A Case of Mucocele of Right Middle Turbinate

Abstract

Concha bullosa is a common anatomical variant of the middle turbinate but rarely develops into a mucocele. We report a case of a 20-year-old female who presented with right-sided facial pain, nasal obstruction, hyposmia, and blurring of vision. Endoscopic evaluation revealed an expansile right middle turbinate filling the nasal cavity, and CT imaging demonstrated a well-defined expansile lesion suggestive of a concha bullosa mucocele with orbital displacement. The patient underwent endoscopic sinus surgery with marsupialization and partial resection of the turbinate, and histopathology confirmed the diagnosis of mucocele with no microbial growth. Postoperative recovery was uneventful with complete symptom resolution and radiologic improvement. This case highlights the importance of considering concha bullosa mucocele as a differential diagnosis in unilateral nasal obstruction with orbital symptoms, where early imaging and endoscopic management are crucial for successful outcomes.