Trauma Induced Complete Sinonasal Separation and Subsequent Frontoethmoid Mucocele Formation

She was initially treated with intravenous antibiotics and quickly defervesced, but recurred when transitioned to oral antibiotics. Given the refractory nature of her disease the decision was made for surgical intervention. Using a combined endoscopic and extended lynch incision approach, an artificial drainage pathway was successfully created to the nasal cavity. Initially intraoperative endoscopic examination revealed no identifiable landmarks. Correlating the intra-operative findings with the most recent CT scan, a connection between the frontal sinus and nasal cavity was made using transillumination from above and below. A #4.5 endotracheal tube sutured to the nasal septum was utilized to stent the neonasofrontal duct. (figure 5) The patient did well post-operatively and was seen in clinic prior to discharge. The nasal stent was cleaned and irrigated, and confirmed to be in good position. She was discharged on POD# 4. On returning for follow up visit at 6 weeks, the stent was noted to have fallen out. She is currently 7 months post operative and continues to do well.