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.
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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.