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Sindwani R et al. - A 46-year-old woman was referred for evaluation of chronic sinonasal symptoms and left-sided epiphora. The patient had a history of mild allergic rhinitis, but noted that her sinus symptoms had worsened significantly after C-DCR with Jones tube placement performed many years ago. Her epiphora had recurred a few months after surgery. Nasal endoscopy revealed dense scar tissue in the left superior middle meatus with no visible Jones tube. A CT scan demonstrated significant sinus disease in the left ethmoid, maxillary sinus, and frontal recess.


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