan, Tyler A Janz, Rodney J Schlosser, Zachary M Soler
BACKGROUND: Allergic fungal rhinosinusitis (AFRS) is characterized by higher revision endoscopic sinus surgery (ESS) rates and unique radiographic features when compared to chronic rhinosinusitis with nasal polyposis (CRSwNP) or chronic rhinosinusitis without nasal polyposis (CRSsNP). OBJECTIVE: We hypothesized that an increased frequency of concha bullosa in AFRS or other radiographic nuances might allow for accumulation of allergic mucin and contribute to increased ESS revision rates...
January 24, 2019: American Journal of Rhinology & Allergy
M C Rusu, N Măru, C J Sava, M Săndulescu, D Dincă
The lateral nasal wall attaches the nasal turbinates, which could be, either pneumatized, or paradoxically curved. The turbinate pneumatization-concha bullosausually indicates the pneumatization of the middle turbinate. However, concha bullosasuperior (CBS) is also, although rare, anatomic possibility of variation. We report here a case of unilateral giant septated CBS, which was not, to our knowledge, previously reported. The case was documented in Cone Beam Computed Tomography (CBCT). Subtle pneumatizations of inferior turbinates were found bilateral, as also were the middle conchae bullosae...
December 21, 2018: Morphologie: Bulletin de L'Association des Anatomistes
Demet Yazici
OBJECTIVES: Anatomic variations of paranasal sinuses are frequent among population that should be analyzed and interpreted accurately. The purpose of this study is to analyze anatomical variants and their relationships of paranasal sinuses in patients with nasal septal deviation undergoing septoplasty. METHODS: A total number of 150 patients (74 males, 76 females) with nasal septal deviation undergoing septal surgery were included in this retrospective study. The authors analyzed the direction and the angle of the nasal septal deviation, variations of the nasal turbinates, ethmoidal air cells, paranasal sinus pneumatization, accessory pneumatization of the paranasal complex and sphenoid sinus-related structures and the Keros, optic nerve and Vidian canal classification, and relationships between these structures in the paranasal computed tomography of the patients...
December 13, 2018: Journal of Craniofacial Surgery
Fahrettin Kalabalık, Elif Tarım Ertaş
OBJECTIVES: The aim of this retrospective study was to investigate the correlations of maxillary sinus volume with nasal septal deviation, concha bullosa, impacted teeth, and missing teeth in the maxillary posterior region on maxillary sinus volume using cone-beam computed tomography (CBCT) images. METHODS: The study cohort comprised 252 CBCT images of 252 patients retrospectively selected from the records in our CBCT archive. All CBCT images were exported to 3D modeling software for calculation of maxillary sinus volumes...
November 24, 2018: Oral Radiology
Hakan Avsever, Kaan Gunduz, Omer Karakoç, Mesut Akyol, Kaan Orhan
OBJECTIVE: CBCT applications have received widespread acceptance in dentistry. CBCT scans provide three-dimensional information on anatomic structures and characteristics of pathologies, rather than the two-dimensional information obtained with the conventional techniques. The purpose of this study was to evaluate incidental findings in out-of-interest areas on CBCT images and to reveal their frequency and characteristics. METHODS: A total of 691 CBCT scans from 691 patients were assessed...
January 2018: Oral Radiology
Yashveer Jayantha Kedilaya, Aneena Chacko, V K Poorey
Many surgical advancement paved to surgical success in endonasal endoscopic dacryocystorhinostomy. Mitomycin C is a systemic chemotherapeutic agent derived from Streptomyces caespitosus that inhibits the synthesis of DNA, cellular RNA, and protein by inhibiting the synthesis of collagen by fibroblasts. The objective of the study was to evaluate the advantage of mitomycin C in primary endoscopic endonasal dacryocystorhinostomy without stenting. Randomised case control design. Tertiary academic centre in central India...
