Prevalence of concha bullosa in a pediatric population

Existing literature on the prevalence of middle turbinate pneumatization, or concha bullosa (CB), in the pediatric population is limited. CB is an anatomic variant important to identify prior to sinonasal surgery and is often associated with congenital nasal septal deviation (SD). This paper aims to...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2024-11, Vol.186, p.112108, Article 112108
Main Authors: Jiang, Jessie G., Gitomer, Sarah A., Tong, Suhong, Herrmann, Brian W., Neuberger, Ilana, Mirsky, David M.
Format: Article
Language:English
Subjects:
Concha bullosa
congenital
imaging
septal deviation
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Summary:Existing literature on the prevalence of middle turbinate pneumatization, or concha bullosa (CB), in the pediatric population is limited. CB is an anatomic variant important to identify prior to sinonasal surgery and is often associated with congenital nasal septal deviation (SD). This paper aims to describe the prevalence of CB in the pediatric population on head imaging. A retrospective chart review was performed for 695 children undergoing CT head for trauma from 2021-2022. Nearly equal numbers of males and females were evaluated, with at least 19-20 per year from 0.5 to 18 years. Patients with significant facial fractures, sinusitis, craniofacial syndromes, prior sinus surgery, and sinonasal masses were excluded. Two pediatric neuroradiologists evaluated the CTs. CB was defined as aeration >50% of the vertical height of the middle turbinate. In this study, 384 patients were included. The prevalence of CB was 153 (39.8%), which was significantly higher in children >4 years (p
ISSN:0165-5876
1872-8464
1872-8464
DOI:10.1016/j.ijporl.2024.112108