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VI, NR. Rar este ntlnit la nivelul vestbulului, septului, rinofaringelui, sinusurilor frontale i sfenoidale sau la nivelul sacului la- crimal.

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Figure 5. Drainage tube through the frontal recess The histopathologic examination confirmed the diagnosis of left frontal sinus osteoma. The postoperative evolution was favorable.

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Papilomul invertit. Source: Romanian Journal of Medical Practice. It appears most frequently on the lateral wall, with a maximum incidence at ethmoid sinus level. In most cases it is unilateral, causing nasal obstruction.

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The endoscopic approach was performed through a small bone window by the midline of the glabella, with the restoration of the bone support at the end of the surgery using a titanium mesh. Although the surgical staff has a lot of experience in doing the endoscopic transnasal approach, there are some cases where the transnasal route cannot safely solve certain pathologies. This is the reason why the authors wish to illustrate the need of using an approach that will ensure a proper management of any kind of complications that can occur during surgery, specific to these tumors bleeding, nasal inverted papilloma causes fluid leak.

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