Management of the Orbital Floor in Silent Sinus Syndrome

Thomas, R. E.; Graham, Scott M.; Carter, Keith D.; Nerad, Jeffrey A.

doi:10.1177/194589240301700206

Cited by 77 publications

(79 citation statements)

References 8 publications

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“…Most commonly resting it on the orbital rim is possible, since this does not usually collapse with the floor. Usually, orbital rim and the floor is approached via transconjunctival or subcilliary incisions [5,13].…”

Section: Introductionmentioning

confidence: 99%

“…There is evidence to support correction of sinonasal and orbital repair as a two stage procedure [5]. There are reports which have shown spontaneous resolution of enophthalmos and hypoglobus following only aeration of maxillary sinus without repair of orbital floor [5,19,20].…”

Section: Introductionmentioning

confidence: 99%

“…There are reports which have shown spontaneous resolution of enophthalmos and hypoglobus following only aeration of maxillary sinus without repair of orbital floor [5,19,20].…”

Section: Introductionmentioning

confidence: 99%

“…Most of the patients may remain asymptomatic with well ventilated maxillary sinus, while a few may require orbital floor reconstruction as a second stage procedure [5]. We report a case of a 29-year-old male, presenting with painless enophthalmos and facial asymmetry.…”

mentioning

confidence: 96%

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Silent Sinus Syndrome: A Case Report and Review of Literature

Sumana¹,

Suhel²

2018

J Otolaryngol Rhinol

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silent sinus syndrome is surgical, by performing an endoscopic maxillary antrostomy [4]. Most of the patients may remain asymptomatic with well ventilated maxillary sinus, while a few may require orbital floor reconstruction as a second stage procedure [5]. We report a case of a 29-year-old male, presenting with painless enophthalmos and facial asymmetry. Computed tomography (CT) of paranasal sinuses (PNS) showed features of silent sinus syndrome. He underwent an endoscopic maxillary antrostomy which resulted in arrest of disease progression. Case ReportA 29-year-old male presented with a 4 month history of sunken appearance of his left eye, which was insidious in onset and gradually progressive, associated with facial asymmetry. He did not have disturbances in vision or ocular movements. There was no history of facial trauma, surgery of the face, nasal congestion, nasal discharge or any previous history suggestive of chronic sinusitis.His general physical examination and systemic examination was normal. Ophthalmology evaluation was done, vision and ocular movements were found to be normal. He had 2 mm of enophthalmos and 4 mm of hypoglobus. Anterior rhinoscopy and diagnostic nasal endoscopy revealed a septal spur on the left side with normal pink nasal mucosa. Non contrast CT PNS was done, which showed a relatively small left maxillary sinus with inward retraction of the walls. Floor of the orbit and anterolateral walls were seen to have thinned out with resulting increase in the orbital volume causing hypoglobus ( Figure 1A and Figure 1B). There was lateralization of the left uncinate process with obstruction of left osteomeatal complex. Complete AbstractSilent sinus syndrome is a rare clinical entity affecting the maxillary sinus, causing progressive enophthalmos and hypoglobus resulting from retraction of maxillary sinus walls with increase in the orbital volume. We report a case of a 29-year-old male who presented with painless enophthalmos, without any disturbances in vision or ocular movements, with no history of sinusitis in the past. Computed tomography of paranasal sinus showed a relatively small and opacified maxillary sinus with inward retraction of roof, medial and anterolateral walls of maxillary sinus with hypoglobus. He underwent endoscopic middle meatal antrostomy following which he improved symptomatically without any progression of enophthalmos and hypoglobus.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…There are reports which have shown spontaneous resolution of enophthalmos and hypoglobus following only aeration of maxillary sinus without repair of orbital floor [5,19,20].…”

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 96%

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Silent Sinus Syndrome: A Case Report and Review of Literature

Sumana¹,

Suhel²

2018

J Otolaryngol Rhinol

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“…3 While most of the patients become asymptomatic when the sinus is ventilated, a few of them require reconstruction of orbital floor which can be achieved as a second stage procedure. 4 Here, we report a case of a 20-year-old male presented with progressive depression of the right cheek without any symptoms related to the eye. Computer tomography scan showed features of…”

Section: Introductionmentioning

confidence: 99%

Silent Sinus Syndrome: A Case Report and Review of Literature

Bhandary¹,

Bhat²,

Marina³

et al. 2013

An International Journal Clinical Rhinology

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Silent sinus syndrome is a rare condition affecting the maxillary sinus, resulting in spontaneous collapse of the sinus walls causing facial asymmetry and unilateral enophthalmos. The exact etiology of this condition is unknown. We report a case of a 20-year-old male presented with facial asymmetry with depression of right cheek associated with heaviness over right cheek, without any disturbance of vision or eye movement. Computed tomography (CT) scan of the paranasal sinus showed a relatively smaller and opacified right maxillary sinus with inward retraction of the roof, medial and posterolateral walls. He underwent endoscopic middle meatal antrostomy. On follow-up, patient is free of symptoms and the CT scan showed well-ventilated sinuses with arrest of the disease progression.

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Multidisciplinary Approach to Management of Silent Sinus Syndrome

Korn¹,

Weisman²,

Kikkawa³

et al. 2009

The Laryngoscope

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Objectives: To report the results of a multidisciplinary approach to silent sinus syndrome, a rare entity with both ophthalmologic and rhinologic manifestations. Study Design: Retrospective, interventional case series. Methods: The records of all patients with silent sinus syndrome treated at a tertiary medical center in the last three years were reviewed. Inclusion required imaging demonstrating maxillary sinus atelectasis and orbital floor resorption. Data collected included age, gender, findings during endoscopic sinus surgery, measurement of eyelid and globe position, and presence of diplopia on alternate cover testing.

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Management of the Orbital Floor in Silent Sinus Syndrome

Abstract: Orbital floor augmentation can be offered as a second-stage procedure for patients with silent sinus syndrome. Some patients' enophthalmos may improve with endoscopic antrostomy alone.

Cited by 77 publications

References 8 publications

Silent Sinus Syndrome: A Case Report and Review of Literature

Silent Sinus Syndrome: A Case Report and Review of Literature

Silent Sinus Syndrome: A Case Report and Review of Literature

Multidisciplinary Approach to Management of Silent Sinus Syndrome

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