A Case of Conchal Mucocele with Exophthalmos.
- Author:
Hae Song KIM
1
;
Guen Jae PARK
;
Ouk Seon AHN
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Chonnam National University, Kwangju, Korea.
- Publication Type:Case Report
- Keywords:
Concha bullosa;
Conchal mucocele
- MeSH:
Exophthalmos*;
Mucocele*;
Mucociliary Clearance;
Rare Diseases;
Sphenoid Sinus;
Turbinates
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1997;40(8):1217-1221
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An enlarged pneumatized middle turbinate, termed "concha bullosa" is a relatively common anatomical variant. It may be the site of inflammatory disease ranging from simple mucosal thickening to a mucocele. But a conchal mucocele is a rare disease such as mucoceles of the posterior ethmoid and sphenoid sinus. The mucociliary transport within a concha bullosa is usually toward the conchal ostium located on the anterosuperior aspect of the middle turbinate and in most cases it opens into the frontal recess. Chronic obstruction of a conchal ostium can lead to a mucocele. Chronic pressure within the mucocele can cause the walls of the middle turbinate to expand, further destructing bulla, other ethmoid cells, and lamina papyracea. Authors have experienced one case of a conchal mucocele with anterior ethmoid and frontal recess extension which presented with exophthalmos. We performed functional endoscopic sinus surgery. Postoperatively, exophthalmos was spontaneously corrected.
