This is a patient who underwent sinus surgery 2 years ago in a different hospital. She then developed a painful swelling over the supero-medial quadrant of the orbit. The eye had developed ptosis , but vision was still normal. Scan showed erosion of the bone between the orbit and the frontal sinus with erosion of the anterior and posterior table of the frontal sinus. The pyocele was in contact with the orbit and brain. This happened because during the previous surgery, the frontal sinus was not opened correctly and the mucosa wasn’t spared, leading to circumferential scarring. This lead to mucous retention and subsequent infection. Frontal sinus is one of the most difficult sinuses to master and we have quite a series of such cases with us at Medikeri’s superspeciality ENT center.
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