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ENT · Nose and paranasal sinuses: concha bullosa
Sample itemA 30-year-old man has chronic nasal obstruction and headache. CT shows an enlarged air-filled middle turbinate that narrows the middle meatus. What is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Concha bullosa
A concha bullosa is pneumatisation of the middle turbinate and is a common anatomical variation. When large it can block the ostiomeatal complex and cause sinusitis or headache. Treatment is crushing or resection of the lateral lamella.
Option by option
A. Agger nasi cell
The agger nasi is an anterior ethmoid cell.
B. Paradoxical middle turbinate
A paradoxical turbinate curves its convexity laterally.
C. Concha bullosa (correct)
Correct. An aerated middle turbinate is a concha bullosa.
D. Haller cell
A Haller cell lies below the orbit.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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