Monday, April 11, 2011

Mucocele and Pyocele of concha bullosa


It is due to migration of ethmoidal air cells. Pneumatization of middle turbinate called concha bullosa is the commonest anomaly of paranasal sinuses (24 to 54% in various series). Usually drains through the frontal recess, has its own mucociliary transport mechanism, and occasionally in to middle meatus

When the ostium is blocked due to inflammation (usual), polyp/ surgery/RT/ and other causes, leads to accumulation  of secretions called mucocele and when  this gets infected --called pyocele. Usually in pyocele , Nasal septum is deviated to the other side.  Case submitted by Dr MGK Murthy.



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