Otorhinolaryngology Clinic, Military Medical Academy, Belgrade, Serbia.
Acta Otorhinolaryngol Ital. 2010 Jun;30(3):156-9.
Headache due to the pressure of nasal mucosa in the absence of inflammation of the nose and paranasal sinuses is a clinical entity that has gained wide acceptance. Concha bullosa is the most commonly observed anatomical variation of the lateral nasal wall. The case is presented of a 31-year-old female with a history of intermittent frontal headache and bilateral nasal obstruction in whom we found the concha bullosa containing another, smaller concha bullosa inside. This is the first report of a case in which both outer and inner concha bullosa were septated (with two air cells inside). After resecting the lateral portion of outer concha bullosa and removing the inner concha bullosa, the patient reported no further headaches. The differential diagnosis of the variations of the middle turbinate and the relationships between the anatomic variations and pathophysiology of contact point headaches are discussed herewith.
由于鼻腔黏膜压力引起的头痛，而鼻部和鼻旁窦无炎症，这是一种已被广泛认可的临床实体。泡状鼻甲是最常见的外侧鼻壁解剖变异。本文报告了 1 例 31 岁女性间歇性额头痛和双侧鼻塞病史，我们发现泡状鼻甲内包含另一个较小的泡状鼻甲。这是首例报道同时存在外侧和内侧泡状鼻甲分隔（内部有两个气房）的病例。切除外侧部分的泡状鼻甲并取出内侧泡状鼻甲后，患者头痛症状消失。本文讨论了中鼻甲变异的鉴别诊断以及解剖变异与触痛点头痛的病理生理学之间的关系。
