PMC5502498_01
Preoperative frontal view
AMS-7-120-g001.jpg
PMC5502498_01_AMS-7-120-g001.jpg
F1
Maxillofacial examination revealed periorbital edema, mild proptosis, darkening of nasal mucosa, and tenderness supero medial region of the right orbit [Figure 1].
Axial computed tomographic image showing hyperdense area occupying frontal sinus
AMS-7-120-g002.jpg
PMC5502498_01_AMS-7-120-g002.jpg
F2
CT revealed irregular hyperdense mass in the region of the right frontal sinus, without any breach of the anterior and posterior table [Figure 2].
Coronal approach to access the frontal sinus and osteotomy cut
AMS-7-120-g003.jpg
PMC5502498_01_AMS-7-120-g003.jpg
F3
A pericranial flap was increased separately till the approximate limit of the frontal sinus, with the help of micro-motor, bur holes were made through the outer wall of the frontal sinus and were connected with osteotomy [Figure 3], thereby a pedicled osteoplastic flap was raised exposing the frontal sinus [Figure 4].
Frontal sinus exposure (thick arrow: Osteoplastic flap, thin arrow: Mucosal lining, dotted arrow: mucor growth)
AMS-7-120-g004.jpg
PMC5502498_01_AMS-7-120-g004.jpg
F4
A pericranial flap was increased separately till the approximate limit of the frontal sinus, with the help of micro-motor, bur holes were made through the outer wall of the frontal sinus and were connected with osteotomy [Figure 3], thereby a pedicled osteoplastic flap was raised exposing the frontal sinus [Figure 4].
H and E, x40 section showing aseptate basophilic hype
AMS-7-120-g005.jpg
PMC5502498_01_AMS-7-120-g005.jpg
F5
The histopathological examination did not reveal any signs of atypia or malignancy [Figure 5].
Periodic acid-Schiff x40, stained section showing fungal hype of mucormycosis
AMS-7-120-g006.jpg
PMC5502498_01_AMS-7-120-g006.jpg
F6
Periodic Acid-Schiff stain confirmed fungal hype of mucormycosis [Figure 6].
Postoperative profile view
AMS-7-120-g007.jpg
PMC5502498_01_AMS-7-120-g007.jpg
F7
Contour of the upper third of the face was maintained postoperatively [Figure 7].
Postoperative axial computed tomographic image showing no recurrence
AMS-7-120-g008.jpg
PMC5502498_01_AMS-7-120-g008.jpg
F8
The individual showed no signs of recurrence [Figure 8] and did not require any further renal dialysis.