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Journals / The Turkish Journal of Ear Nose and Throat / 2004 / Volume: 12 Issue: 1

Pyocele of the middle turbinate: a case report

Orta konka piyoseli: Olgu sunumu

Uğur Çınar(Department of Otolaryngology 2nd , Şişli Etfal Training and Research Hospital)
Özgür Yiğit(Department of Otolaryngology 2nd , Şişli Etfal Training and Research Hospital)
Berna Uslu Coşkun(Department of Otolaryngology 2nd , Şişli Etfal Training and Research Hospital)
Seyhan Alkan(Department of Otolaryngology 2nd , Şişli Etfal Training and Research Hospital)
Pages
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Publication Date
2004-03-15
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Histologic examination showed the mucocele wall with a ciliary respiratory epithelium.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Mucoceles are uncommon and the majority of cases occur in the frontoethmoidal complex.
📊
Key Findings & Data:A 48-year-old woman presented with a three-week history of nasal obstruction, slight rhinorrhea, and headache.
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Conclusion & Impact:Histologic examination showed the mucocele wall with a ciliary respiratory epithelium.
🔬Design:Article
📍Scope:Comprehensive Sample
⚙️Variables:Mucocele/radiography · paranasal sinuses/radiography/surgery · turbinates/ radiography/pathology/surgery

Abstract

Mucoceles are uncommon and the majority of cases occur in the frontoethmoidal complex. The accumula- tion of mucous secretion and eventual secondary infection may result in the formation of a pyocele of the middle turbinate, which is exceptionally rare. This case report presents a patient with a large pyocele of the middle turbinate invading the orbit. A 48-year-old woman presented with a three-week history of nasal obstruction, slight rhinorrhea, and headache. There was an external swelling of the nasal pyramid just near the medial canthus and right exophthalmos with bulging of the medial canthus of the ipsilateral eye. A computed tomography scan revealed a rounded, expansive lesion of soft tissue density. There was a thin compact bone at the margin. Under general anesthesia, resection of the lateral and inferior walls of the middle turbinate was performed. The large cystic mass was filled with pus. Exophthalmos and bulging of the medial canthus immediately disap- peared. Histologic examination showed the mucocele wall with a ciliary respiratory epithelium.

Özet

Mukosel sıklıkla frontoetmoidal bölgeden kaynakla- nan nadir görülen bir patolojidir. Mukus salgısının birikimi ve bunun enfekte olması piyoseli meydana getirir; bu patolojide orta konka yerleşim ise çok na- dirdir. Bu makalede, orta konkadan kaynaklanan, orbitayı invaze eden bir piyosel olgusu sunuldu. Üç haftadan beri devam eden baş ağrısı, burun tıka- nıklığı ve akıntısı olan 48 yaşındaki kadın hastanın muayenesinde burun piramidinin medial kantusa komşu bölgesinde şişlik ve aynı tarafta gözde ek- softalmi gözlendi. Bilgisayarlı tomografide, yumu- şak doku yoğunluğunda, yuvarlak şekilli ve çevre dokulara uzanan kitle görüldü. Kitlenin kenarların- da ince kemik lamel bulunmaktaydı. Genel aneste- zi altında, orta konka olarak değerlendirilen yapının lateral ve inferior duvarları alındı. Geniş kistik kitle- nin iltihap ile dolu olduğu görüldü. Medial kantus komşuluğundaki şişliğin ve eksoftalminin hemen düzeldiği gözlendi. Örneğin histopatolojik inceleme sonucu, silyalı solunum epiteli ile örtülü mukosel olarak bildirildi

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Cite This Article

Çınar, U., Yiğit, Ö., Coşkun, B. U., Alkan, S. (2004). Pyocele of the middle turbinate: a case report. The Turkish Journal of Ear Nose and Throat, Volume: 12 Issue: 1. https://ajindex.com/articles/1330121

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