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This skull holds a hidden pathology—one caused by a frontal sinus mucocele. Over time, this mucus-filled cyst expanded, creating pressure that eroded the superior medial portion of the skull. Mucoceles form when sinus drainage is blocked, leading to slow but destructive bone remodeling. If left untreated, they can invade surrounding structures, including the orbit and brain. This kind of damage can be mistaken for trauma or other bone conditions, but its origin lies within the sinuses themselves
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