Int Arch Otorhinolaryngol 2014; 18 - a2434
DOI: 10.1055/s-0034-1388937

BULITE: A Case Report

Larissa Claret de Lima 1, Camillus Magalhaes Carneiro dos Santos 1, Fellipe Cunha Oliveira Pomar 1, Paulo Henrique Bicalho Barcelos 1, Sergio Bittencourt 1, Torcuato Sanchez Rojas Neto 1
  • 1Hospital Nossa Senhora de Lourdes

Introduction: The concha bullosa, caused variation in pneumatization of bone plate that composes by extension of the ethmoid cells, can be unilateral or bilateral. The degree of pneumatization of the shell is varied and may cause obstruction of the middle meatus or the infundibulum, in addition to having relationship with nasal septum deviation to the contralateral side.

Objective: This study aims to relate a case of BULITE on young patient.

Resumed Report: A 14-year-old male patient was admitted to the emergency room complaining of otolaryngology frontal headache, fever (39°C), productive cough, dyspnea, and nasal obstruction for 1 day. He denied other complaints. Physical examination revealed decreased motion vector field with wheezing and saturation of 86%. He was hospitalized in the intensive care unit where he performed tomography of the face which showed pansinusitis. Sinus surgery was performed and turbinectomy for ethmoidectomy video in intraoperative confirmed the presence of pus-drained shell bullosa Media.

Conclusion: In this case, during the surgical procedure, pus within the concha bullosa was visualized and drained. So, it is important to have knowledge of the distribution of the middle conchae bullosa, Haller cells, septal deviation, and any other anatomical abnormality that the patient has not to be surprised during surgery, making it difficult to achieve the same.