December 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
Ángel Rubio Salvador, Sylvia Alejandra Jiménez-Brobeil, Lydia Paz Sánchez-Barba Muñoz, Fernando Molina
OBJECTIVE: This study aims to expand knowledge of Concha bullosa in a prehistoric population. MATERIALS: The skull of an adult female from the Bronze Age archeological site ofCastellón Alto (Granada, Spain), dated between 1900 and 1600 BCE. METHODS: The diagnosis of middle turbinateconcha bullosa was based on macroscopic, radiographic, and computed tomography studies. RESULTS: This is one of the oldest findings ofconcha bullosa in Europe...
November 1, 2018: International Journal of Paleopathology
Christian Calvo-Henríquez, Alberto Ruano-Ravina, Gabriel Martinez-Capoccioni, Marco Huaranca, Kaelon Lattomus, Carlos Martin-Martin
PURPOSE: A pneumatized middle turbinate is called concha bullosa. Bolger classified it in bulbous, lamellar, and extensive. Lamellar cells could have a variable extension. We propose the first radiologic classification of lamellar cells. METHODS: 195 CT sinonasal scans were included in the study. Lamellar cells were classified into four categories according to their degree of aeration. RESULTS: Lamellar cells were found in 47.7% of patients: unilateral in 14...
November 2018: European Archives of Oto-rhino-laryngology
Raja Kalaiarasi, Venkataramanan Ramakrishnan, Santhosh Poyyamoli
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...
July 2018: International Archives of Otorhinolaryngology
J K Yashveer, Aneena Chacko
To study the outcome and complications of endoscopic endonasal dacryocystrhinostomy without stenting. Randomised prospective observational design. Tertiary academic centre. Seventy patients, clinically diagnosed as chronic dacryocystitis with nasolacrimal duct obstruction on the basis of syringing, were enrolled. Endoscopy was done for nasal pathology especially mucosal disease, hypertrophied turbinate, DNS. Seventy-eight eyes were operated with endoscopic-dacryocystorhinostomy along with additional surgeries and periodically followed up on OPD-basis at the end of 1st week, 2nd week, 1st month and 3rd month and evaluated clinically and by syringing (Ophthalmologist) and endoscopy done, wherever required...
June 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
O Ismi, T Kara, G Polat, O Bobusoglu, Y Vayısoglu, K Gorur, C Ozcan
BACKGROUND: Although the role of neurotrophins such as nerve growth factor and brain-derived neurotrophic factor in nasal polyps development has been studied, the contribution of neurotrophin-3 has not been evaluated yet. This study aimed to investigate the possible role of neurotrophin-3 in nasal polyps pathogenesis. METHODS: The study group comprised 70 non-allergic nasal polyps patients and the control group consisted of 53 patients with middle turbinate concha bullosa...
August 2018: Journal of Laryngology and Otology
Christian Calvo-Henríquez, Xenia Mota-Rojas, Alberto Ruano-Ravina, Gabriel Martinez-Capoccioni, Kaelon Lattomus, Carlos Martin-Martin
OBJECTIVE: A pneumatised middle turbinate is called concha bullosa. It has been classified according to its extension in the coronal plane. We propose the first classification according to the axial extension of pneumatisation of the middle turbinate. MATERIAL AND METHODS: Bulbous concha bullosa was classified in six categories according to the degree of pneumatisation of the body of the middle turbinate in the axial plane. RESULTS: 196 CT sinonasal scans were included...
June 18, 2018: Acta Otorrinolaringológica Española
W H Zhang, Y L Zhao, X D Li
Objective: The aim of this study is to study the related structures with concha bullosa drainage passway in inpatients with concha bullosa disease. Method: A total of 90 patients with peritubular middle turbinate (144 sides) were examined by 16-slice spiral CT. The distribution of the middle turbinate and the distribution of the drainage channel were analyzed by three-dimensional reconstruction technique and image workstation software. Result: The distribution of the morphology and drainage channel of 144 concha bullosa have statistically significant ( P <0...
