R. NICKBRYANMDPATRICIA A.HUDGINSMD
A 54-year-old woman from Ethiopia presented with a several-year history of headache, nasal airway obstruction, and uncomfortable nasal breathing. She had immigrated to Israel 5 years earlier. Her medical history included asthma and reflux esophagitis due to a hiatal hernia.
Physical examination revealed foul-smelling crusts in both nasal passages. After removal of the crusts, no intranasal structures, such as conchas, could be identified. Fiberoptic endoscopy confirmed the findings of anterior rhinoscopy: no conchas were identified and only rudimentary small mucosal outgrowths were seen. The nasal passages were enlarged and wide open to the nasopharynx.
Segal N, Puterman M. Radiology Quiz Case 4. Arch Otolaryngol Head Neck Surg. 2005;131(8):741. doi:10.1001/archotol.131.8.741