泡性鼻甲的发病率：一项回顾性放射学研究。

The incidence of concha bullosa: a retrospective radiologic study.

作者信息

Kar Murat, Altıntaş Mustafa

机构信息

Otorhinolaryngology Clinic, University of Alaaddin Keykubat, Training and Research Hospital, 07400, Alanya, Antalya, Turkey.

Otorhinolaryngology Clinic, University of Health Science, Antalya Training and Research Hospital, Antalya, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2023 Feb;280(2):731-735. doi: 10.1007/s00405-022-07552-y. Epub 2022 Jul 23.

DOI:10.1007/s00405-022-07552-y

PMID:35870004

Abstract

AIM

This study was conducted to discuss the incidence, directions, and types of concha bullosa using studies in the literature.

MATERIALS AND METHODS

The images of patients who presented to the ENT clinic with different ENT symptoms in the last 7 years and had paranasal sinus tomography were analyzed retrospectively.

RESULTS

The study consisted of a total of 3133 patients, including 1534 females (48.96%) and 1599 males (51.03%). The age range of the cases was between 12 and 85 years, and the mean age was 57.25 years. Middle concha bullosa was detected in 1402 (44.74%) of the cases. Of these cases, it was determined that 320 (22.82%) had right, 311 (22.18%) had left, and 771 (54.99%) had bilateral middle concha bullosa. Of middle types of concha bullosa, lamellar type concha bullosa was detected in 575 (41.01%) patients, bulbous type in 363 (25.89%), and extensive type in 464 (33.09%). Of the cases with lamellar type middle concha bullosa, it was found that 130 (22.60%) had right side, 105 (18.26%) had left side, and 340 (59.13%) had bilateral lamellar type middle concha bullosa. Of the cases that were determined to have bulbous type middle concha bullosa, 97 (26.72%) had right side, 99 (27.27%) had left side, and 167 (46.00%) had bilateral bulbous type middle concha bullosa. Of the cases that were determined to have extensive type middle concha bullosa, 93 (20.04%) had right side, 107 (23.06%) had left side, and 264 (56.89%) had bilateral extensive type middle concha bullosa. The incidence of superior concha bullosa was determined in 487 (15.54%) of 3133 cases. Of these, bilateral superior concha bullosa was detected in 332 (68.17%) cases and unilateral in 155 (31.82%) cases.

CONCLUSIONS

Our study has the largest case series among studies investigating the incidence of concha bullosa. The incidence of concha bullosa appears to be common in the community. Additional studies may be useful to determine whether its high incidence is associated with other sinus pathologies and the extent of its effect on other rhinological complaints.

摘要

目的

本研究旨在通过文献研究探讨泡状鼻甲的发生率、方向及类型。

材料与方法

回顾性分析过去7年因不同耳鼻喉科症状就诊于耳鼻喉科门诊且行鼻窦CT扫描的患者影像资料。

结果

本研究共纳入3133例患者，其中女性1534例（48.96%），男性1599例（51.03%）。病例年龄范围在12至85岁之间，平均年龄为57.25岁。1402例（44.74%）患者检测到中鼻甲泡状鼻甲。其中，确定右侧320例（22.82%），左侧311例（22.18%），双侧771例（54.99%）。在中鼻甲泡状鼻甲类型中，片状型泡状鼻甲在575例（41.01%）患者中被检测到，球型在363例（25.89%），广泛型在464例（33.09%）。在片状型中鼻甲泡状鼻甲病例中，发现右侧130例（22.60%），左侧105例（18.26%），双侧340例（59.13%）。在确定为球型中鼻甲泡状鼻甲的病例中，右侧97例（26.72%），左侧99例（27.27%），双侧167例（46.00%）。在确定为广泛型中鼻甲泡状鼻甲的病例中，右侧93例（20.04%），左侧107例（23.06%），双侧264例（56.89%）。在3133例病例中，487例（15.54%）检测到上鼻甲泡状鼻甲。其中，双侧上鼻甲泡状鼻甲在332例（68.17%）病例中被检测到，单侧155例（31.82%）病例。