Clinical Findings
Physical examination performed at the CSUVCC identified mild bilateral epistaxis, more prominent from the right nostril than the left nostril, marked inspiratory stertor and increased inspiratory effort were noted and air flow through the right nostril was absent. Anapproximately 0.5 cm by 0.5 cm circular bone defect was located on the frontal bone at the level of the lateral cantus of the right eye, 2 cm lateral from midline. Also, the right eye presented with moderate exophthalmos and chemosis.