Ashish Kumar Verma¹, Rohini R Nair², Anjan K Sahoo³ and Puja Chatterjee²*

¹Junior Resident, Dept of ENT, AIIMS Bhopal, Madhya Pradesh, India
²Senior Resident, Dept of ENT, AIIMS Bhopal, Madhya Pradesh, India
³Associate Professor, Dept of ENT, AIIMS Bhopal, Madhya Pradesh, India

*Corresponding Author: Puja Chatterjee, Senior Resident, Dept of ENT, AIIMS Bhopal, Madhya Pradesh, India.

Received: July 29, 2023; Published: August 23, 2023

Abstract

We present a case report of a forty-year-old female who complained of a progressively swelling mass over the right medial canthus for over a decade. The patient experienced waxing and waning swelling with dull aching pain but had no other nasal or visual complaints. Physical examination revealed a 2 x 2cm ill-defined, tender, cystic swelling with erythematous overlying skin and telecanthus. Anterior rhinoscopy indicated bilateral atrophic rhinitis, and contrast-enhanced computed tomography (CT) revealed a non-enhancing expansile lesion involving the right frontoethmoidal sinuses and the orbital space. A diagnosis of right frontoethmoidal mucocele was made, and the patient underwent endoscopic decompression. Intraoperatively, the concha bullosa was found to be continuous with the anterior ethmoid and frontal sinus due to bone erosion. Postoperatively, the patient's symptoms resolved, and nasal endoscopy at the two-month follow-up showed well-healed mucosa. This case highlights the importance of considering mucoceles in concha bullosa and emphasizes the role of CT imaging in surgical planning for these rare presentations. Functional endoscopic sinus surgery with adequate drainage is a preferred treatment option for such cases.

 Keywords: Mucopyocoele; Concha Bullosa; Pathology

References

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Citation

Citation: Puja Chatterjee., et al. “Mucopyocoele of the Concha Bullosa- Unusual Pathology in an Anatomical Variation".Acta Scientific Otolaryngology 5.9 (2023): 32-34.

Copyright

Copyright: © 2023 Puja Chatterjee., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.