Concha bullosa: CT evaluation

Simion J Zinreich, Douglas E. Mattox, David W. Kennedy, Helen L. Chisholm, David M. Diffley, Arthur E. Rosenbaum

Research output: Contribution to journalArticle

Abstract

Aeration of the middle turbinate, termed “concha bullosa,” is a common anatomical variant of intranasal anatomy. Of 320 patients evaluated for sinus disease with coronal CT, 34% had concha bullosa on at least one side. The overall incidence of inflammatory disease in the ostiomeatal complex in these symptomatic patients was not different between those with and without concha bullosa. However, there were many cases in which an abnormally large middle turbinate appeared to obstruct the ostiomeatal complex causing secondary infection of the ethmoid, frontal, and maxillary sinuses. Obstruction of drainage of the concha bullosa itself can lead to mucocele formation. Furthermore, the presence of a concha bullosa has important implications for the technique of endoscopic surgery used in the management of the sinus disease. The anatomy, pathophysiology, and CT findings in patients with concha bullosa are reviewed.

Original languageEnglish (US)
Pages (from-to)778-784
Number of pages7
JournalJournal of Computer Assisted Tomography
Volume12
Issue number5
StatePublished - 1988

Fingerprint

Turbinates
Anatomy
Ethmoid Sinus
Mucocele
Frontal Sinus
Maxillary Sinus
Disease Management
Coinfection
Drainage
Incidence

Keywords

  • Computed tomography
  • Concha bullosa
  • Paranasal
  • Sinuses

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Zinreich, S. J., Mattox, D. E., Kennedy, D. W., Chisholm, H. L., Diffley, D. M., & Rosenbaum, A. E. (1988). Concha bullosa: CT evaluation. Journal of Computer Assisted Tomography, 12(5), 778-784.

Concha bullosa : CT evaluation. / Zinreich, Simion J; Mattox, Douglas E.; Kennedy, David W.; Chisholm, Helen L.; Diffley, David M.; Rosenbaum, Arthur E.

In: Journal of Computer Assisted Tomography, Vol. 12, No. 5, 1988, p. 778-784.

Research output: Contribution to journalArticle

Zinreich, SJ, Mattox, DE, Kennedy, DW, Chisholm, HL, Diffley, DM & Rosenbaum, AE 1988, 'Concha bullosa: CT evaluation', Journal of Computer Assisted Tomography, vol. 12, no. 5, pp. 778-784.
Zinreich SJ, Mattox DE, Kennedy DW, Chisholm HL, Diffley DM, Rosenbaum AE. Concha bullosa: CT evaluation. Journal of Computer Assisted Tomography. 1988;12(5):778-784.
Zinreich, Simion J ; Mattox, Douglas E. ; Kennedy, David W. ; Chisholm, Helen L. ; Diffley, David M. ; Rosenbaum, Arthur E. / Concha bullosa : CT evaluation. In: Journal of Computer Assisted Tomography. 1988 ; Vol. 12, No. 5. pp. 778-784.
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