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An 82-year-old woman presented with a 6-month history of left maxillary pain, left-sided nasal congestion, thick drainage, and epiphora. She had no preexisting history of sinonasal complaints. Previous dental evaluation was unrevealing. She was treated with a course of oral antibiotics without improvement. She denied any history of fevers, chills, night sweats, vision changes, facial numbness, or weight loss. She did have a ground level fall shortly before symptom onset.


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