Skip to main content Accessibility help

Pneumatisation of turbinates and paranasal sinuses in children: case report

  • K Tsioulos (a1), M Martinez Del Pero (a2) and C Philpott (a3) (a4)



To describe a rare case of multiple anatomical variations in the sinonasal skeleton of an adolescent with chronic rhinosinusitis, together with its successful surgical management.

Case report:

A 15-year-old male adolescent was referred with a 3-year history of nasal blockage and hyposmia. His symptoms did not improve on maximal medical therapy. A pre-operative computed tomography scan revealed numerous anatomical variations in his nose and paranasal sinuses. He underwent neuronavigation-assisted endoscopic sinus surgery without complication, and with subsequent resolution of his symptoms at 10 months.


Chronic rhinosinusitis in children offers its own set of unique surgical challenges. The effectiveness and safety of sinus surgery in this population can be improved through the knowledge of anatomical variants, and is aided by the use of image guidance systems.


Corresponding author

Address for correspondence: Mr Konstantinos Tsioulos, Department of Asthma, Allergy & Respiratory Science, King's College London, 5th Floor, Tower Wing, Guy's Hospital, Great Maze Pond, London SE1 9RT Fax: + 44(0)207 403 8640 E-mail:


Hide All
1Kim, HJ, Cho, MJ, Lee, J, Kim, YT, Kahng, H, Kim, HS et al. The relationship between anatomic variations of paranasal sinuses and chronic sinusitis in children. Acta Otolaryngol 2006;126:1067–72
2Nouraei, SAR, Elisay, AR, DiMarco, A, Abdi, R, Majidi, H, Madani, SA et al. Variations in paranasal sinus anatomy: implications for the pathophysiology of chronic rhinosinusitis and safety of endscopic surgery. J Otolaryngol Head Neck Surg 2009;38:32–7
3Arslan, H, Aydinhoglu, A, Bozhurt, M, Egeli, E.Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx 1999;26:3948
4Bent, JP, Cuilty-Siller, C, Kuhn, FA.The frontal cell as a cause of frontal sinus obstruction. Am J Rhinol 1994;8:185–91
5Owen, RG, Kuhn, FA.Supraorbital ethmoid cell. Otolaryngol Head Neck Surg 1997;116:254–61
6Bolger, WE, Butzin, CA, Parsons, DS.Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:5664
7Meyers, RM, Valvassori, G.Interpretation of anatomic variations of computed tomography scans of the sinuses: a surgeon's perspective. Laryngoscope 1998;108:422–5
8Lieser, JD, Derkay, CS.Paediatric sinusitis: when do we operate? Curr Opin Otolaryngol Head Neck Surg 2005;13:60–6
9Criddle, MW, Stinson, A, Savliwala, M, Cottichia, J.Paediatric chronic rhinosinusitis: a retrospective review. Am J Otolaryngol 2008;29:372–8
10Bhattacharrya, N, Jones, DT, Hill, M, Shapiro, NL.The diagnostic accuracy of computed tomography in pediatric chronic rhinosinusitis. Arch Otolaryngol Head Neck Surg 2004;130:1029–32
11Maspero, JF, Rosenblut, A, Finn, A Jr, Lim, J, Wu, W, Philpot, E.Safety and efficacy of fluticasone furoate in pediatric patients with perennial allergic rhinitis. Otolaryngol Head Neck Surg 2008;138:30–7


Pneumatisation of turbinates and paranasal sinuses in children: case report

  • K Tsioulos (a1), M Martinez Del Pero (a2) and C Philpott (a3) (a4)


Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed