PMID- 18494276
OWN - NLM
STAT- MEDLINE
DCOM- 20080625
LR  - 20190917
IS  - 0042-8450 (Print)
IS  - 0042-8450 (Linking)
VI  - 65
IP  - 3
DP  - 2008 Mar
TI  - [Concha bullosa and the nasal middle meatus obstructive syndrome].
PG  - 255-8
AB  - BACKGROUND: Concha bullosa (CB) is pneumatization of the middle turbinate and one 
      of the most common anatomic variation of the sinonasal region. It is found in 
      about 25% of the population. Middle meatus obstructive syndrome (MMOS) is, 
      usually connected with CB. The main symptoms of this syndrome are headaches, 
      impaired nasal breathing and hyposmia. Headache is the most common symptom and it 
      may occur due to contact between a CB and other structures of the nasal cavity. 
      CASE REPORT: We presented a case of 32 year-old-woman with headaches, located in 
      the orbital and the left frontal region. The headaches were intermittent and 
      corresponding to the nasal cycle. After neurologic and allergic examination, 
      endoscopic nasal examination demonstrated a septal deviation to the right side 
      and a large middle turbinate in the left side of the nasal cavity. Coronal 
      computerized tomography (CT) of the paranasal sinuses demonstrated the septal 
      deformation and pneumatization of the left middle turbinate. Diagnosis was 
      confirmed by lidocaine test. In the functional endoscopic surgery (FESS), the 
      lateral lamela of the anterior CB was removed. At the same time, the septoplasty 
      was done. At the control examination, the patient was without symptoms. 
      CONCLUSION: Although CB is the common anatomic variation of the nasal cavity, 
      MMOS is rare. Headache (rhinogenic origin) is the most important symptom. 
      Surgical treatment is the lateral resection of the CB in the FESS technique and 
      the septoplasty.
FAU - Peric, Aleksandar
AU  - Peric A
AD  - Vojnomedicinska akademija, Klinika za otorinolaringologiju, Beograd, Srbija. 
      alexneta@net.yu
FAU - Sotirovic, Jelena
AU  - Sotirovic J
FAU - Baletic, Nenad
AU  - Baletic N
FAU - Kozomara, Ruzica
AU  - Kozomara R
FAU - Bijelic, Dusan
AU  - Bijelic D
FAU - Rasic, Dejan
AU  - Rasic D
LA  - srp
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
PL  - Serbia
TA  - Vojnosanit Pregl
JT  - Vojnosanitetski pregled
JID - 21530700R
SB  - IM
MH  - Adult
MH  - Female
MH  - Headache/etiology
MH  - Humans
MH  - Nasal Obstruction/*etiology
MH  - Nasal Septum/pathology
MH  - Syndrome
MH  - Turbinates/*pathology
EDAT- 2008/05/23 09:00
MHDA- 2008/06/26 09:00
CRDT- 2008/05/23 09:00
PHST- 2008/05/23 09:00 [pubmed]
PHST- 2008/06/26 09:00 [medline]
PHST- 2008/05/23 09:00 [entrez]
AID - 10.2298/vsp0803255p [doi]
PST - ppublish
SO  - Vojnosanit Pregl. 2008 Mar;65(3):255-8. doi: 10.2298/vsp0803255p.