A case of concha bullosa mucopyocele in a medieval human skull
Article first published online: 29 DEC 2009
Copyright © 2009 John Wiley & Sons, Ltd.
International Journal of Osteoarchaeology
Volume 21, Issue 3, pages 367–370, May/June 2011
How to Cite
Kwiatkowska, B., Gawlikowska-Sroka, A., Szczurowski, J., Nowakowski, D. and Dzięciołowska-Baran, E. (2011), A case of concha bullosa mucopyocele in a medieval human skull. Int. J. Osteoarchaeol., 21: 367–370. doi: 10.1002/oa.1137
- Issue published online: 29 DEC 2009
- Article first published online: 29 DEC 2009
- Manuscript Accepted: 16 NOV 2009
- Manuscript Revised: 28 SEP 2009
- Manuscript Received: 14 SEP 2008
- anatomical variation;
- concha bullosa;
- middle turbinate;
The term ‘concha bullosa’ refers to the pneumatisation of the intranasal turbinates. The pneumatisation can occur at any level (superior, middle, inferior), but the term is typically used to describe the aeration of the middle turbinate. This case report concerns a medieval skull from Tomb Chamber Number One in St. Nicholas's Church in Głogów, Poland. The burial dates from the 13th or 14th century. Direct measurements of the skull according to Martin's technique and computed tomography (CT) were made. The skull is from a male whose age was estimated as 40–55 years. In the nasal cavity, a large bony formation with the appearances of a tumor, a lesion of the maxillary sinus wall, and a significant curvature of the nasal septum were found. The CT scan demonstrated changes that could be described as a type IV concha bullosa, according to Krzeski's classification. This anatomical variation was first described by Zuckerkandl in 1893. The symptoms that were often associated with concha bullosa include nasal obstruction or congestion, facial pain, and headache. Concha bullosa can result in recurrent sinusitis, mucocele, or mucopyocele. In the case of the Głogów skull, an extensive lesion and inflammatory changes in the maxillary sinus and destruction of the orbital floor suggests the presence of a mucopyocele that arose from a concha bullosa. Copyright © 2009 John Wiley & Sons, Ltd.