case_images: PMC8464203_01
case_images: CT scan of the head, showing a roundish isodense lesion occupying the whole sphenoid sinus cavity with erosion of the roof
case_images: PAMJ-39-198-g001.jpg
case_images: PMC8464203_01_PAMJ-39-198-g001.jpg
case_images: F1
case_images: The lesion eroded the walls of the sphenoid sinus, with partial lysis of the superior wall of the cavity (Figure 1).
case_images: endoscopic view, showing an opening created through the sphenoid anterior ostium by enlarging it
case_images: PAMJ-39-198-g002.jpg
case_images: PMC8464203_01_PAMJ-39-198-g002.jpg
case_images: F2
case_images: Therapeutic interventions: the patient was managed surgically using basic endoscopic sinus forceps, comprising of an anterior endoscopic sphenoidotomy under general anaesthesia (Figure 2), followed by marsupialisation.
case_images: CT scan of the head, one month after the endoscopic surgical treatment, there is perfect aeration of the sphenoid sinus
case_images: PAMJ-39-198-g003.jpg
case_images: PMC8464203_01_PAMJ-39-198-g003.jpg
case_images: F3
case_images: The symptoms disappeared a few days after surgery and there has not been any recurrence reported (Figure 3).