Yuksel TOPLU, Tuba BAYİNDİR, Serdar GULLU, Erkan KARATAS, Ahmet KİZİLAY

Giant Concha Bullosa Pyocele: An Unusual Cause of Rapidly Developing Nasal Obstruction

Konka bülloza piyoseli nadir görülen bir hastalıktır ve konka bülloza enfeksiyonu sonucunda gelişir. Bu hastalıkta bülloz konka genişleyebilir ve çevre dokulara bası yapabilir. Tedavisi yapılmazsa orbital ve intrakranial komplikasyonlara sebep olabilir. Biz bu yazıda 2 aydır burun tıkanıklığı ve başağrısına sebep olan dev konka bülloza piyoselli bir olguyu sunduk. Burun içi endoskopik yaklaşımla konka büllozanın dış yan duvarını çıkardık. Ameliyat sırasında ve sonrasında herhangi bir sıkıntıyla karşılaşmadık. Kontrol muayenelerinde herhangi bir şikayeti olmayan hastanın endoskopik muayenesi de tamamen normal saptandı. Bu olgu, hızlı gelişen burun tıkanıklığı ve başağrısı şikayeti olan hastalarda ayırıcı tanıda konka bülloza piyoseline de dikkat çekmek için sunuldu. Anahtar kelimeler: Konka Bülloza; Piyosel; Cerrahi.

Anahtar Kelimeler:

Konka Bülloza; Piyosel; Cerrahi.

Dev Konka Bülloza Piyoseli: Hızlı Gelişen Burun Tıkanıklığının Çok Nadir Bir Sebebi

Concha bullosa pyocele is an uncommon intranasal disorder and appears when concha bullosa becomes infected. In this pathology, middle concha may become expanded and can compress surrounding tissues. If it is not appropriately treated with the necessray surgical method, this pathology may lead to intracranial and orbital complications. In this paper, we would like to report a case of giant concha bullosa pyocele which has lead to nasal obstruction and headache for two months. The resection of the lateral wall of concha bullosa was performed by transnasal endoscopic procedure. No complications were seen during or after the operation. There were no complaints reported by the patient at the follow-up period and the control endoscopic nasal examination was completely normal. The study aims to provide a consciousness of concha bullosa pyocele in the diferential diagnosis of patients with rapidly developing nasal obstruction and headache. Key words: Concha Bullosa; Pyocel; Surgery.

Keywords:

Concha Bullosa; Pyocel; Surgery.,

PDF

___

Zinreich SJ, Benson ML, Oliverio PJ. Sinonasal cavities: CT normal anatomy, imaging of the osteomeatal complex, and functional endoscopic surgery. In: Som PM, CurtinHD, editors. Head and neck imaging. 3rd ed.,St. Louis: Mosby- Year Book; 1996:97-126.
Yellin SA, Weiss MH, O’Malley B, Weingarten K. Massive concha bullosa masquerading as an intranasal tumor. Ann Otol Rhinol Laryngol 1994;103:658-9.
Uygur K, Tuz M, Dogru H. The correlation between septal deviation and concha bullosa. Otolaryngol Head Neck Surg 2003;129:33-6.
Ural A, Uslu SS, İleri F, Atilla MH, Özbilen S, Köybaşıoğlu A. Dev konka bülloza. KBB ve BBC Dergisi 2002;10:89-92.
Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalites: CT analysis for endoscopic sinus surgery. Laryncoscope 1991;101:56-64.
Ünlü HH, Akyar S, Caylan R, Nalça Y. Concha bullosa. J Oto 1994;23;23-7.
Tonai A, Baba S. Anatomic variations of the bone in sinonasal CT. Acta Otolaryngol 1996;525:9-13.
Zinreich SJ. CT of the nasal cavity and paranasal sinuses with emphasis on inflammatory diseases. In: Anand VK, Panje WR. Practical endoskopic sinus surgery. New York, NY: McGraw-Hill, 1992:42-51.
Gullane P, Conley J. Carcinoma of the maxillary sinüs: a corelation of the clinical course with orbital involvement, pterygoid erosion or pterygopalatine invasion and cervical metastases. J Otolaryngol 1983;12:141-5.
Toledano A, Herraiz C, Mate A, Plaza G, Aparicio JM, De Los Santos G, Galindo AN. Mucocele of the middle turbinate: a case report. Otolaryngol Head Neck Surg 2002;126:442-4.