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The characteristics of this very rare case of polyps in bilateral conchae bullosa support the hypotheses that a concha bullosa is actually a pneumatized structure of the paranasal sinus system, and that it is connected to the frontal recess by an ostium.
Increased exposure to irritants by the uncinate process and contact between the mucosal surfaces of the uncinate process and the middle conchae were thought to have led to the development of both lesions.
We describe a case of bilateral massive conchae bullosa in a 76-year-old woman.
In this article, we describe a very unusual case of bilateral massive conchae bullosa that did not compromise sinus drainage.
CT was performed before biopsy, and it revealed bilateral massive conchae bullosa with evidence of a pyocele on the left one (figure).