Turhan San

An unusual cause of hemoptysis: leech in the supraglottic region of the larynx.

Leeches live in fresh water and moist terrestrial environments. Most infestations are cutaneous. However, internal infestation occurs principally in the rural parts of the Mediterranean countries as well as in Africa and Asia. Thus,the possibility of leech endoparasitism should be kept in mind for a patient presenting with hemoptysis and with a history of close contact with fresh water in tropical countries.Human infestation is rare and usually occurs after consumption of contaminated water or swimming in leech-infested still waters such as lakes and dams.Herein, we report 2 live leech cases with hemoptysis in the supraglottic region of the larynx.

Bilateral Triple Concha Bullosa: A Very Rare Anatomical Variation of Intranasal Turbinates

Pneumatization of the intranasal turbinates or concha bullosa is an anatomic variation of the lateral nasal wall. Concha bullosa is defined as the presence of air cells in turbinates. It can be best diagnosed with paranasal sinus computed tomography. Concha bullosa is a possible etiologic factor for recurrent sinusitis due to its negative effect on paranasal sinus ventilation and mucociliary clearance. Concha bullosa is most commonly seen in the middle turbinate and less frequently in the inferior or superior turbinate. Pneumatization of all turbinates is very rare. To our knowledge, there are only two publications about a case with concha bullosa in all turbinates in the current literature. Here, we present a woman with bilateral pneumatization in all three intranasal turbinates.

Alerjik rinitin nazal septal cisim büyüklüğü üzerindeki etkisi

Objective: To determine whether there is any radiologically detected effect of allergic rhinitis on nasal septal body (NSB) size. Methods: Forty patients previously diagnosed with allergic rhinitis, and randomly selected thirty controls without allergic rhinitis were included in this study. Measurements of NSB size were performed in coronal plane paranasal sinus CT. Patients who had undergone nasal surgery, those with nasal polyposis, patients still using topical nasal spray, oral antihistamines, oral steroids and oral leukotrienes were excluded from the study. Results: The average width of NSB was found 11.2 mm in patients with allergic rhinitis and 10.74 mm in patients without allergic. There was no significant difference between patients with and without allergic rhinitis in terms of NSB size on coronal plane paranasal sinus CT examination.

Triple-Divided Concha Bullosa: A New Anatomic Variation

In recent years, with the widespread use of imaging techniques such as paranasal sinus computed tomography (CT), many variations of nasal turbinates have been described. One of these variations known as concha bullosa (CB) is pneumatization of nasal turbinates. CB is the most frequently encountered anatomical variations of the middle turbinate. The term of septated concha bullosa has been described recently and it is an uncommon pneumatization anomaly of the middle turbinate. There has not been any study that correlates the number of septations and the presence of sinonasal pathologies. We hereby present a case of triple septated concha bullosa that has not been reported so far.

An unusual anatomical variation of the superior turbinate: a case report

IntroductionThe only anatomical variation of the superior turbinate defined in the literature is concha bullosa. Determination of anatomical variations of the intranasal structures is important to perform safe endoscopic sinus surgery and avoid complications.Case presentationWe report a case of an unusual anatomical variation of the superior turbinate in a 55-year-old Turkish man with nasal obstruction and headache.ConclusionsAnatomical variations of superior turbinate are very rare. Variations of intranasal structures can easily be detected with coronal plane paranasal sinus computed tomography.