Orbital Complications: Nasolacrimal Duct Injury After Endoscopic Sinus Surgery

The patient is a 54-year-old male, previously healthy, who was referred for chronic rhinosinusitis. He was previously treated by his primary care physician with intranasal steroids and antibiotics. He continued to complain of nasal congestion and cheek tenderness. A computed tomography (CT) scan was obtained that showed a unilateral left maxillary sinus mass with no bony erosion. On presentation, the patient was noted to have a unilateral mass protruding from the middle meatus. An in-clinic biopsy was consistent with sinonasal papilloma – inverted type (IP).