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A 35-year-old man was brought to the hospital after sustaining injuries associated with the tsunami in Southeast Asia on December 26, 2004. The patient had inhaled seawater when he nearly drowned. In addition, he had sustained multiple injuries, including a scalp laceration and torn right anterior cruciate and medial collateral ligaments. He had sinus discomfort but no difficulty breathing. Computed tomographic scanning showed fluid and opaque material in the ethmoid (Panel A, arrowhead), maxillary (Panel B, arrowhead), and sphenoid sinuses (Panel C, arrowhead). (For comparison, normally aerated sinuses from another patient can be seen in the Supplementary Appendix, available . . . [Full Text of this Article] |