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A 29-year-old pilot was referred from a U.S. Air Force base with a history of pneumocephalus on computed tomography (CT) scan following a high-altitude flight.

 photo credit: Aldo Murillo/iStockphoto


Please use the discussion feature below to ask the authors your questions and provide further feedback on others’ questions. All questions and replies are moderated.


  1. Georgios Fyrmpas

    This is a very interesting and informative case. Why did you lift a nasoseptal flap instead of covering the defect with the removed sphenoid sinus mucosa as a free graft? Apparently there was no increased ICP or prior radiotherapy to compromise the take of a free graft.


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