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18 One end of a silicone catheter (short arrow) in a patient who had undergone an unsuccessful right dacryocystorhinostomy. The long arrow points to the nasopharynx Page 28 This page intentionally left blank. Congenital variations do occur, but not as commonly as with the middle turbinate. The rich vascularity and glandular content of the inferior turbinate make it a major contributor to the nasal blockage and discharge of allergies and infections, and a major participant in the nasal cycle and in vasomotor rhinitis.
The superior meatus connects with the sphenoethmoid recess which lies posterior, medial, and inferior to it. Small retention cysts and polyps have been discovered there incidentally especially in the elderly; they are usually asymptomatic and of no clinical significance.
The rich vascularity and glandular content of the inferior turbinate make it a major contributor to the nasal blockage and discharge of allergies and infections, and a major participant in the nasal cycle and in vasomotor rhinitis. It has been mistaken for nasal polyps. This enlargement may be due to thick soft tissues and/or cancellous bone of the turbinate. The pneumatization may be aggressive enough to reach the lacrimal bone and even the ascending process of the maxilla more anteriorly. The rationale behind the popular functional endoscopic sinus surgery (FESS) is to open up the OMC for better sinus ventilation and drainage, and thus reduce the frequency of sinus infections and make them more responsive to medical therapy.