An unusual pneumatisation of turbinates

An unusual pneumatisation of turbinates. Objective: To report an extremely rare case of pneumatisation of all turbinates.

Case report: A 17-year-old male patient presented with nasal obstruction. Anterior rhinoscopy and nasal endoscopic examination revealed left middle turbinate and bilateral inferior turbinate hypertrophy, septal deviation to the right. A coronal computed tomography (CT) scan of the paranasal sinuses showed pneumatisation of both superior and inferior turbinates and a left middle turbinate, and also showed pneumatisation of the right middle turbinate. The patient underwent endoscopic sinus surgery of the left side with lateral lamellar resection of the middle turbinate under local anaesthesia.

Conclusion: We present the first case in the world literature of the pneumatisation of all six turbinates.