PMC6542106_01
CT sinus fusion protocol, axial view. Midline septal mass and notable right-sided dystrophic bone formation are seen.
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To assess for interval changes prior to surgery, we obtained an updated computed tomography (CT) sinus scan revealing a 2.4 cm x 2.0 cm x 2.0 cm cystic mass in the anterior septum with dystrophic calcification particularly of the right wall of the cyst (Figures 1 and 2).
CT sinus fusion protocol, coronal view. Note that mass does not communicate with skull base.
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PMC6542106_01_10.1177_2152656719845325-fig2.jpg
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To assess for interval changes prior to surgery, we obtained an updated computed tomography (CT) sinus scan revealing a 2.4 cm x 2.0 cm x 2.0 cm cystic mass in the anterior septum with dystrophic calcification particularly of the right wall of the cyst (Figures 1 and 2).
Endoscopic view per right-sided septal incision into the mucocele. Note that mucoperichondrial flap is on the far right and mucocele mucosa is being removed. The opposite mucocele lining is on the left.
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Three layers of tissue were noted with the superficial layer being the septal flap followed by a fibrous and boney layer with the mucosal lining of the cyst being noted most medially (Figures 3 and 4).
Endoscopic view per right-sided septal incision into the mucocele. Note that mucoperichondrial flap is on the far right. Fractured dystrophic bone is on the left and is being removed with Blakesley forceps.
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PMC6542106_01_10.1177_2152656719845325-fig4.jpg
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Three layers of tissue were noted with the superficial layer being the septal flap followed by a fibrous and boney layer with the mucosal lining of the cyst being noted most medially (Figures 3 and 4).