Mucopyocele of the Concha Bullosa: A Report of Two Cases

Concha bullosa mucopyocele is a rare entity that presents with persistent nasal symptoms. This paper presents two female patients, aged 34 and 26 who were admitted with persistent nasal complaints and headache. Anterior rhinoscopy of both patients showed enlarged middle turbinates obstructing the nasal cavities. Computerized tomography scans revealed homogenous hypodense lesions in the middle turbinates. With the diagnosis of concha bullosa mucocele, lateral parts of the affected middle turbinates were resected with an endoscopic approach. There were no intraoperative or postoperative complications. Nasal obstruction and headache of the patients vanished postoperatively. Both of the patients were followed up for one year and neither recurrence nor synechiae were observed. In the presence of persistent nasal obstruction in patients who do not respond to medical therapy, concha bullosa mucopyocele should also be considered in the differential diagnosis, although it is rarely seen.