Concha bullosa (CB) is a pneumatized air cell within the nasal turbinates, often in the middle turbinate. CB is one of the most common anatomical variations found in the middle turbinate. It generally tends to be asymptomatic but can cause symptoms such as nasal obstruction, facial pain, and a decrease in the sense of smell. Moreover, CB can be involved in chronic rhinosinusitis, which can lead to its confusion with other lesions, as the radiographic picture might mimic other nasal pathologies. Here, we report a case of massive CB involved with allergic fungal sinusitis (AFS) and mimicking a bony tumor in order to highlight the diagnostic challenge of this clinical entity.
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| http://dx.doi.org/10.7759/cureus.15586 | DOI Listing |
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Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul, Republic of Korea.
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Department of Otolaryngology & Head and Neck Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Article Synopsis
- The study investigates how allergic fungal rhinosinusitis (AFRS) affects the length of the anterior ethmoid artery to skull base (AEA-SB) compared to chronic rhinosinusitis with nasal polyps (CRSwNP), which is important for surgical safety during endoscopic sinus surgery (ESS).
- A retrospective chart review analyzed 21 patients each from AFRS and CRSwNP groups, finding that the AFRS group was younger and had a significantly longer AEA-SB length, while no major differences were detected in other anatomical variations.
- The conclusion stresses that the identified anatomical differences should be considered during preoperative planning for ESS in AFRS patients to minimize the risk of AEA injury.
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