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Endoscopic appearance of duplicated middle turbinate, case series and literature review
INTRODUCTION AND IMPORTANCE: Duplication of the middle turbinate is an extremely rare condition encountered in rhinology clinic. Knowledge and awareness of the nasal turbinates' variations are important to perform a safe endoscopic surgery and evaluate patients with inflammatory sinus diseases....
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930144/ https://www.ncbi.nlm.nih.gov/pubmed/36796160 http://dx.doi.org/10.1016/j.ijscr.2023.107919 |
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author | AlEnazi, Abdulaziz Saud Alzahrani, Shahad Ali Al-Samarah, Adnan Ashoor, Mona MohammedSaleh |
author_facet | AlEnazi, Abdulaziz Saud Alzahrani, Shahad Ali Al-Samarah, Adnan Ashoor, Mona MohammedSaleh |
author_sort | AlEnazi, Abdulaziz Saud |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: Duplication of the middle turbinate is an extremely rare condition encountered in rhinology clinic. Knowledge and awareness of the nasal turbinates' variations are important to perform a safe endoscopic surgery and evaluate patients with inflammatory sinus diseases. CASE PRESENTATION: Case series of two patients who visited rhinology clinic in academic university hospital. Case 1: presented with 6-month history of nasal blockage. Nasal endoscopy revealed bilateral duplication of the middle nasal turbinates. Computed tomography scans showed bilateral medially curved and anteriorly folded uncinate process, and right middle turbinate concha bullosa and its superior end of the middle turbinate was turned medially. Case 2: A 29-year-old gentleman presented with nasal obstruction mainly to the left side for several years. Nasal endoscopy showed bifid right middle turbinate and severe deviated nasal septum to the left. Upon imaging, a sinus computed tomography scan demonstrated a duplication of the right middle turbinates in the form of two middle nasal concha. CLINICAL DISCUSSION: Different rare anatomical variations can occur at different points during the embryological development. These rare variations include double middle turbinate, accessory middle turbinate, secondary middle turbinate, and bifid inferior turbinate. The appearance of double middle turbinate can be encountered in rhinology clinic only 2 % of the time. Upon reviewing the literature, only few case reports were found regarding the double middle turbinate. CONCLUSION: A double middle turbinate has important clinical implications. Anatomical variation may lead to narrowing in the middle meatus which makes the patient vulnerable to sinusitis or maybe associated with secondary symptoms. We report rare cases of middle turbinate duplication. Awareness of the nasal turbinates' variations is important for detection and management of inflammatory sinus diseases. Further studies are needed to identify the association of other pathology. |
format | Online Article Text |
id | pubmed-9930144 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-99301442023-02-16 Endoscopic appearance of duplicated middle turbinate, case series and literature review AlEnazi, Abdulaziz Saud Alzahrani, Shahad Ali Al-Samarah, Adnan Ashoor, Mona MohammedSaleh Int J Surg Case Rep Case Series INTRODUCTION AND IMPORTANCE: Duplication of the middle turbinate is an extremely rare condition encountered in rhinology clinic. Knowledge and awareness of the nasal turbinates' variations are important to perform a safe endoscopic surgery and evaluate patients with inflammatory sinus diseases. CASE PRESENTATION: Case series of two patients who visited rhinology clinic in academic university hospital. Case 1: presented with 6-month history of nasal blockage. Nasal endoscopy revealed bilateral duplication of the middle nasal turbinates. Computed tomography scans showed bilateral medially curved and anteriorly folded uncinate process, and right middle turbinate concha bullosa and its superior end of the middle turbinate was turned medially. Case 2: A 29-year-old gentleman presented with nasal obstruction mainly to the left side for several years. Nasal endoscopy showed bifid right middle turbinate and severe deviated nasal septum to the left. Upon imaging, a sinus computed tomography scan demonstrated a duplication of the right middle turbinates in the form of two middle nasal concha. CLINICAL DISCUSSION: Different rare anatomical variations can occur at different points during the embryological development. These rare variations include double middle turbinate, accessory middle turbinate, secondary middle turbinate, and bifid inferior turbinate. The appearance of double middle turbinate can be encountered in rhinology clinic only 2 % of the time. Upon reviewing the literature, only few case reports were found regarding the double middle turbinate. CONCLUSION: A double middle turbinate has important clinical implications. Anatomical variation may lead to narrowing in the middle meatus which makes the patient vulnerable to sinusitis or maybe associated with secondary symptoms. We report rare cases of middle turbinate duplication. Awareness of the nasal turbinates' variations is important for detection and management of inflammatory sinus diseases. Further studies are needed to identify the association of other pathology. Elsevier 2023-02-07 /pmc/articles/PMC9930144/ /pubmed/36796160 http://dx.doi.org/10.1016/j.ijscr.2023.107919 Text en © 2023 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Series AlEnazi, Abdulaziz Saud Alzahrani, Shahad Ali Al-Samarah, Adnan Ashoor, Mona MohammedSaleh Endoscopic appearance of duplicated middle turbinate, case series and literature review |
title | Endoscopic appearance of duplicated middle turbinate, case series and literature review |
title_full | Endoscopic appearance of duplicated middle turbinate, case series and literature review |
title_fullStr | Endoscopic appearance of duplicated middle turbinate, case series and literature review |
title_full_unstemmed | Endoscopic appearance of duplicated middle turbinate, case series and literature review |
title_short | Endoscopic appearance of duplicated middle turbinate, case series and literature review |
title_sort | endoscopic appearance of duplicated middle turbinate, case series and literature review |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930144/ https://www.ncbi.nlm.nih.gov/pubmed/36796160 http://dx.doi.org/10.1016/j.ijscr.2023.107919 |
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