Ozturan Orhan, Degirmenci Nazan
Department of Otorhinolaryngology and Head and Neck Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.
J Craniofac Surg. 2013 Jul;24(4):e444-6. doi: 10.1097/SCS.0b013e3182942eaa.
Aeration of the concha is called concha bullosa regardless of the amount and location of the aeration. Middle concha pneumatization is very frequent, and its incidence rate according to the literature is between 14% and 53.6%. Various types of middle concha such as pneumatized, paradoxical, bifurcate, trifurcate, secondary, and accessory have been defined; however, the most frequently observed variation is the pneumatization of the middle concha. In our case, a male patient presented to our clinic with complaints about difficulty breathing through the nose and decrease in the olfaction. The endoscopic examination showed that his right middle concha had grown enough to extend toward the front of the lower concha, and the left middle and lower meatuses were infested by polyps. The paranasal computed tomographic scan of the patient showed that the left middle concha had maxillary sinus invasion at an amount that was enough to fill 25% of the maxillary sinus. In this case presentation, the middle concha pneumatization presenting with maxillary sinus invasion, which we believe is the first case in the literature, is presented as accompanied by the literature.
无论筛泡的气化量和位置如何，筛泡的气化都被称为泡状鼻甲。中鼻甲气化非常常见，根据文献其发生率在14%至53.6%之间。已经定义了各种类型的中鼻甲，如气化型、反常型、分叉型、三分叉型、继发型和副中鼻甲；然而，最常观察到的变异是中鼻甲气化。在我们的病例中，一名男性患者因鼻塞和嗅觉减退前来就诊。内镜检查显示，他的右侧中鼻甲生长过度，延伸至下鼻甲前方，左侧中鼻道和下鼻道有息肉。患者的鼻窦计算机断层扫描显示，左侧中鼻甲对上颌窦的侵犯程度足以占据上颌窦的25%。在本病例报告中，我们认为这是文献中首例伴有上颌窦侵犯的中鼻甲气化病例，并结合文献进行了介绍。
