29th September 2021

A 30-year-old presents with fever, malaise and nasal pain over the dorsal aspect of the nose

A 30-year-old presents with fever, malaise and nasal pain over the dorsal aspect of the nose. He explains he has further noticed some difficulty when breathing through his nose. Upon taking a history, it is discovered he suffered trauma to the nose over a month ago. On performing an anterior rhinoscopy, it is clear there is infection of a nasal haematoma resulting in abscess formation. It is concluded that the presence of the abscess is likely responsible for his symptoms. Without immediate incision and drainage, to where is the infection most likely to spread?

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