case_images: PMC9436620_01
case_images: The CT scan of the paranasal sinuses shows a left ethmoid mass.
case_images: IJOTO2022-1608015.001.jpg
case_images: PMC9436620_01_IJOTO2022-1608015.001.jpg
case_images: fig1
case_images: The lateral aspect of the mass results in the renovation of the leftward medial orbital partition (Figure 1).
case_images: The intraoperative endoscopic vision of the leftward sphenoid bulk preoperative and postoperative.
case_images: IJOTO2022-1608015.002.jpg
case_images: PMC9436620_01_IJOTO2022-1608015.002.jpg
case_images: fig2
case_images: 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).
case_images: The intraoperative endoscopic view of the left sphenoid mass preoperative and postoperative.
case_images: IJOTO2022-1608015.003.jpg
case_images: PMC9436620_01_IJOTO2022-1608015.003.jpg
case_images: fig3
case_images: 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).
case_images: PMC9436620_02
case_images: The CT scan of the brain shows extensive thickening of the facial bone.
case_images: IJOTO2022-1608015.004.jpg
case_images: PMC9436620_02_IJOTO2022-1608015.004.jpg
case_images: fig4
case_images: 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).
case_images: The intraoperative endoscopic image shows a bony mass filling the choana.
case_images: IJOTO2022-1608015.005.jpg
case_images: PMC9436620_02_IJOTO2022-1608015.005.jpg
case_images: fig5
case_images: The patient underwent endoscopic drilling of all boney masses obstructing the nasal passage bilaterally till reaching and creating patent choana (Figures 5 and 6).
case_images: Post debulking and drilling of the choana.
case_images: IJOTO2022-1608015.006.jpg
case_images: PMC9436620_02_IJOTO2022-1608015.006.jpg
case_images: fig6
case_images: The patient underwent endoscopic drilling of all boney masses obstructing the nasal passage bilaterally till reaching and creating patent choana (Figures 5 and 6).
case_images: PMC9436620_03
case_images: Imaged-guided nasal endoscopy shows a left sphenoid sinus lesion.
case_images: IJOTO2022-1608015.007.jpg
case_images: PMC9436620_03_IJOTO2022-1608015.007.jpg
case_images: fig7
case_images: The patient underwent image-directed endoscopic debulking of the found mass (Figure 7).
case_images: PMC9436620_04
case_images: 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.
case_images: IJOTO2022-1608015.008.jpg
case_images: PMC9436620_04_IJOTO2022-1608015.008.jpg
case_images: fig8
case_images: Nasal endoscopy showed right-sided multiple nasal polyps with a deviated nasal septum to the left (Figure 8).
case_images: The paranasal axial CT scan demonstrates the right ethmoid sinus besides nasal hollow bulk by orbital then intracranial engrossment.
case_images: IJOTO2022-1608015.009.jpg
case_images: PMC9436620_04_IJOTO2022-1608015.009.jpg
case_images: fig9
case_images: 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).
case_images: The intraoperative endoscopic spitting images illustrate various nasal polyps.
case_images: IJOTO2022-1608015.010.jpg
case_images: PMC9436620_04_IJOTO2022-1608015.010.jpg
case_images: fig10
case_images: 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).