Prevalence of concha bullosa in a pediatric population.

Autor: Jiang JG; University of Colorado School of Medicine, 13001 E 17th Pl, Aurora, CO, 80045, USA., Gitomer SA; Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine and Children's Hospital Colorado, 13123 E 16th Ave, Aurora, CO, 80045, USA; Pediatric Otolaryngology, Children's Hospital Colorado, 13123 E 16th Ave, Aurora, CO, 80045, USA. Electronic address: Sarah.Gitomer@childrenscolorado.org., Tong S; Pediatric Otolaryngology, Children's Hospital Colorado, 13123 E 16th Ave, Aurora, CO, 80045, USA., Herrmann BW; Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine and Children's Hospital Colorado, 13123 E 16th Ave, Aurora, CO, 80045, USA; Pediatric Otolaryngology, Children's Hospital Colorado, 13123 E 16th Ave, Aurora, CO, 80045, USA., Neuberger I; Department of Radiology, Children's Hospital Colorado, University of Colorado, 13123 E 16th Ave, Aurora, 80045, CO, USA., Mirsky DM; Department of Radiology, Children's Hospital Colorado, University of Colorado, 13123 E 16th Ave, Aurora, 80045, CO, USA.
Jazyk: angličtina
Zdroj: International journal of pediatric otorhinolaryngology [Int J Pediatr Otorhinolaryngol] 2024 Nov; Vol. 186, pp. 112108. Date of Electronic Publication: 2024 Sep 13.
DOI: 10.1016/j.ijporl.2024.112108
Abstrakt: Objective: Existing literature on the prevalence of middle turbinate pneumatization, or concha bullosa (CB), in the pediatric population is limited. CB is an anatomic variant important to identify prior to sinonasal surgery and is often associated with congenital nasal septal deviation (SD). This paper aims to describe the prevalence of CB in the pediatric population on head imaging.
Methods: A retrospective chart review was performed for 695 children undergoing CT head for trauma from 2021 to 2022. Nearly equal numbers of males and females were evaluated, with at least 19-20 per year from 0.5 to 18 years. Patients with significant facial fractures, sinusitis, craniofacial syndromes, prior sinus surgery, and sinonasal masses were excluded. Two pediatric neuroradiologists evaluated the CTs. CB was defined as aeration >50 % of the vertical height of the middle turbinate.
Results: In this study, 384 patients were included. The prevalence of CB was 153 (39.8 %), which was significantly higher in children >4 years (p < 0.0001). Lamellar type CB was the most common, present in 160 out of 768 middle turbinates assessed (20.8 %). SD occurred in 60 (39.2 %) patients with CB and was more commonly contralateral to the CB.
Conclusions: The prevalence of CB in the pediatric population is at the lower range of what is reported in the adult literature. The most common type of CB in patients is lamellar. Similar to previous studies, there is an association between CB and contralateral SD. Finally, there is a positive correlation between the severity of CB and the severity of SD.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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