PMID- 35295064 OWN - NLM STAT- MEDLINE DCOM- 20220318 LR - 20220318 IS - 1119-3077 (Print) VI - 25 IP - 3 DP - 2022 Mar TI - Bilateral accessory middle turbinate presenting as double middle turbinate: A unique case report. PG - 376-378 LID - 10.4103/njcp.njcp_1774_21 [doi] AB - Many anatomical variations of the middle turbinate (MT), including pneumatized, paradoxically curved, bifurcate, trifurcate, secondary, and accessory, have been described. The most common is pneumatized MT (concha bullosa), but other less common variations may also impact the outcome of clinical management. Anatomical variations of the MT, particularly with a concomitant deviated nasal septum, tend to obstruct the middle meatus leading to disruption of the normal sinus drainage and worsening the symptoms of rhinosinusitis. By recognizing the unique anatomical variant by endoscopy or imaging will help us to improve the management. We report an endoscopic presentation of a rare accessory MT. FAU - Adli, M S AU - Adli MS AD - Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan and Hospital Universiti Sains, Malaysia. FAU - Ramli, R R AU - Ramli RR AD - Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan and Hospital Universiti Sains, Malaysia. FAU - Abdullah, Baharudin AU - Abdullah B AD - Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan and Hospital Universiti Sains, Malaysia. LA - eng PT - Case Reports PL - India TA - Niger J Clin Pract JT - Nigerian journal of clinical practice JID - 101150032 SB - IM MH - Endoscopy MH - Humans MH - *Sinusitis/diagnostic imaging/surgery MH - Tomography, X-Ray Computed MH - *Turbinates/diagnostic imaging/surgery OTO - NOTNLM OT - Accessory middle turbinate OT - anatomical variant OT - double middle turbinate OT - endoscopic sinus surgery OT - secondary middle turbinate COIS- None EDAT- 2022/03/18 06:00 MHDA- 2022/03/19 06:00 CRDT- 2022/03/17 01:42 PHST- 2022/03/17 01:42 [entrez] PHST- 2022/03/18 06:00 [pubmed] PHST- 2022/03/19 06:00 [medline] AID - NigerJClinPract_2022_25_3_376_339723 [pii] AID - 10.4103/njcp.njcp_1774_21 [doi] PST - ppublish SO - Niger J Clin Pract. 2022 Mar;25(3):376-378. doi: 10.4103/njcp.njcp_1774_21.