Yenigun Alper, Ozturan Orhan, Buyukpinarbasili Nur
Karaman State Hospital, Otorhinolaryngology Clinic, Karaman, Turkey.
Bezmialem Vakif University, Department of Otorhinolaryngology, Istanbul, Turkey.
Auris Nasus Larynx. 2014 Jun;41(3):310-2. doi: 10.1016/j.anl.2013.08.005. Epub 2013 Oct 21.
Intumenscentia septi nasi anterior is an anatomical variation in the nasal cavity, first described by Morgagni in 1662; septal turbinate and tuberculum septi nasi anterior are among the various other names attributed to this anatomical structure. It is an expandable vascular network which develops from the septal mucosa. Computed tomography, following history-taking and physical examination, is a valuable tool in diagnosing turbinate pneumatisation. This paper reports the case of a 23-year-old female with nasal stuffiness as her primary complaint, who was found to have pneumatization of the septum mimicking the septal concha. Pneumatization of the septal turbinate may also be a cause of septal enlargement. The symptomatology, diagnosis and treatment options for cases of septal turbinate are discussed. The surgical interventions performed in the presented case are briefly described. The presented patient had a pneumatization of the septal turbinate, like those of the conchae. It is reported for the first time in medical literature, and the histological and functional similarities of the septal turbinate and of the nasal conchae are pointed out.
鼻中隔前膨隆是鼻腔的一种解剖变异,1662年由莫尔加尼首次描述;鼻中隔鼻甲和鼻中隔前结节是赋予该解剖结构的其他各种名称。它是一个可扩张的血管网络,由鼻中隔黏膜发育而来。在进行病史采集和体格检查后,计算机断层扫描是诊断鼻甲气化的重要工具。本文报告了一例以鼻塞为主诉的23岁女性病例,该患者被发现有鼻中隔气化,类似鼻中隔鼻甲。鼻中隔鼻甲气化也可能是鼻中隔增大的原因。讨论了鼻中隔鼻甲病例的症状、诊断和治疗选择。简要描述了本病例所实施的手术干预。该患者出现了类似鼻甲的鼻中隔鼻甲气化。这在医学文献中是首次报道,并指出了鼻中隔鼻甲与鼻甲的组织学和功能相似性。