Description
A 45-year-old man presented to the emergency department with a large midline swelling of his forehead (figures 1 and 2). He described 8 months of progressive symptoms starting with anosmia and left-sided nasal discharge. The lump on his head had appeared suddenly 2 weeks prior to presentation and continued to grow before becoming tender.
Figure 1
Initial clinical appearance of midline forehead lump measuring 8 cm x 8 cm.
Figure 2
Lateral view of initial clinical appearance.
Nasendoscopy confirmed extensive left-sided polyps and discharge. A CT scan demonstrated extensive opacification of the left maxillary, sphenoid and ethmoidal sinuses with an 11 mm midline defect in the anterior wall of the frontal sinus at the site of the external mass. The posterior wall was very thin but intact. There was no evidence of intracranial extension.
He was...
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