Secondary Middle Turbinate: An Anatomic Variation
DOI:
https://doi.org/10.32412/pjohns.v41i1.2877Keywords:
nasal turbinates, anatomic variation, paranasal sinuses, computed tomography, endoscopic surgeryAbstract
A 30-year-old man underwent endoscopic sinus surgery for chronic rhinosinusitis with nasal polyposis. He initially presented with a five-year history of gradually worsening nasal congestion, more pronounced on the left side. During surgery, after debulking the severe polyposis on the left, a junior otolaryngology surgeon felt confident upon identifying what appeared to be the middle turbinate, a key surgical landmark. However, on closer inspection, confusion arose when an additional structure resembling the middle turbinate was noted immediately lateral and inferior to it. (Figure 1) Upon review of the patient’s Computed Tomography (CT) scan images (Figure 2), the surgeon was able to identify the primary middle turbinate by viewing the axial cuts and locating the basal lamella.
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