26 April 2, 2020 University A 46‐y‐old male with high‐grade carcinoma of nasal cavity and ethmoid, presented with eye, sinus pain Malignant neoplasm of ethmoidal sinus Craniofacial approach to anterior cranial fossa with maxillectomy, anterior skull base resection of bilateral lesion, intradural with dural repair Approved High risk Suggested changes in technique Surgery performed. Avoid drill and microdebrider. Plastic cover recommended over face and nose with small holes for scope to divert plume from cautery and aerosolized debris