Nadir bir vaka: bilateral çift orta konka

Öz

Otuzdört yaþýnda bir bayan olguda, nadir görülen bilateral çift orta konka varyasyonu sunulmuþtur. Nadir ve ilginç bir vaka olan bilateral çift orta konka veya sekonder orta konka anomalisi, hastalarda alerjik rinit benzeri semptomlara sebep olabilmektedir. Diagnostik nazal endoskopi ve koronal BT uygulamalarý, konkalarýn ve lateral nazal duvar anomalilerinin fark edilmesini kolaylaþtýrmýþtýr. Sinonazal bölgedeki bu tür anatomik varyasyonlarýn ayrýntýlý olarak belirlenmesi, klinik tanýnýn baþarýlý, cerrahinin ise güvenli olmasýný saðlar. Böylece ostiomeatal komplekse yönelik gereksiz ve uygun olmayan bir cerrahi giriþimden kaçýnýlmýþ olur.

Anahtar Kelimeler

• Burun týkanýklýðý
• konka
• nazal varyasyon

A rarely case with bilateral double middle chonca

Öz

A rarely case with bilateral double middle choncaA 34-year-old female with bilateral double middle turbinates was presented by a rare case. As an interestingand a rare case, double middle turbinate may be a cause of allergic rhinitis symptoms. Endoscopic sinusexamination and coronal CT reveals turbinates and lateral nasal wall anomalies. We believe that detailedknowledge of anatomical anomalies in the sinonasal tract is critical for successful clinical management andimportant in allowing the surgeon to perform safe functional endoscopic sinus surgery and not to performneedless surgery to ostiomeatal complex

Anahtar Kelimeler

• Nasal obstruction
• turbinates
• nasal variation

Kaynakça

1. Aksungur EH, Býçakçý K, Ýnal M, Akgül E, Binokay F, Aydoðan B, Oðuz M. CT demonstration of accessory nasal turbinates: secondary middle turbinate and bifid inferior tubinate. European Journal of Radiology 1999;31:174-176.
2. Khanobthamchai K, Shankar L, Hawke M, Bingham B. The secondary middle turbinate. The Journal of otolaryngology 1991;20(6):412-413.
3. Lin YL, Lin YS,Su WF, Wang DC: A secondary middle turbinate coexisting with an accessory middle turbinate: an unusual combination of two anatomic variations. Acta Otolaryngol 2006 Apr 126(4):429-31.
4. Sarna A, Hayman A, Laine FJ, Taber KH. Coronal imaging of the ostiomeatal unit: anatomy of 24 variants. Journal of Computer Assisted Tomography. 2002;26(1):153-157.
5. Aykut M, Gümüsburun E, Müderris S, Adigüzel E. The Secondary Nasal Middle Concha. Surgical and Radiologic Anatomy. 1994 Sep 16(3):307-309