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Polyps originating from accessory middle turbinate and secondary middle turbinate

Published online by Cambridge University Press:  22 May 2012

H Jung*
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Inje University, School of Medicine, Busan Paik Hospital, Busan, South Korea
S K Park
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Inje University, School of Medicine, Busan Paik Hospital, Busan, South Korea
J-R Kim
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Inje University, School of Medicine, Busan Paik Hospital, Busan, South Korea
*
Address for correspondence: Dr Hyun Jung, Department of Otorhinolaryngology-Head and Neck Surgery, Inje University, School of Medicine, Busan Paik Hospital, 633-165 Keakeum-dong, Busanjin-Ku, Busan 614-735, South Korea Fax: +82 51 892 3831 E-mail: [email protected]

Abstract

Objective:

We report two extremely rare cases of polyps from unilateral accessory middle turbinates, one of which coexisted with a polyp from an inferomedially projecting, pneumatised, secondary middle turbinate.

Methods:

Case report and literature review concerning accessory middle turbinate and secondary middle turbinate.

Results:

Two patients presented with unilateral nasal obstruction. In both patients, nasal endoscopy revealed polypoid masses originating from the middle meatus. Paranasal sinus computed tomography and histopathological analysis confirmed the presence of polyps originating from an accessory middle turbinate and secondary middle turbinate, which were resected uneventfully via endoscopic sinus surgery.

Conclusion:

To our knowledge, this is the first report in the world literature of polyps originating from a unilateral accessory middle turbinate and secondary middle turbinate. Pre-operative recognition of these rare anatomical variations is of particular importance in avoiding intra-operative complication.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2012

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