Question: An 8 year old female is referred to you for recurrent sinus infections. Her mother brings with her a CT scan demonstrating pansinus thickening throughout the maxillary and ethmoid sinuses. Closer review reveals thickened bone around the maxillary sinuses. General examination shows a fatigued appearing, thin white female. Nasal examination shows purulence in the middle meatuses bilaterally. What is your presumptive diagnosis? [Answer will be posted with next week's new question]
Answer to last week's question, "Seeing Double" (August 1, 2016):
Retrobulbar hematoma. Typically this is addressed via lateral canthotomy / cantholysis approach.