Clinical Challenge

Chronic Sinusitis With Orbitonasal Bony DefectChronic Sinusitis With Orbitonasal Bony Defect—CaseChronic Sinusitis With Orbitonasal Bony Defect—Diagnosis

JAMA Otolaryngology–Head & Neck Surgery 10.1001/jamaoto.2026.0717

April 30, 2026 at 11:00 AM EDT

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A 75-year-old male with a history of chronic rhinosinusitis and prior sinus surgery presented with symptoms of persistent nasal congestion, drainage, and ocular irritation with blurred vision and discharge. What is your diagnosis?

Corresponding Author: Brooke Swain, BS, Vanderbilt University School of Medicine, 1161 21st Ave, Nashville, TN 37203 (brooke.b.swain@vanderbilt.edu).

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