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North American Skull Base Society

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2026 Poster Presentations

2026 Poster Presentations

 

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P403: EXCLUSIVELY ENDOSCOPIC MANAGEMENT OF GIANT SINO-ORBITAL PSAMMOMATOID OSSIFYING FIBROMA WITH ECTOPIC TOOTH EXTRACTION
Lingga Adidharma, MD; Luke M O'Neil, MBBS; Rocco Ferrandino, MD; Hector Perez, MD; Aria Jafari, MD; University of Washington

This video demonstrates a patient with nasal obstruction, facial deformity, epiphora, and a missing canine who had a large left expansile sinonasal lesion associated with an ectopic tooth. Exclusively endoscopic resection was performed using Denker’s modification of medial maxillectomy with stereotactic guidance. Endoscopic sinus surgery and a dacryocystorhinostomy were performed to manage their obstructive sinusitis and epiphora. Gross total resection was achieved with no post-operative complications. This approach enabled complete endoscopic resection with minimal morbidity.

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