Sari Kamran, Gencer Zeliha Kapusuz, Kantekin Yunus
Bozok University School of Medicine, Ear Nose & Throat Department, Yozgat, Turkey.
Acta Medica (Hradec Kralove). 2015;58(4):147-9. doi: 10.14712/18059694.2016.8.
Concha bullosa (CB) is among the most common anatomic variations of sinonasal anatomy. Although usually asymptomatic, CB can occasionally cause nasal obstruction or headache. Obstructions within the mucociliary transport system can develop into a mucocele or mucopyocele. A 48-year-old female, with a history of progressive headache and nasal obstruction, was referred to our department. Paranasal sinus tomography revealed a nasal mass in the left nasal cavity resembling a mucopyocele in the middle turbinate. Under general anesthesia, the purulent material was aspirated, and the lateral part of the left turbinate was resected. Mucopyoceles are common within the paranasal sinuses, but uncommon with CB; thus, they should be considered in patients with a large hyperemic nasal mass.
泡状鼻甲（CB）是鼻窦解剖结构中最常见的解剖变异之一。虽然通常无症状，但CB偶尔可引起鼻塞或头痛。黏液纤毛运输系统内的阻塞可发展为黏液囊肿或黏液脓性囊肿。一名48岁女性，有进行性头痛和鼻塞病史，被转诊至我科。鼻窦CT显示左侧鼻腔有一肿物，类似中鼻甲的黏液脓性囊肿。在全身麻醉下，抽出脓性物质，并切除左侧鼻甲的外侧部分。黏液脓性囊肿在鼻窦内很常见，但在CB中不常见；因此，对于有大量充血性鼻腔肿物的患者应考虑此病。
