concha bullosa

Aerated middle turbinate ENT eLearning FESS Polypoid degeneration endoscopy ent atlas ent cases ent clinical case ent image ent images ethmoid bone inferior turbinate laryngology maxillary sinus middle turbinate minimally invasive surgery resection sinus surgery uncinate process
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Acute Maxillary Sinusitis [after treatment]
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Acute Maxillary Sinusitis [after treatment]

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The administration of a suitable broad-spectrum antibiotic is still the treatment of choice for acute uncomplicated bacterial sinusitis. Now that the acute infection has completely resolved, the predisposing...

Concha Bullosa Left Middle Turbinate with Direct Air Hole
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Concha Bullosa Left Middle Turbinate with Direct...

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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.

Mucous From Interior of Concha Bullosa [surgical specimen]
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Mucous From Interior of Concha Bullosa [surgical...

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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 Bullosa
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Polypoid Degeneration of Lateral Surface of Concha...

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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]
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Concha Bullosa with Polypoid Degeneration Lateral...

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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]
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Bilateral Concha Bullosa [Osteological Specimen]

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This skeletal specimen has bilateral extremely large concha bullosa. Note the balloon like shape of both middle turbinates.

Concha Bullosa Operative Specimen
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Concha Bullosa Operative Specimen

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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 [right]
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Concha Bullosa [right]

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The air cell within this right middle turbinate is so large that the turbinate has expanded such an extent that the lateral wall of the turbinate has come into contact with the lateral nasal wall causing...

Concha Bullosa [left]
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Concha Bullosa [left]

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The body of this left middle turbinate is abnormally enlarged and widened. The reason for the enlargement was revealed by a CT scan, which showed that the bone of the middle turbinate contained a single...

Paradoxically Bent Aerated Middle Turbinate [ConchaBullosa]
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Paradoxically Bent Aerated Middle Turbinate [ConchaBullosa]

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Note how the convexity of this widened right middle turbinate curves paradoxically into the lateral nasal wall, thereby narrowing the middle meatus. A CT scan revealed that this was a paradoxically bent...

Normal Vasodilatation Of The Inferior Turbinates [CT scan]'s
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Normal Vasodilatation Of The Inferior Turbinates...

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The erectile tissue within the nasal cavity, which is localized primarily in the inferior turbinates, is usually in a state of partial vasodilatation. The inferior turbinates are primarily responsible...

Vasoconstrictionof the Inferior Turbinates [CT scan]
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Vasoconstrictionof the Inferior Turbinates [CT...

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This is the same patient shown in the previous CT scan approximately 10 minutes after the application of a topical vasoconstrictor. Note the decrease in size of the inferior turbinates. A large concha...

Large Concha Bullosa [Right]
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Large Concha Bullosa [Right]

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In some patients, the middle turbinate may develop a large internal air cell, which expands the turbinate laterally. This is referred to as a Concha Bullosa. This enlarged middle turbinate may cause significant...

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