Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-02T21:48:41.144Z Has data issue: false hasContentIssue false
  • English
  • Français

Polyps originating from accessory middle turbinate and secondary middle turbinate

Published online by Cambridge University Press:  22 May 2012

H Jung ,
S K Park  and
J-R Kim
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]
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

TurbinatesAnatomyNasal Polyps
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 7 , July 2012 , pp. 729 - 732
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Selcuk, A, Ozcan, KM, Ozcan, I, Dere, H. Bifid inferior turbinate: a case report. J Laryngol Otol 2009;122:647–9Google Scholar
2Lin, YL, Lin, YS, Su, WF, Wang, CH. A secondary middle turbinate co-existing with an accessory middle turbinate: an unusual combination of two anatomic variations. Acta Otolaryngol 2006;126:429–31CrossRefGoogle ScholarPubMed
3Spear, SA, Brietzke, SE, Winslow, C. Bilateral bifid inferior turbinates. Ann Otol Rhinol Laryngol 2003;112:195–6CrossRefGoogle ScholarPubMed
4Khanobthamchai, K, Shankar, L, Hawke, M, Bingham, B. The secondary middle turbinate. J Otolaryngol 1991;20:412–3Google ScholarPubMed
5Aykut, M, Gumusburun, E, Muderris, S, Adiguzel, E. The secondary nasal middle concha. Surg Radiol Anat 1994;16:307–9CrossRefGoogle ScholarPubMed
6Aksungur, EH, Bicakci, K, Inal, M, Akgul, E, Binokay, F, Aydogan, B et al. CT demonstration of accessory nasal turbinates: secondary middle turbinate and bifid inferior turbinate. Eur J Radiol 1999;31:174–6CrossRefGoogle ScholarPubMed
7Ozcan, KM, Selcuk, A, Ozcan, I, Akdogan, O, Dere, H. Anatomical variations of nasal turbinates. J Craniofac Surg 2008;19:1678–82Google Scholar
8McLaughlin, RB Jr, Rehl, RM, Lanza, DC. Clinically relevant frontal sinus anatomy and physiology. Otolaryngol Clin North Am 2001;34:1–22Google Scholar
9Apaydin, FD, Duce, MN, Yildiz, A, Egilmez, H, Ozer, C, Talas, UD. Inferomedially projecting pneumatised secondary middle turbinate. Eur J Radiol 2002;43:42–4Google Scholar