Polyp in concha bullosa: a case report and review of the literature.

HEAD & FACE MEDICINE
http://www.head-face-med.com/content/2/1/11

Erkan AN, Canbolat T, Ozer C, Yilmaz I, Ozluoglu LN.

Source

Baskent University Faculty of Medicine, Department of Otorhinolaryngology, Ankara, Turkey. alpernabierkan@yahoo.com

Abstract

Polyp originating within a concha bullosa is uncommon; we report only the third such case in the English literature. A 45-year-old man presented with nasal obstruction and headache. Examination of the nose revealed right septal deviation and a hypertrophic left middle concha. Computed tomography confirmed right septal deviation and identified left concha bullosa with thickening of the mucosa covering this lesion. The lateral lamella of the affected turbinate was removed and a mass was excised. Histopathologic examination of the excised mass revealed polypoid hyperplasia. The rare finding of polyp in concha bullosa is discussed with a review of the literature. In any case of concha bullosa, computed tomography images should be carefully evaluated before surgery to check for other pathologies that might have arisen within the lesion.

[Coronal computed tomography image shows right septal deviation (yellow arrow), left concha bullosa (thick white arrow), thickening of the mucosa covering the concha bullosa, and bilateral maxillary sinusitis (vertical black arrow). Right: Intraoperative views of the polyp in the left concha bu...]