Interesting case of a huge infected concha bullosa

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32 years old female patient came with:

Complaints:

Nasal block left side - 3 months

Head ache - 3 months

No history of bleeding from nose

Anterior rhinoscopy:

Large reddish mass seen occupying left nasal cavity.

Mass was sensitive to touch.

Probe could be passed around the mass except laterally.


Coronal CT scan of nose and paranasal sinus showing a huge infected concha bullosa left side

Management:

Patient was taken up for endoscopic sinus surgery. Concha bullosa was opened up and was found to be filled with purulent material and polypoidal mucosa. The same was removed.


Video clipping of the surgical procedure: