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Physical sign of patient case 1.
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The antrum showed complete opacification with hyperdense contents (Fig. 1A) and a CT venogram at the level of the cavernous sinus (Fig. 1B) showed no enhancement of the right cavernous sinus (arrow), consistent with cavernous sinus thrombosis.
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A: CT without contrast showing moderate mucosal thickening. B: CT venogram shows absence of enhancement of the right cavernous sinus.
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There was mild maxillary tenderness, a large necrotic ulcer in the hard palate (Fig. 2A), and inflamed black mucosa was noted over the middle turbinate. A cranial nerve evaluation revealed drooping of the angle of the mouth, drooling, absence of wrinkles in the right half of the forehead (Fig. 2B), no corneal sensation, and no light perception.
A: Facial nerve involvment in case 3. B: Big necrotic ulcer in the hard palate.
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The patient was discharged after 6 weeks of intensive medical and surgical managements, patient was lost in follow-up (Fig. 3).