The silent sinus syndrome

Patients with silent sinus syndrome typically present for investigation of facial asymmetry. Unilateral, spontaneous enophthalmos and hypoglobus are the prominent findings at examination. Imaging of the orbit and sinuses characteristically show unilateral maxillary sinus opacification and collapse w...

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Bibliographic Details
Published in:The Israel Medical Association journal 2005-05, Vol.7 (5), p.333-335
Main Authors: Monos, Tova, Levy, Jaime, Lifshitz, Tova, Puterman, Moshe
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Diagnosis, Differential
Enophthalmos - etiology
Facial Asymmetry - etiology
Female
Humans
Magnetic Resonance Imaging - methods
Male
Maxillary Sinus - diagnostic imaging
Maxillary Sinus - pathology
Middle Aged
Paranasal Sinus Diseases - complications
Paranasal Sinus Diseases - diagnosis
Paranasal Sinus Diseases - surgery
Syndrome
Tomography, X-Ray Computed - methods
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Description
Summary:Patients with silent sinus syndrome typically present for investigation of facial asymmetry. Unilateral, spontaneous enophthalmos and hypoglobus are the prominent findings at examination. Imaging of the orbit and sinuses characteristically show unilateral maxillary sinus opacification and collapse with inferior bowing of the orbital floor. It has been suggested that SSS is due to hypoventilation of the maxillary sinus secondary to ostial obstruction and sinus atelectasis with chronic negative pressure within the sinus. Treatment involves functional endoscopic sinus surgery for reestablishing a functional drainage passage, and a reconstructive procedure of the floor of the orbit for repairing the hypoglobus and cosmetic deformity. Ophthalmologists, otorhinolaryngologists, and radiologists must be familiarized with this relatively newly reported disease.
ISSN:1565-1088