An ectopic course of the infraorbital nerve is a very rare anatomical variant of the sinonasal anatomy that carries the risk of inadvertent nerve injury during functional endoscopic sinus surgery. We describe herein a case of bilateral ectopic course of the infraorbital nerve into a maxillary sinus septum detected on computed tomography in a patient complaining of chronic headache and facial pain.
StandringS (Editors). Gray's anatomy: the anatomical basis of clinical practice. 39th edition. London: Elsevier Churchill Livingstone; 2005. p. 992; 1070: 1157.
2.
ChongVFFanYFLauD. Functional Endoscopic Sinus Surgery (FESS): What radiologists need to know. Clin Radiol.1998; 53 (9): 650–658. doi: 10.1016/S0009-9260(98)80291-2.
3.
MailleuxPDesgainOIngabireMI. Ectopic infraorbital nerve in maxillary sinus septum: Another potentially dangerous variant for sinus surgery. JBR-BTR.2010; 93 (6): 308–309.
4.
AygunNZinreichSJ. Imaging for functional endoscopic sinus surgery. Otolaryngol Clin North Am.2006: 39 (3): 403–416. doi: 10.1016/j.otc.2006.01.014.
5.
MelhemEROliverioPJBensonML. Optimal CT evaluation for functional endoscopic sinus surgery. Am J Neuroradiol.1996; 17(1): 181–188.
6.
PolavaramRDevaiahAKSakaiO. Anatomic variants and pearls-functional endoscopic sinus surgery. Otolaryngol Clin North Am.2004; 37 (2): 221–242. doi: 10.1016/S0030-6665(03)00161-0.