PMC5148771_01
Preoperative CT sinus showed bilateral sinusitis (a). Preoperative chest CT scan showed no lung pathology (b).
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A CT scan showed bilateral opacification in the maxillary, anterior and posterior ethmoid sinuses, and a preoperative chest CT scan did not show any previous pulmonary disease or infection (Fig. 1).
Day 1 Post operation, right eye ecchymossis with emphysema (A), chest X ray showed pnumomediastinum (B), CT sinus showed defect in right lamina paprecea with peri orbital and facial surgcial emphysema (C), surgical emphysema in all neck wall (D), Emphysema in the chest wall and pneumomediastinum (E).
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The CT scan of the sinus, neck and chest showed a bony defect of the right lamina papyracea with surgical emphysema in the right periorbit, the right side of the face, and all neck spaces without evidence of pneumothorax or paraesophageal inflammation (Fig. 2).
3 weeks post operative, chest X-ray and CT showed complete resolution of the surgical emphysema and the pneumomediastinum.
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His 3-week postoperative chest X-ray and CT scan showed complete resolution of the surgical emphysema, and the pneumomediastinum, with improved preoperative nasal symptoms (Fig. 3).