Chronic rhinosinusitis due to cyano-acrylic glue after endoscopic transsphenoidal pituitary surgery

摘要

a) T2-weigthed and b) post-contrast sagittal brain MRI showing inflammation and thickening of the spheniodal and para-sphenoidal mucosa. c and d) Intraoperative endoscopic view showing the solid glass-like mass (acrylic glue) was seen in the inferior and lateral areas to the sphenoid sinus surrounded with inflamed infected mucosa. De-crustation of the mass shows fragmentation of the mass with glass-like particles (arrow)