Polypoidal Anterior End of the Middle Turbinate

It can sometimes be relatively difficult to differentiate middle meatal polyps from sessile polypoidal mucosa based on the middle turbinate as they can look the same (Fig. 6.23a, b). It is wise to gently palpate any polyp in this area to help define whether it is based on the middle turbinate. The middle turbinate is a useful landmark and, as it is attached to the skull base, it is important not to avulse it. Polyps on the medial surface of the middle turbinate that do not come from the superior meatus or sphenoid should be left alone as they contain valuable olfactory sensory neurons.

Paradoxical Steps
Fig. 6.24 a A paradoxical uncinate process (*) and b its appearance on CT.

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