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Computed tomography sinus. It shows frontal ethmoid mucocele destroying the left lamina papyracea. Note intact frontal sinus.
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A computed tomography sinus was then done in the office that revealed an expansile mass destroying the left lamina papyracea and fiberoptic laryngoscopy demonstrated a mass in the posterior nasopharynx adjacent to the left orbit and posterior to the left middle turbinate (Figure 1).
Fiberoptic photo. It displays a "knife" like object penetrating the left orbital tissue. The open frontal sinus can be seen above.
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A video endoscopy in the office revealed a sharp object penetrating the left orbital tissue (Figure 2).