Clinical Rhinology

Register      Login

VOLUME 10 , ISSUE 1 ( January-April, 2017 ) > List of Articles


Concha Bullosa Osteoma: An Unusual Cause of Headache

Pragya Singh, Mahesh K Mittal, Neeraj N Mathur, Mukul Sinha

Keywords : Concha bullosa,Endoscopic surgery,Neuralgia,Osteoma,Sinusitis

Citation Information : Singh P, Mittal MK, Mathur NN, Sinha M. Concha Bullosa Osteoma: An Unusual Cause of Headache. Clin Rhinol An Int J 2017; 10 (1):25-27.

DOI: 10.5005/jp-journals-10013-1299

Published Online: 01-04-2017

Copyright Statement:  Copyright © 2017; The Author(s).


Aim and background

Osteomas are common benign tumors of the paranasal sinuses, but are usually asymptomatic and found as a coincidental finding during routine radiological investigations. The aim is to demonstrate typical radiological findings of osteomas and demonstrate rare occurrence of osteoma in middle turbinate.

Case report

Patient presenting with recurrent headaches, left-sided facial pain, and intermittent nasal obstruction was evaluated using Philips Brilliance 40-multislice computed tomography scanner, which showed bilateral maxillary and ethmoid sinusitis with bilateral fluid-filled concha bullosa with left-sided concha bullosa showing a well-defined lesion of bone attenuation suggestive of osteoma.


Osteomas can rarely occur in nasal turbinates and may be symptomatic requiring endoscopic/surgical removal.

Clinical significance

Radiological investigations are diagnostic for osteomas and play an important role in preoperative planning. Osteomas arising from the turbinates are more easily accessible by endoscopy than sinus osteomas; hence, removal carries less risk. Therefore, it is important to diagnose nasal osteoma when it is small in size, follow it up, and resect it when its size is appropriate for endoscopic surgery.

How to cite this article

Singh P, Mittal MK, Mathur NN, Sinha M. Concha Bullosa Osteoma: An Unusual Cause of Headache. Clin Rhinol An Int J 2017;10(1):25-27.

PDF Share
  1. Indications for surgical treatment of osteomas of the frontal and ethmoid sinuses. Clin Otolaryngol 1990 Oct;15(5):397-404.
  2. Middle turbinate osteoma. Indian J Otolaryngol Head Neck Surg 2008 Sep;60(3):266-268.
  3. Inferior turbinate osteoma: a rare cause of nasal obstruction. Otolaryngol Head Neck Surg 2005 Dec;133(6):989-991.
  4. Endoscopic trephenation for the removal of frontal sinus osteoma. Otolaryngol Head Neck Surg 1995 Apr;112(4):607-611.
  5. Endoscopic resection of a sphenoid osteoma. Ear Nose Throat J 1994 Aug;73(8):598-600.
  6. Paranasal sinus osteoma: is there any association with anatomical variations? Rhinology 2013 Mar;51(1):54-60.
  7. Benign osteoma with Gardner syndrome: review of literature and report of a case. J Craniofac Surg 2004 May; 15(3):506-509.
  8. Giant osteoma of the frontal sinus. Rhinology 1993 Dec;31(4):185-187.
  9. Middle turbinate osteoma. Clin Exp Otorhinolaryngol 2010 Dec;3(4):226-228.
  10. Middle turbinate osteoma extending into anterior cranial fossa. Auris Nasus Larynx 2009 Dec;36(6):702-704.
  11. Ethmoid sinus osteoma presenting as epiphora and orbital cellulitis: case report and literature review. Surv Ophthalmol 1999 Mar-Apr;43(5):413-426.
  12. Osteoma causing nasociliary neuralgia. Ann Otol Rhinol Laryngol 1933;42:911-914.
  13. Middle turbinate osteoma: an unusual cause of nasal obstruction. J Laryngol Otol 1988 Apr;102(4):359-361.
  14. Osteomas of the paranasal sinuses: surgical treatment options. Med Sci Monit 2007 May;13(5):CR244-CR250.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.