{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T23:03:13Z","timestamp":1789772593236,"version":"4.0.1"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"DOI":"10.1007\/s00405-026-10599-w","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T22:46:31Z","timestamp":1789771591000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Floor-reaching middle turbinate variants: Dual pathophysiology and descriptive terminology"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9260-3791","authenticated-orcid":false,"given":"Ibrahem H.","family":"Erwe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed A.","family":"Alzahrani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulbari A.","family":"Alzahrani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bandar M.","family":"Alamrai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid A.","family":"Alshahrani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad A.","family":"Alzarei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed M.","family":"Alghamdi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasir A.","family":"Alyahya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali H.","family":"Alzarei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,19]]},"reference":[{"key":"10599_CR1","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1288\/00005537-199101000-00010","volume":"101","author":"WE Bolger","year":"1991","unstructured":"Bolger WE, Butzin CA, Parsons DS (1991) Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 101:56\u201364. https:\/\/doi.org\/10.1288\/00005537-199101000-00010","journal-title":"Laryngoscope"},{"key":"10599_CR2","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1148\/radiographics.13.2.8460226","volume":"13","author":"J Earwaker","year":"1993","unstructured":"Earwaker J (1993) Anatomic variants in sinonasal CT. Radiographics 13:381\u2013415. https:\/\/doi.org\/10.1148\/radiographics.13.2.8460226","journal-title":"Radiographics"},{"key":"10599_CR3","first-page":"145","volume":"11","author":"HG Hatipoglu","year":"2005","unstructured":"Hatipoglu HG, Cetin MA, Yuksel E (2005) Concha bullosa types: their relationship with sinusitis, ostiomeatal and frontal recess disease. Diagn Interv Radiol 11:145\u2013149","journal-title":"Diagn Interv Radiol"},{"key":"10599_CR4","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-200524","author":"S Derin","year":"2014","unstructured":"Derin S, Deveer M, Sahan M, Beydilli H (2014) Giant concha bullosa. BMJ Case Rep. https:\/\/doi.org\/10.1136\/bcr-2013-200524","journal-title":"BMJ Case Rep"},{"key":"10599_CR5","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1007\/s00405-022-07552-y","volume":"280","author":"M Kar","year":"2023","unstructured":"Kar M, Alt\u0131nta\u015f M (2023) The incidence of concha bullosa: a retrospective radiologic study. Eur Arch Otorhinolaryngol 280:731\u2013735. https:\/\/doi.org\/10.1007\/s00405-022-07552-y","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10599_CR6","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjad508","volume":"9","author":"S Alsalamah","year":"2023","unstructured":"Alsalamah S, Jarman Y, Alsanea M, Asiri M, Alhedaithy R (2023) Bilateral enlarged concha bullosa: a case report and literature review. J Surg Case Rep 9:rjad508. https:\/\/doi.org\/10.1093\/jscr\/rjad508","journal-title":"J Surg Case Rep"},{"key":"10599_CR7","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.60206","volume":"16","author":"AF Alfadley","year":"2024","unstructured":"Alfadley AF, Almahbub AJ, Fatani H, Alsuliman Y (2024) Massive bilateral middle turbinate concha bullosa: a case report. Cureus 16:e60206. https:\/\/doi.org\/10.7759\/cureus.60206","journal-title":"Cureus"},{"key":"10599_CR8","doi-asserted-by":"publisher","DOI":"10.1177\/01455613241305994","author":"R Ashreefa","year":"2024","unstructured":"Ashreefa R, Salam R, Alkheder A, Kalaf I (2024) Rhinolith within a giant concha bullosa: a case report and review of literature. Ear Nose Throat J. https:\/\/doi.org\/10.1177\/01455613241305994","journal-title":"Ear Nose Throat J"}],"container-title":["European Archives of Oto-Rhino-Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-026-10599-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00405-026-10599-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-026-10599-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T22:46:32Z","timestamp":1789771592000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00405-026-10599-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,19]]},"references-count":8,"alternative-id":["10599"],"URL":"https:\/\/doi.org\/10.1007\/s00405-026-10599-w","relation":{},"ISSN":["0937-4477","1434-4726"],"issn-type":[{"value":"0937-4477","type":"print"},{"value":"1434-4726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,19]]},"assertion":[{"value":"19 June 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was conducted in accordance with the Declaration of Helsinki and approved by the Institutional Review Board of Aseer Central Hospital. Informed consent was obtained from all patients (or legal guardians for pediatric patients) for data collection, surgical intervention, and publication of anonymized clinical information.","order":1,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All authors declare no conflicts of interest relevant to this manuscript.","order":2,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}