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Nili Segal, MD; Max Puterman, MD
Soroka University Medical Center, Ben Gurion University of the Negev, BeerSheva, Israel

Arch Otolaryngol Head Neck Surg. 2005;131:741.

	Since this article does not have an abstract, we have provided the first 127 words of the full text and any section headings.

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.

A coronal computed tomographic scan showed a nasal cavity devoid of conchas (Figure 1 and Figure 2).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

What is your diagnosis?

SECTION EDITORS: R. NICK BRYAN, MD; PATRICIA A. HUDGINS, MD

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