Abstract:

Concha bullosa pyocele is an uncommon disorder and occurs when concha bullosa becomes infected. In this study, a case of massive concha bullosa in a 30-year old woman, who had been complained about nasal obstruction and headache for 4 years was reported. Anterior nasal examination revealed a massive mass on right side. Computed tomography of the paranasal sinuses showed a septal deviation and a right intranasal mass without causing bone destruction at neighboring structures. Under general anesthesia, partial middle turbinate resection was performed by transnasal endoscopic technique. No complication occurred during or after operation. At follow up examinations no complain was notified by patient and nasal passage of patient was found to completely open. Computerized tomography following 6 months of intervention revealed no intranasal lesion or mass. The case was presented in order to attract attention to intranasal concha bullosa pyocele in the diferential diagnosis of patients with nasal obstruction and headache.

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