Anatomical variations of the lateral nasal wall: The secondary and accessory middle turbinates

Authors

  • A.E. El-Shazly,

    Corresponding author
    1. Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Liege University Hospital (Centre hospitalier Universaitaire-C.H.U.), Liege, Belgium
    • Department of Otolaryngology and Head and Neck Surgery, Division of Rhinology. Liege University Hospital-(C.H.U.), 4000-Liege, Belgium
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  • Anne-Lise Poirrier,

    1. Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Liege University Hospital (Centre hospitalier Universaitaire-C.H.U.), Liege, Belgium
    Current affiliation:
    1. Department of Otolaryngology, Notre Dame des Bruyeres-CHU, Liege and Montgodinne Hospital-UCL
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  • J. Cabay,

    1. Department of Radiology, Liege University Hospital (Centre hospitalier Universaitaire-C.H.U.), Liege, Belgium
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  • P.P. Lefebvre

    1. Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Liege University Hospital (Centre hospitalier Universaitaire-C.H.U.), Liege, Belgium
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Abstract

The aim of the current anatomical and clinical study was to audit our cases of patients who presented with secondary and/or accessory middle turbinates during a two-year period. We investigated the incidence and the clinical impact of these variations. Twenty-eight patients, 19 males and 9 females with a mean age of 41.5 years, representing different ethnic origins, were diagnosed with double middle turbinates based on endoscopic examination. Of those, 92.8% had a main symptom of refractory frontal headache. A secondary nasal symptom was sensation of blocked nose. Patients who underwent endoscopic surgery (n = 13) for reduction of the extra turbinate, reported significant symptom scores improvement (P < 0.0001) of frontal headache and blocked nose, from means of 9.07 ± 0.26 and 8.57 ± 1.39 to 1 ± 0.31, and 1.42 ± 0.35, respectively. Our results indicate that double middle turbinates may be encountered in rhinology practice (2%). Clinically they may present with refractory headache and blocked nose. Endoscopic surgical approach seems to be an effective way of improving the symptoms. Clin. Anat. 25:340–346, 2012. © 2011 Wiley Periodicals, Inc.

Ancillary