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Katherine J. Shen, MD; Peter M. Som, MD; Marita S. Teng, MD
Mt Sinai School of Medicine, New York, NY

Arch Otolaryngol Head Neck Surg. 2007;133(4):408.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

An otherwise healthy 32-year-old man presented with a 6-month history of progressive right-sided nasal obstruction, facial pressure, and proptosis associated with purulent rhinorrhea and epiphora of the right eye. He denied facial trauma, epistaxis, diplopia, blurry vision, facial numbness, or bleeding disorders. Physical examination revealed significant right upward proptosis. A large fleshy, polypoid mass was observed completely obstructing the right nasal airway, without evidence of increased vascularity. Intraorally, there was bulging of the right palate, with no mucosal erosion.

Both computed tomography and magnetic resonance imaging were performed. The noncontrast computed tomogram (Figure 1) showed an expansile lesion centered in the right maxillary sinus, elevating the right orbit floor, obstructing the right nasal cavity, and extending across to the left ethmoid complex. Extension into the right infratemporal fossa and erosion of the posterior and lateral aspects . . . [Full Text of this Article]

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