An Extensive Sinonasal Rhinoscleroma: A Rare Occurrence.

Extensive involvement of the rhinoscleroma to the multiple paranasal sinuses, nasopharynx, and oropharynx is infrequent in clinical practice. Although pathology is diagnostic, other similar pathology should be ruled out in each case due to the nonspecific clinical symptoms of the patients. Radiology is always the key investigation in patients with sinonasal rhinoscleroma to find out the involvement of the disease and for proper surgical planning. Although majorities of the patients get benefited from prolonged medical treatment, surgery is warranted in cases of obstruction of the upper airway and significant nasal deformities. Preservation of the bony- cartilaginous framework is really a challenge in extensive sinonasal rhinoscleroma, especially in revision cases. A close follow-up is required in each case of sinonasal rhinoscleroma due to the high chance of its recurrence. In the present case, we have presented an extensive sinonasal rhinoscleroma which was successfully managed by surgery.