ent cases
Caldwell Luc Procedure
This photograph shows the typical sub- labial approach to the mastoid sinus in a Caldwell Luc procedure. Fortunately this procedure has become obsolete since the invention of endoscopic sinus surgery.
Healed Caldwell Luc Incision
This photograph demonstrates the typical appearance of a healed Caldwell Luc incision. A procedure that has thankfully gone out of fashion since the invention of endoscopic sinus surgery.
Postoperative Agger Remnant
This is a view into the left middle meatus eight weeks after endoscopic sinus surgery on a disease agger nasi air cell that was causing recurrent frontal sinusitis. Note the viscous, non-purulent mucus...
Enlarged Agger Nasi Air Cell
An enlarged or diseased Agger Nasi may compromise the frontal recess and be responsible for recurrent frontal sinus disease. This enlarged enlarged left Agger Nasi Air Cell was responsible for recurrent...
![Agger Nasi Air Cell [right]](https://medtube.net/images/min/eb805392ea01a370971bbdaf7b1aef24/149/112/1 "Agger Nasi Air Cell [right]")
Agger Nasi Air Cell [right]
A pneumatized aggar nasi air cell appears as a distinct bulge anterior to the insertion of the middle turbinate into the lateral nasal wall. The Agger Nasi mound is so enlarged in this patient, that it...
Concha Bullosa Left Middle Turbinate with Direct...
Normally, the site of aeration of a concha bullosa is not readily identifiable. In this case one can see direct whole into the anterior inferior portion of this aerated left middle turbinate.
Apical Cyst
An intraoperative finding of a large dental apical cyst (+) which was completely removed via sublabial approach. The patient present as fullness of soft tissue between upper lip and nasal philtrum causing...
![Mucous From Interior of Concha Bullosa [surgical specimen]](https://medtube.net/images/min/c939c6e320a936d0b625bddcb1df8a2d/149/112/1 "Mucous From Interior of Concha Bullosa [surgical specimen]")
Mucous From Interior of Concha Bullosa [surgical...
If the air cell in the concha bullosa becomes obstructed, it may accumulate thick mucus as seen on the left side of the photograph of this surgical specimen.
Polypoid Degeneration of Lateral Surface of Concha...
The nasal mucosa covering a concha bullosa is subject to all of the disorders that commonly affect the nasal mucous membranes including polypoid degeneration. This postoperative specimen demonstrates...
![Concha Bullosa with Polypoid Degeneration Lateral Surface [left]](https://medtube.net/images/min/68beeab4cdc56f1de62c526ca2378da0/149/112/1 "Concha Bullosa with Polypoid Degeneration Lateral Surface [left]")
Concha Bullosa with Polypoid Degeneration Lateral...
The large air cell in this left middle turbinate has expanded the turbinate to such an extent, that the lateral surface of the middle turbinate is now in direct contact with the lateral nasal wall. The...
![Bilateral Concha Bullosa [Osteological Specimen]](https://medtube.net/images/min/a98950875603aa3e9fc9ae8de4bebab1/149/112/1 "Bilateral Concha Bullosa [Osteological Specimen]")
Bilateral Concha Bullosa [Osteological Specimen]
This skeletal specimen has bilateral extremely large concha bullosa. Note the balloon like shape of both middle turbinates.
Concha Bullosa Operative Specimen
This is the surgical specimen of a large right concha bullosa that was resected endoscopically because of the airway obstruction caused by the widened aerated middle turbinate.
![Concha Bullosa Pre-Op [CT scan]](https://medtube.net/images/min/cacd79ec9bcc44272a19144b67d4cdda/149/112/1 "Concha Bullosa Pre-Op [CT scan]")
Concha Bullosa Pre-Op [CT scan]
The normal middle turbinate is not aerated, however on occasion an air cell will develop in the middle turbinate as seen on this patient's right side. Compare the size of the right aerated middle turbinate...
Sarcoidosis of the Roof of the Nasopharynx
There is sarcoidosis in the roof of the nasopharynx of this 28-year-old woman. Courtesy of Professor Heinz Stammberger, University of Graz, Austria.
Unilateral Choanal Atresia
This patient has a unilateral choanal atresia bracket right side]. Courtesy of Professor Heinz Stammberger, University of Graz, Austria.
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