PMC8464203_01
CT scan of the head, showing a roundish isodense lesion occupying the whole sphenoid sinus cavity with erosion of the roof
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F1
The lesion eroded the walls of the sphenoid sinus, with partial lysis of the superior wall of the cavity (Figure 1).
endoscopic view, showing an opening created through the sphenoid anterior ostium by enlarging it
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F2
Therapeutic interventions: the patient was managed surgically using basic endoscopic sinus forceps, comprising of an anterior endoscopic sphenoidotomy under general anaesthesia (Figure 2), followed by marsupialisation.
CT scan of the head, one month after the endoscopic surgical treatment, there is perfect aeration of the sphenoid sinus
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F3
The symptoms disappeared a few days after surgery and there has not been any recurrence reported (Figure 3).