PMC8095310_01
Left upper lid mass
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F1
On examination, her visual acuity was 20/20 OU; the physical examination was significant for large immobile nonfluctuating supra-tarsal mass with red and erythema surrounding the mass [Figure 1].
(a) Computed tomography scan: Axial image demonstrating mass arising from the frontal sinus extending to the eyelid (b) computed tomography scan: Sagittal image demonstrating frontal sinus, bony erosion extending to the eyelid mass
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F2
Computed tomography (CT) scan of the orbits was performed, revealing a large mass extending from the frontal sinus through the soft tissue of the eyelid [Figure 2a and b].
Intraoperative photo of biopsy demonstrating extensive bony erosion of the superior orbital rim
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F3
A biopsy was performed with a combined approach; both ears, nose, and throat (ENT) team, and oculoplastic teams were present [Figure 3].