The incidence of concha bullosa, unusual anatomic variation and its relationship to nasal septal deviation: A retrospective radiologic study

Koo, Soo Kweon; Kim, Jong Deok; Moon, Ji Seung; Jung, Sung Hoon; Lee, Sang Hoon

doi:10.1016/j.anl.2017.01.003

Cited by 39 publications

(57 citation statements)

References 21 publications

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“…Aramani et al and Koo SK et al reported a prevalence rate of 53.7% in their studies. 11,14 In our study, the MT CB prevalences of extensive, bulbous and lamellar types were 49 (49.5%), 28 (28.3%) and 22 (22.2%), respectively, which are the same as noted in a study by Tonai et al 15 Various other studies report different incidences, which could be due to the differences in the target population and racial variation. 4,5,16 The CB, rarely when filled with fluid and pus results in mucopyocele.…”

Section: Discussionsupporting

confidence: 86%

Anatomical Variations of the Middle Turbinate Concha Bullosa and its Relationship with Chronic Sinusitis: A Prospective Radiologic Study

Raja

Venkataramanan

Poyyamoli

2018

Int Arch Otorhinolaryngol

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Introduction A pneumatized turbinate, also called concha bullosa, is a normal anatomical variant of the paranasal sinus region. Depending on the site of pneumatization, the concha is classified into extensive, bulbous or lamellar type. The middle turbinate concha bullosa has been implicated as a possible etiological factor in chronic sinusitis. Objectives The aim of this study was to investigate the anatomical variations of the concha bullosa, based on paranasal sinus imaging, and its possible association with sinusitis. Methods This prospective descriptive study was performed at the Department of ENT and Head Neck Surgery over a period of one year, from 2016 to 2017. We studied the computed tomography scans of the nose and paranasal sinuses— in axial, coronal and sagittal planes—of patients who had symptoms of nasal obstruction, or headache and features of chronic sinusitis. Results Out of the 202 scans studied, the prevalence of concha bullosa was 31.7%. The concha was bilateral in 35 (54.7%) patients and unilateral in 29 (45.3%) patients. Out of 99 conchae, 54 were on the right side and 45 were on left side. Ipsilateral sinusitis was found in 40.4% of the sides in the scans of subjects with concha. There was no statistically significant association between any type of middle turbinate concha with sinusitis, but sinusitis was more predominant with the extensive type of concha ( p > 0.05). Conclusion Multiple air cells, mucocele, pyocele and inflammatory mucosal thickenings in the concha are relatively rare. Detailed knowledge of anatomic variations of the concha bullosa is imperative for the radiologists and the operating surgeons.

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Section: Discussionsupporting

confidence: 86%

Anatomical Variations of the Middle Turbinate Concha Bullosa and its Relationship with Chronic Sinusitis: A Prospective Radiologic Study

Raja

Venkataramanan

Poyyamoli

2018

Int Arch Otorhinolaryngol

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“…The prevalence of concha bullosa is highly variable in the population, estimated at more than 50% [12]. The present study found a low prevalence (11.33%) which is similar to severahgxwl other publications [13]. The predominance of concha bullosa in young adult females is described in the litterature [2] and our results correlate this fact.…”

Section: Discussionsupporting

confidence: 90%

Large Concha Bullosa Is a Risk Factor for Chronic Sinusitis: A Case Control Study

