Unusual cause for unilateral nasal obstruction in a child☆☆☆

Summary 

An unusual presentation of a common anatomical variation presenting as unilateral nasal obstruction in a child of 14 years. Choncha bullosa is a common anatomic variant seen in 34–53%; it can be the cause of the osteomeatal obstruction predisposing to sinusitis and their complications due to mucosal contact points and impairing the mucociliary clearance or causing mechanical obstruction at the osteomeatal complex. Here we are presenting a case of unusually large concha bullosa, which was causing unilateral nasal obstruction, deviated septum and bilateral anterior sinusitis and recurrent chest infection in a 14-year-old girl. The concha bullosa was filled with thick pus making it a pyocele. The culture did not grow any organisms. The CT scan done was not conclusive the origin of the lesion but could be diagnosed only during the surgery.

Keywords: Choncha bullosa, Middle turbinates, Sinusitis, Pyocele, Presentation