Concha bullosa (CB) is one of the most common encountered anatomic variations located in nasal cavity. CB and other paranasal sinus variations can easily diagnosed by paranasal sinus tomography (CT). To our knowledge; in literature, there is only one triple divided CB case, reported before. CB is usually asymptomatic but sometimes it causes nasal obstruction and headache. In such cases it must be treated with endoscopic approach. Careful resection of CB is essential because of the probability of any other anatomic variation.
References
- Onerci M. Endoscopic sinus surgery other applications. In: Onerci M, eds. Endoscopic Sinus Surgery. 1st ed. Ankara: Kutsan Ofset ; 1996.p. 22–3.
- Stammberger H. Endoscopic and radiologic diagnosis, In: Stammberger H, editors. Functional Endoscopic Sinus Surgery: The Messerklinger Technique. 1st ed. Philadelphia Pa USA: BC Decker; 1991. p. 145–273.
- Ural A, Uslu S. S, Ileri F, Atilla M. H, Ozbilen S, Koybasioglu A. Giant concha bullosa. Kulak Burun Bogaz ve Bas Boyun Cerrahisi Dergisi 2002;10:89–2.
- San T, Erdogan B, Tasel B. Triple-Divided Concha Bullosa: A New Anatomic Variation. Case Reports in Otolaryngology. 2013;342615:1-3.
- Zuckerkandl E. Normale und PathologischeAnatomie der Nasenhohle und ihrer Pneumatischen Anhange. 2 nd ed. Vienna, Austria, Braumuller, 1893.
- Peric A, Svjetlana M, Baletic N. Large double septated concha bullosa: An Unusual Anatomic Variation. ActaMedica. 2009;52(3):129-31.
- Braun H, Stammberger H. Pneumatization of turbinates. Laryngoscope 2003;113:668–72.
- Lee HY, Kim CH, Kim JY, Kim JK, Song MH, Yang HJ, et al. Surgical anatomy of the middle turbinate. Clin. Anat. 2006;19:493–96.
- Aktas D, Kalcioglu MT, Kutlu R, Ozturan O, Oncel S. The relationship between the concha bullosa, nasal septal deviation and sinusitis. Rhinology 2003;41:103–06.
- W. E. Bolger, C. A. Butzin, D. S. Parsons. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope.1991;101(1):56-64.
- H. G. Hatipoglu, M. A. Cetin, E. Yuksel. Concha bullosa types: their relationship with sinusitis, ostiomeatal and frontal recess disease. Diagnostic and Interventional Radiology. 2005;11:145–49.
- H. Arslan, A. Aydinlioglu, M. Bozkurt, E. Egeli. Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx. 1999;26(1):39-48.
- G. Kayalioglu, O. Oyar, F. Govsa. Nasal cavity and paranasal sinus bony variations: a computed tomographic study. Rhinology. 2000;38(3):108–13.
- A. Krzeski, E. Tomaszewska, I. Jakubczyk, A. Galewicz- Zielinska. Anatomic variations of the lateral nasal wall in the computed tomography scans of patients with chronic rhinosinusitis. American Journal of Rhinology. 2001;15(6):371–75.
- Y.-L. Lin, Y.-S. Lin, W.-F. Su, C.-H. Wang. A secondary middle turbinate co-existing with an accessory middle turbinate: an unusual combination of two anatomic variations. ActaOto-Laryngologica. 2006;126(4):429–31.
- E. Yanagisawa, J. P. Mirante,D.A. Christmas. Endoscopic view of a septated concha bullosa. Ear,Nose andThroat Journal. 2008;87(2):70–1.
- Onerci M. Endoscopic sinus surgery other applications. In: Onerci M, eds. Endoscopic Sinus Surgery. 1st ed. Ankara: Kutsan Ofset ; 1996.p. 22–3.
- Stammberger H. Endoscopic and radiologic diagnosis, In: Stammberger H, editors. Functional Endoscopic Sinus Surgery: The Messerklinger Technique. 1st ed. Philadelphia Pa USA: BC Decker; 1991. p. 145–273.
- Ural A, Uslu S. S, Ileri F, Atilla M. H, Ozbilen S, Koybasioglu A. Giant concha bullosa. Kulak Burun Bogaz ve Bas Boyun Cerrahisi Dergisi 2002;10:89–2.
- San T, Erdogan B, Tasel B. Triple-Divided Concha Bullosa: A New Anatomic Variation. Case Reports in Otolaryngology. 2013;342615:1-3.
- Zuckerkandl E. Normale und PathologischeAnatomie der Nasenhohle und ihrer Pneumatischen Anhange. 2 nd ed. Vienna, Austria, Braumuller, 1893.
- Peric A, Svjetlana M, Baletic N. Large double septated concha bullosa: An Unusual Anatomic Variation. ActaMedica. 2009;52(3):129-31.
- Braun H, Stammberger H. Pneumatization of turbinates. Laryngoscope 2003;113:668–72.
- Lee HY, Kim CH, Kim JY, Kim JK, Song MH, Yang HJ, et al. Surgical anatomy of the middle turbinate. Clin. Anat. 2006;19:493–96.
- Aktas D, Kalcioglu MT, Kutlu R, Ozturan O, Oncel S. The relationship between the concha bullosa, nasal septal deviation and sinusitis. Rhinology 2003;41:103–06.
- W. E. Bolger, C. A. Butzin, D. S. Parsons. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope.1991;101(1):56-64.
- H. G. Hatipoglu, M. A. Cetin, E. Yuksel. Concha bullosa types: their relationship with sinusitis, ostiomeatal and frontal recess disease. Diagnostic and Interventional Radiology. 2005;11:145–49.
- H. Arslan, A. Aydinlioglu, M. Bozkurt, E. Egeli. Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx. 1999;26(1):39-48.
- G. Kayalioglu, O. Oyar, F. Govsa. Nasal cavity and paranasal sinus bony variations: a computed tomographic study. Rhinology. 2000;38(3):108–13.
- A. Krzeski, E. Tomaszewska, I. Jakubczyk, A. Galewicz- Zielinska. Anatomic variations of the lateral nasal wall in the computed tomography scans of patients with chronic rhinosinusitis. American Journal of Rhinology. 2001;15(6):371–75.
- Y.-L. Lin, Y.-S. Lin, W.-F. Su, C.-H. Wang. A secondary middle turbinate co-existing with an accessory middle turbinate: an unusual combination of two anatomic variations. ActaOto-Laryngologica. 2006;126(4):429–31.
- E. Yanagisawa, J. P. Mirante,D.A. Christmas. Endoscopic view of a septated concha bullosa. Ear,Nose andThroat Journal. 2008;87(2):70–1.