PMC9436620_01
The CT scan of the paranasal sinuses shows a left ethmoid mass.
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The lateral aspect of the mass results in the renovation of the leftward medial orbital partition (Figure 1).
The intraoperative endoscopic vision of the leftward sphenoid bulk preoperative and postoperative.
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The patient was managed by image-guided endoscopic removal of the mass on or after the leftward ethmoid with orbital and base of the skull preservation (Figures 2 and 3).
The intraoperative endoscopic view of the left sphenoid mass preoperative and postoperative.
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The patient was managed by image-guided endoscopic removal of the mass on or after the leftward ethmoid with orbital and base of the skull preservation (Figures 2 and 3).
PMC9436620_02
The CT scan of the brain shows extensive thickening of the facial bone.
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The CT scan of the brain showed extensive thickening and increased density of the visualized bones with no sparring, which resulted in obliteration and narrowing of the nasal cavity and paranasal sinuses that are suggestive of fibrous dysplasia (Figures 4).
The intraoperative endoscopic image shows a bony mass filling the choana.
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The patient underwent endoscopic drilling of all boney masses obstructing the nasal passage bilaterally till reaching and creating patent choana (Figures 5 and 6).
Post debulking and drilling of the choana.
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The patient underwent endoscopic drilling of all boney masses obstructing the nasal passage bilaterally till reaching and creating patent choana (Figures 5 and 6).
PMC9436620_03
Imaged-guided nasal endoscopy shows a left sphenoid sinus lesion.
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The patient underwent image-directed endoscopic debulking of the found mass (Figure 7).
PMC9436620_04
The right ethmoid sinus and nasal space growth encompassing penetration of the orbital as well as cerebral interplanetary are perceived preceding the paranasal coronal CT scan image.
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Nasal endoscopy showed right-sided multiple nasal polyps with a deviated nasal septum to the left (Figure 8).
The paranasal axial CT scan demonstrates the right ethmoid sinus besides nasal hollow bulk by orbital then intracranial engrossment.
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The mass is expansile with heterogeneous density and ground glass appearance, associated with remodeling of the surrounding bony margins, the mass has spread to the right ethmoid cavity with obliteration of the right ostiomeatal complex, and proptosis of the right orbit is noted (Figure 9).
The intraoperative endoscopic spitting images illustrate various nasal polyps.
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This patient had a number of procedures, comprising debulking of the tumor, laterally rhinotomy, and frontal craniotomy including restructuring, which were all accomplished in collaboration with such a neurosurgeon staff (Figure 10).