Early-diagnosed silent sinus syndrome and cone-beam computed tomography in a pediatric patient: a case report

Chronic maxillary atelectasis (CMA) is a progressive alteration in the volume of the maxillary sinuses that may result in facial asymmetry. CMA in asymptomatic patients is known as silent sinus syndrome (SSS) and is a rare entity, especially in pediatric patients. This study reports a case of SSS in...

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Published in:Journal of the Korean Association of Oral and Maxillofacial Surgeons 2020, 46(2), , pp.155-159
Main Authors: Leidens, Natali, Franco, Ademir, Santos, Marco C J, Makeeva, Irina M, Fernandes, Ângela
Format: Article
Language:English
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Case Report
치의학
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Summary:Chronic maxillary atelectasis (CMA) is a progressive alteration in the volume of the maxillary sinuses that may result in facial asymmetry. CMA in asymptomatic patients is known as silent sinus syndrome (SSS) and is a rare entity, especially in pediatric patients. This study reports a case of SSS in a pediatric patient who received an early diagnosis through cone-beam computed tomography (CBCT). An asymptomatic 12-year-old female patient in orthodontic treatment presented with opacification of the left maxillary sinus on a panoramic radiograph. Clinically, the patient had discrete hypoglobus and enophthalmos. CBCT and nasal video-endoscopy revealed ostiomeatal obstruction with bone deformity, leading to diagnosis of SSS. Endonasal endoscopic maxillary sinusotomy was performed. Two years later, the patient remained asymptomatic, and a second CBCT exam confirmed a stable condition. This case highlights the role of optimal radiographic interpretation for early diagnosis of maxillofacial alterations in pediatric patients.
ISSN:2234-7550
2234-5930
DOI:10.5125/JKAOMS.2020.46.2.155