May 20, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Milos Fuglsang, Leif Hovgaard Sørensen, Kristian Bruun Petersen, Jesper Bille
A 10-year-old girl presented with episodes of migraine. A nasal mass was found randomly during work-up. Interpreted as an osteoma, the mass was removed during endoscopic surgery. However, the histopathological examination turned out to be a pyomucocele in the right middle turbinate, which is an extremely rare yet benign condition in children.
May 15, 2018: BMJ Case Reports
Fatih Ozdogan, Halil Erdem Ozel, Erkan Esen, Selahattin Genc, Adin Selcuk
No abstract text is available yet for this article.
January 2018: World Journal of Plastic Surgery
Kadri İla, Nihat Yilmaz, Serkan Öner, Efser Başaran, Zülal Öner
OBJECTIVE: Concha bullosa is generally regarded as pneumatisation of the middle turbinate in the nose. However, pneumatisation may also be seen in the superior and inferior turbinate. Computed tomography (CT) of paranasal sinuses is extremely helpful for the examination of this inaccessible area. Coronal CT sections of paranasal sinuses are particularly useful for surgical anatomy, as these images show nearly the same regions as the endoscopic examinations. The aim of this retrospective study was to evaluate the presence, incidence and unilaterality-bilaterality of superior turbinate pneumatisation and concomitant nasal pathologies...
July 2018: Surgical and Radiologic Anatomy: SRA
Fuat Bulut, Kadir Cagdas Kazikdas
A concha bullosa forms when the middle turbinate becomes pneumatized, which is a common anatomic variation; however, fungus ball in concha bullosa is rather rare. An otherwise healthy 52-year-old man presented to our ear, nose and throat clinic with the complaints of midfacial pressure headache and malodorous postnasal drip. Computed tomography of the paranasal sinuses demonstrated a polypoid hyperdense lesion with slight microcalcifications in the right nasal cavity, accompanied with a complicated fluid collection in the right frontoethmoideal recess seen as hypodensity in contrast to this hyperdensity...
September 2018: Journal of Craniofacial Surgery
Jamil Manji, Al-Rahim R Habib, Ameen A Amanian, Saad Alsaleh, Andrew Thamboo, Amin R Javer
PURPOSE: Synechiae formation in the middle meatus is the most common complication of functional endoscopic sinus surgery (FESS). Our objectives were to determine the incidence of synechiae occurring in a cohort of patients that have undergone FESS and identify characteristics associated with the development of synechiae postoperatively. METHODS: A retrospective chart review was conducted of CRS patients, with or without nasal polyposis, that had undergone bilateral FESS in the past...
May 2018: European Archives of Oto-rhino-laryngology
Aakanksha Rathor, Abhinandan Bhattacharjee
Objective: This study aimed to determine whether there is a clinical-radiological correlation in chronic rhinosinusitis (CRS), to compare operative findings with those of computed tomography (CT) imaging, and to determine the importance of a CT score and staging in management of CRS. Methods: This study is a prospective study. Adult patients meeting diagnostic criteria for CRS were prospectively studied using the Lund-Mackay (LM) symptom score and sinus CT scan...
September 2017: World journal of otorhinolaryngology—head and neck surgery
C J Sava, M C Rusu, M Săndulescu, D Dincă
Common anatomic variants of the middle nasal turbinate include its pneumatization (i.e. concha bullosa media) and its paradoxical curvature. We report here two cases of differently combined variations of the middle turbinate which were documented in cone beam computed tomography (CBCT). The first report presents the vertical combination of a double or septated lamellar concha bullosa with the paradoxical curvature of middle turbinate. This combined variant associated (coincidental findings): ipsilateral paradoxical superior turbinate and contralateral paradoxical middle turbinate, concha bullosa superior and concha bullosa suprema...
July 2018: Surgical and Radiologic Anatomy: SRA
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