Chang Andrew, Ulualp Seckin O, Koral Korgun, Veling Maria
Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA; Children's Medical Center, University of Texas Southwestern Medical Center, Dallas, TX, USA.
SAGE Open Med Case Rep. 2016 Oct 4;4:2050313X16672152. doi: 10.1177/2050313X16672152. eCollection 2016.
The accessory middle turbinate, a rare anatomical variation of the nasal cavity, have been systematically studied in adults. Presence of accessory middle turbinate and its clinical significance in a child has not been reported. We describe clinical appearance and radiologic features of accessory middle turbinate in a child.
Retrospective chart review.
A 3-year-old boy presented to the otolaryngology clinic for evaluation of recurrent epistaxis. Anterior rhinoscopy revealed moist nasal mucosa without inflammation and bilateral prominent blood vessels on the anterior nasal septum. Nasal endoscopy showed turbinate like protuberances in bilateral middle meatus. CT images documented accessory middle turbinate in the bilateral nasal cavity.
Otolaryngologists should be cognizant of anatomical variations of middle turbinate to achieve correct diagnosis and avoid potential complications during surgical management.
副中鼻甲是鼻腔一种罕见的解剖变异，已在成人中进行了系统研究。儿童中副中鼻甲的存在及其临床意义尚未见报道。我们描述了一名儿童副中鼻甲的临床表现和影像学特征。
回顾性病历审查。
一名3岁男孩因反复鼻出血到耳鼻喉科门诊就诊。前鼻镜检查显示鼻黏膜湿润，无炎症，鼻中隔前部双侧血管明显。鼻内镜检查显示双侧中鼻道有类似鼻甲的隆起。CT图像显示双侧鼻腔有副中鼻甲。
耳鼻喉科医生应认识到中鼻甲的解剖变异，以实现正确诊断并避免手术治疗期间的潜在并发症。
