J Rhinol > Volume 23(1); 2016
Journal of Rhinology 2016;23(1):70-73.
Published online May 31, 2016.
DOI: https://doi.org/10.18787/jr.2016.23.1.70   
A Case of Nasal Swell Body (Septal Turbinate) Combined with Pneumatization of Perpendicular Plate of the Ethmoid Bone
Soo Kweon Koo, Sung Hoon Jung, Ji Seung Moon, Hyuni Son
1Department of Otolaryngology-Head and Neck Surgery, Busan St. Mary's Hospital, Busan, Korea. koosookweon@naver.com
2Department of Pathology, Busan Saint Mary's Hospital, Busan, Korea.
Abstract
The "nasal swell body" (NSB) or septal turbinate is a distinct structure of the anterior nasal septum that is observed on endoscopic and radiographic examination. It is primarily a glandular rather than a venous formation that is comprised of septal cartilage, bone, and thick mucosal lining. It is commonly found in patients with symptoms of chronic sinusitis and allergic rhinitis, and is linked to septal deviation. Space occupying lesions of the septum such as tumors, mucoceles, and pneumatization of the septum can lead to anatomical and functional disorders such as nasal obstruction and sinusitis, while more serious clinical conditions can develop when these lesions are combined with the NSB. Recently, there has been emphasis on the functional aspects of the NSB. It is especially being emphasized for clinicians to pay attention to the NSB and its connection with the stuffy nose. We report an interesting case of the NSB combined with pneumatization of the perpendicular plate of the ethmoid bone causing severe nasal obstruction and repetitive sinusitis along with a literature review.
Key Words: Nasal Obstruction;Turbinate;Nasal Septum;Sinusitis


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