Figure A Figure B
Figure C Figure D
These figures represent a chronic unilateral sinusitis involving primarily the maxillary sinus. Fungal sinusitis need to be ruled out with necessary investigations.
Figure A - coronal cut slice of paranasal sinuses CT-scan showing right maxillary sinus involvement.
Figure B - right middle meatus appearance showing osteomeatal complex narrowing and lateral wall mucosal oedema Brownish materials covered by mucopus seen (arrow).
Figure C - exposed slate-brown materials filling the maxillary sinus prior to removal (arrows).
Figure D - antral mucosa hypertrophy before biopsy taken and remaining diseased mucosa removed.
Figure shows a coronal cut image of paranasal sinus CT-scan showing absence of inferior turbinates bilaterally. Over-resection predisposes to disturbance of normal nasal physiology and aerodynamic resulting in persistent troublesome
symptoms of chronic nasal dryness and paradoxical obstruction.
Presentation Series by Dr Steven M. Houser, MD, FAAOA (YouTube:DrRobertBodlaj's Channel)