PMC10439829_01
(a) Endoscopic image of the left nasal cavity that revealed the presence of pathologic tissue arising from the inferior turbinate and extending in the lateral nasal wall. (S: septum, MT: middle turbinate, and IT: inferior turbinate). (b) CT scan coronal view showing the presence of hypertrophic tissue of the lateral nasal wall and inferior turbinate (white star) extending inside the orbit (black star).
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The nasal endoscopy that was performed showed the presence of hyperplastic tissue arising from the inferior turbinate and the lateral nasal wall (Figure 1(a)). The CT scan revealed the presence of hyperplastic tissue at the level of the inferior left turbinate, the extension of this lesion through the lateral nasal wall inside the medial wall of the orbit, and mucosal thickening of the left maxillary sinus and anterior ethmoidal cells with inflammatory changes (Figure 1(b)).
MRI coronal view revealing a lobulated mass with an anteroposterior diameter of 42 mm and a thickness of 13 mm located at the left lateral nasal wall and infiltrating the medial and lower border of the orbit without evident muscle infiltration (red arrow).
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Postoperative MRI was executed (Figure 2) revealing a lobulated mass with an anteroposterior diameter of 42 mm and a thickness of 13 mm located at the left lateral nasal wall and infiltrating the medial and lower borders of the orbit without evident muscle infiltration.
Endoscopic view with a 30  rigid endoscope of the left nasal cavity 16 months after the surgery showing no recurrence. (S: septum, A: antrostomy, and MT: middle turbinate).
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Sixteen months after the surgery during her regular follow up the patient is symptom-free with no signs of recurrence (Figure 3).