Abstract
Curr Opin Otolaryngol Head Neck Surg. 2008 Feb;16(1):22-5.
Silent sinus syndrome.
Annino DJ Jr, Goguen LA.
Division of Otolaryngology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. dannino@partners.org
PURPOSE OF REVIEW: Silent sinus syndrome is a clinical entity with the constellation of progressive enophthalmos and hypoglobus due to gradual collapse of the orbital floor with opacification of the maxillary sinus, in the presence of subclinical maxillary sinusitis. RECENT FINDINGS: It occurs secondary to maxillary sinus hypoventilation due to obstruction of the ostiomeatal unit. Correction of the problem is surgical. Surgery is endoscopic with reestablishment of maxillary aeration and drainage. The orbital repair can be staged. The endoscopic surgeon must be careful of the prolapsed orbital contents in to the maxillary sinus. SUMMARY: Silent sinus syndrome is rare and multiple findings are needed for the diagnosis. These include enophthalmos or hypoglobus in the absence of clinically evident sinonasal inflammatory disease. Treatment consists of correction of the maxillary sinus atelectasis and the orbital defects. There is evidence that a two-stage repair may eliminate the need to perform the orbital repair. Due to the lateral position of the uncinate, endoscopic maxillotomy needs to be done with care to avoid injury to the orbital contents.
PMID: 18197017 [PubMed - indexed for MEDLINE]
It is a case of Silent Sinus Syndrome.
ReplyDeletei think this is classical of imploding antrum. not very common entity.. saw 2 such cases this yr though
ReplyDeleteDr MOhnish Grover
i think it is a classical case of imploding antrum. aka silent sinus syndrome, a comparatively recent entity. not very common, saw 2 cases in the last yr.
ReplyDeletedear sir thanks a lot for this nice interesting case . sure its "sss" silent sinus syndrom , we see many cases of enophalmas w out known causes, i think that this syndrom has a grading that many cases a symptomatic just w enophalmas not diagnosed till know .
ReplyDeleteIt is "Silent sinus syndrome" secondary to the chronic maxillary sinsitis leading to sinus atelectasis.
ReplyDeletemaxillary sinus hypoplasia
ReplyDeletelt maxillary sinus hypoplasia with rt enophthalmos
ReplyDeleteDr Sunita Sanehi said
ReplyDeleteDiagnosis- 1-SILENT SINUS SYNDROME-if patient had no symptoms.
2-CHRONIC MAXILLARY ATELECTASIS-if patient had symptoms related to blockage of osteomeatal complex.
when is the answer coming?
ReplyDeleteit shows asymmetric facial bones involving the orbit and mid 1/3 of face-right maxillary hypoplasia involving the alveolar and zygomatic processes-probaby a case of craniofacial dysostosis
ReplyDeletedear panel of doctors
ReplyDeleteI have recently been diagnosed with silent sinus syndrome. i would like to get this treated in Mumbai.Could you please recommend me a doctor, who specailises in treating the same and has the expertise to perform the surgery (if required) your help will be highly appericiated.
thank you