case_images: PMC10696470_01
case_images: Computed tomography imaging showing diffuse opacification of the sinuses, with no skull base defect.
case_images: CRIOT2023-5175871.001.jpg
case_images: PMC10696470_01_CRIOT2023-5175871.001.jpg
case_images: fig1
case_images: There was no skull base defect or dehiscence (Figure 1).
case_images: Coronal (left) and axial (right) T2 magnetic resonance imaging showed an abnormality from the lateral aspect of the right sphenoid sinus extending along the right superior orbital fissure.
case_images: CRIOT2023-5175871.002.jpg
case_images: PMC10696470_01_CRIOT2023-5175871.002.jpg
case_images: fig2
case_images: The extension of dural thickening and enhancement was also noted along the orbital apex surrounding the optic nerve (Figure 2).
case_images: An intraoperative endoscopic view of adhesion in the right opticocarotid recess (left) and the view after the release of the adhesions and the evacuation of the pus (right).
case_images: CRIOT2023-5175871.003.jpg
case_images: PMC10696470_01_CRIOT2023-5175871.003.jpg
case_images: fig3
case_images: Then, trans-ethmoidal sphenoidotomy revealed scar tissues sealing over right opticocarotid recess (OCR; Figure 3).