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Enlargement of the left inferior turbinate due to a concha bullosa.
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Figure 3: Enlargement of the left inferior turbinate due to a concha bullosa.

Mentions: The patient underwent functional endoscopic sinus surgery under general anaesthetic. Intra-operative examination showed hypertrophy of the inferior turbinates (Fig. 3). A 4 mm 0 degree rigid endoscope was used and the inferior concha bullosa (ICB) was resected removing the free edge of the inferior turbinate using turbinectomy scissors (Fig. 4). The uncinate process was removed and a middle meatal antrostomy was performed bilaterally. Nasal douching with isotonic sterile saline solution was prescribed, three times a day, for 10 days. The patient was reviewed in the Clinic after one month and her nasal obstruction had improved significantly.

Concha bullosa of the inferior turbinate:an unusual cause of nasal obstruction

Pittore B, Al Safi W, Jarvis SJ - Acta Otorhinolaryngol Ital (2010)

Bottom Line: Turbinate pneumatisation, also known as concha bullosa, refers to the existence of an air cell inside the turbinate.While pneumatization of the middle and superior turbinates are common, the presence of pneumatization of the inferior turbinate, otherwise known as an inferior concha bullosa is very rare.Herewith, a case is presented of bilateral hypertrophy of the inferior turbinates associated with a left inferior concha bullosa.

Affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Queen Alexandra Hospital, Portsmouth, UK. barbarapitt@tiscali.it

ABSTRACT
Turbinate pneumatisation, also known as concha bullosa, refers to the existence of an air cell inside the turbinate. While pneumatization of the middle and superior turbinates are common, the presence of pneumatization of the inferior turbinate, otherwise known as an inferior concha bullosa is very rare. Herewith, a case is presented of bilateral hypertrophy of the inferior turbinates associated with a left inferior concha bullosa.

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