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VOLUME 9 , ISSUE 3 ( September-December, 2016 ) > List of Articles


Concha Bullosa in Paradoxical Middle Turbinate: A New Variation

Mohammad W El-Anwar, Ahmed I Ali

Keywords : Concha bullosa,Middle turbinate,Osteomeatal area

Citation Information : El-Anwar MW, Ali AI. Concha Bullosa in Paradoxical Middle Turbinate: A New Variation. Clin Rhinol An Int J 2016; 9 (3):141-142.

DOI: 10.5005/jp-journals-10013-1288

Published Online: 01-12-2016

Copyright Statement:  Copyright © 2016; The Author(s).



Concha bullosa is the most common anatomic variation of osteomeatal complex region that is generally seen in the middle turbinate (MT).

Materials and methods

A 25-year-old male presented with headache and nasal obstruction. Computed tomography (CT) scan documented right paradoxical MT. The right MT also showed aerated concha bullosa with narrow right osteomeatal area. Routine preoperative laboratory tests were within normal limits.


This case of concha bullosa in paradoxically bent MT was reported, described, and could be safely managed endoscopically. Patient was symptom free up to date without any complication, recurrence, or other pathology.


Computed tomography may easily identify such uncommon anatomic variations of the osteomeatal region. This directs the surgeon attention to these variations as a cause of headache and osteomeatal area obstruction.

How to cite this article

El-Anwar MW, Ali AI. Concha Bullosa in Paradoxical Middle Turbinate: A New Variation. Clin Rhinol An Int J 2016;9(3):141-142.

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  1. Concha bullosa of the inferior turbinate: an unusual cause of nasal obstruction. Acta Otorhinolaryngol Ital 2011 Feb;31(1):47-49.
  2. Giant concha bullosa. Kulak Burun Bŏgaz ve Baş Boyun Cerrahisi Dergisi 2002;10:89-92.
  3. Ethnic variation in sinonasal anatomy on CT scanning. Rhinology 2005 Sep;43(3):210-214.
  4. Nasal, septal, and turbinate anatomy and embryology. Otolaryngol Clin North Am 2009 Apr;42(2):193-205.
  5. Pneumatization of turbinates. Laryngoscope 2003 Apr;113(4):668-672.
  6. Triple-divided concha bullosa: anew anatomic variation. Case Rep Otolaryngol 2013;2013:342615.
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