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Case Reports in Otolaryngology
Volume 2014, Article ID 851508, 2 pages
Case Report

Bilateral Triple Concha Bullosa: A Very Rare Anatomical Variation of Intranasal Turbinates

1ENT Department, Medeniyet University Göztepe Education and Research Hospital, Istanbul, Turkey
2Anesthesia and Reanimation Department, Haseki Education and Research Hospital, Istanbul, Turkey
3ENT Department, Haydarpaşa Education and Research Hospital, Istanbul, Turkey
4ENT Department, Bolvadin State Hospital, Afyonkarahisar, Turkey

Received 10 August 2014; Accepted 12 November 2014; Published 30 November 2014

Academic Editor: Hsing-Won Wang

Copyright © 2014 Turhan San et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Pneumatization of the intranasal turbinates or concha bullosa is an anatomic variation of the lateral nasal wall. Concha bullosa is defined as the presence of air cells in turbinates. It can be best diagnosed with paranasal sinus computed tomography. Concha bullosa is a possible etiologic factor for recurrent sinusitis due to its negative effect on paranasal sinus ventilation and mucociliary clearance. Concha bullosa is most commonly seen in the middle turbinate and less frequently in the inferior or superior turbinate. Pneumatization of all turbinates is very rare. To our knowledge, there are only two publications about a case with concha bullosa in all turbinates in the current literature. Here, we present a woman with bilateral pneumatization in all three intranasal turbinates.