Zounon¹,

Vodouhe²,

Agai³

et al. 2019

IJO

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The study analyzed the correlation between the presence of concha bullosa with the presence of radiological sinus opacity and sinonasal functional symptoms. All patients whose computed tomography (CT) findings were positive for concha bullosa were included in the study. The CT parameters taken in consideration were the presence and volume of concha bullosa, the aspect of the ipsilateral maxillary sinus (normal transparency, presence of sinus opacity). Clinical parameters were sinonasal functional signs. Statistical comparisons were made using the Pearson Chi square test. Over a four years period, 2436 CTs were interpreted, 276 of which presenting a concha bullosa (prevalence of 11.33%). The average age was 33 (19 to 63). Females (204 either 74%) outnumbered men (72 either 26%). An opacification of the ipsilateral maxillary sinus seen upon CT was statistically related to the presence of a large concha bullosa (p = 0.02). On the other hand, the presence of a clinical symptomatology of maxillary sinusitis crossed with the presence of a large concha bullosa was not significant (p ˃ 0.50). This study has demonstrated a close correlation between the existence of a large concha-bullosa and an ipsilateral maxillary sinusitis seen on CT-Scan without necessarily having clinical manifestation of sinusitis. The diagnosis of sinusitis must remain primarily clinical.

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“…[9] In patients who attended our clinic with sinonasal complaints, the preferred imaging method is paranasal CT. For this reason, similar to other studies in the literature, we also evaluated CT images. [3,13,14] Koo et al [15] found that nearly a quarter of their patients had NSB. Arslan et al [16] reported that 56% of their patients had NSB.…”

Section: Discussionmentioning

confidence: 99%

The relationship between nasal septal body size and allergic rhinitis and sinonasal pathologies

Çoban¹

2020

KBB Uygulamaları

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Bu çalışmada alerjik rinit (AR) ve diğer sinonazal patolojileri olan ve olmayan hastalarda nazal septal cisim genişliğinin (NSC) araştırılması ve karşılaştırılması amaçlandı. Hastalar ve Yöntemler: Çalışmaya toplam 577 birey dahil edildi. Çalışma grupları, çeşitli sinonazal patolojileri ve/veya AR'si olan 488 erişkin hastadan, kontrol grubu ise paranazal radyografik bulguları ve alerji testleri tamamen normal olan 89 sağlıklı bireyden oluşuyordu. Çalışma grubundaki hastalar kendi içinde dört gruba ayrılarak incelendi; grup 1 sadece sinonazal patolojisi olan hastalar (septum deviyasyonu, akut sinüzit, kronik sinüzit ve/veya nazal polipozis), grup 2 hem sinonazal patolojileri hem de AR'si olan hastalar, grup 3 sadece AR tanılı hastalardan oluşturuldu, grup 4 ise kontrol grubu olarak tasarlandı. Bulgular: Grup 1'de 201 (%34.8) hasta, grup 2'de 211 (%36.6) hasta, grup 3'de 76 (%13.2) hasta ve grup 4'de ise 89 sağlıklı birey (%15.4) mevcuttu. Bunlardan 299'u (%51.8) kadın, 278'i (%48.2) erkekti. NSC erkeklerde kadınlardan anlamlı olarak daha büyüktü. Ortalama NSC genişliği 1.2±0.2 idi. NSC boyutları her üç çalışma grubunda da kontrollere kıyasla anlamlı olarak daha büyüktü (p<0.001). Sonuç: Çalışmamız, literatür ile uyumlu olarak NSC'nin AR ve sinus patolojilerinde benzer oranlarda büyüdüğünü desteklemektedir. Burun tıkanıklığı ile başvuran hastalarda, fizik muayeneye ek olarak paranazal sinüs tomografisi ile değerlendirme etkin tanı ve tedavi için büyük öneme sahiptir.

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The incidence of concha bullosa, unusual anatomic variation and its relationship to nasal septal deviation: A retrospective radiologic study

Cited by 39 publications

References 21 publications

Anatomical Variations of the Middle Turbinate Concha Bullosa and its Relationship with Chronic Sinusitis: A Prospective Radiologic Study

Anatomical Variations of the Middle Turbinate Concha Bullosa and its Relationship with Chronic Sinusitis: A Prospective Radiologic Study

Large Concha Bullosa Is a Risk Factor for Chronic Sinusitis: A Case Control Study

The relationship between nasal septal body size and allergic rhinitis and sinonasal pathologies

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