Masif Konka Bülloza Piyoseli

Öz

Konka bülloza osteomeatal kompleksin en sık görülen anatomik varyasyonudur. Genellikle asemptomatiktir. Konka bülloza enfekte olduğunda piyosel olarak adlandırılır. Orta konkada piyosel formasyonununa nadir rastlanmaktadır. Bu durum tedavi edilmediği takdirde komşu anatomik yapıları destrükte edebilir. Konka bülloza piyoselinin tüm nazal kaviteyi dolduracak kadar büyümesi ise oldukça nadir bir durumdur. Yazıda, kronik baş ağrısı ve burun tıkanıklığı şikâyeti olan, paranazal sinüs tomografisinde masif konka bülloza saptanan ve endoskopik cerrahi ile etkin olarak tedavi edilen bir olgu literatür eşliğinde sunulmuştur

Anahtar Kelimeler

• Konka bülloza, Orta konka, Piyosel

Massive Concha Bullosa Pyocele

Öz

Concha bullosa is the most common anatomic variation of the osteomeatal complex. It is usually asymptomatic. If the concha bullosa becomes infected, it is then called a pyocele. Pyocele formation within the middle concha is a rare occurrence. If not treated, it may destruct the surrounding anatomical structures. Growth of the concha bullosa pyocele until it fills the whole nasal cavity is quite rare. In this article, a case that had complaints of chronic headache and nasal obstruction and was found to have a massive concha bullosa on paranasal sinus tomography that was then treated with endoscopic surgery is presented with the relevant literature

Anahtar Kelimeler

• Concha bullosa, Middle concha, Pyocele

Kaynakça

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4. Bahadir O, Imamoglu M, Bektas D. Massive concha bullosa pyocele with orbital extention. Auris Nasus Larynx 2006; 33:195-8.
5. Natvig K, Larsen TE. Mucocele of the paranasal sinuses. A retrospective clinical and histological study. J Laryngol Otol 1978; 92:1075-82.
6. Stallman JS, Lobo JN, Som PM. The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol 2004; 25:1613-8.
7. Marianowski R, Farragi M, Zerah M, Brunelle F, Manach Y. Subdural empyema complicating a concha bullosa pyocele. Int J Pediatr Otorhinolaryngol 2002; 65:249-52.
8. Lidov M, Som PM. Inflammatory disease involving a concha bullosa (enlarged pneumatized middle nasal turbinate): MR and CT appearance. AJNR Am J Neuroradiol 1990;11:999-1001.

9. Armengot M, Ruiz N, Carda C, Hostalet P, Basterra J. Concha bullosa mucocele with invasion of the orbit. Otolaryngol Head Neck Surg 1999; 121:650-2.
10. Zinreich SJ, Benson ML, Oliverio PJ. Sinonasal cavities: CT normal anatomy,imaging of the osteomeatal complex, and functional endoscopic surgery. In: Som PM, Curtin HD, eds. Head and neck imaging. 3rd ed., St. Louis:MosbyYear Book; 1996:97-126.