Maxillary sinus posterior wall remodeling following surgery for silent sinus syndrome

Kram, Yoseph A.; Pletcher, Steven D.

doi:10.1016/j.amjoto.2014.05.007

Cited by 13 publications

(7 citation statements)

References 8 publications

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“…Furthermore, the appropriateness of excluding the diagnosis of SSS in the presence of facial trauma has recently been questioned . Finally, case 1 demonstrated significant improvement in enophthalmos following endoscopic maxillary antrostomy, consistent with bone remodeling seen in SSS patients following endoscopic surgery …”

Section: Discussionmentioning

confidence: 70%

“…14 Finally, case 1 demonstrated significant improvement in enophthalmos following endoscopic maxillary antrostomy, consistent with bone remodeling seen in SSS patients following endoscopic surgery. 15 Although this case series most likely describes a rare variant of SSS, it is possible that the presented cases are in the early stages of SSS. Cases 1 and 2 demonstrate mild mucosal edema in the diseased maxillary sinus, indicating an underlying inflammatory process and potentially foreshadowing complete opacification.…”

Section: Discussionmentioning

confidence: 90%

“…Operative management includes endoscopic maxillary antrostomy with or without orbital floor reconstruction. Due to the potential for remodeling of the orbital floor following sinus aeration, most authors recommend a staged approach . Patient 2 underwent placement of an orbital implant without maxillary antrostomy.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the potential for remodeling of the orbital floor following sinus aeration, most authors recommend a staged approach. 10,15,[17][18][19] Patient 2 underwent placement of an orbital implant without maxillary antrostomy. The patient's history of medial wall fracture and the presence of an aerated maxillary sinus confounded the diagnosis and made orbital volume corrective surgery a reasonable first step.…”

Section: Discussionmentioning

confidence: 99%

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Silent sinus syndrome without opacification of ipsilateral maxillary sinus

et al. 2018

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Silent sinus syndrome (SSS) is a rare disease characterized by spontaneous enophthalmos and hypoglobus secondary to collapse of the orbital floor in patients with asymptomatic maxillary sinusitis. Radiographic findings include ipsilateral maxillary sinus opacification, lateralization of the uncinate and middle turbinate, and infundibular occlusion. We present a case series of three patients with clinical and radiographic evidence of SSS but without maxillary sinus opacification. Although uncommon, an aerated maxillary sinus in patients with unexplained enophthalmos, hypoglobus, and maxillary atelectasis should not exclude the diagnosis of SSS. Laryngoscope, 128:2004-2007, 2018.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Silent sinus syndrome without opacification of ipsilateral maxillary sinus

et al. 2018

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“…Some prefer to combine both procedures in view of rarity of complications and to avoid a second hospitalization and surgery. [510]…”

Section: Discussionmentioning

confidence: 99%

The imploding antrum: An unusual case of nontraumatic painless enophthalmos

Sen

Arora

Adlakha

et al. 2016

Indian J Ophthalmol

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The imploding antrum or silent sinus syndrome is a rare phenomenon that presents with spontaneous painless enophthalmos and hypoglobus. It occurs due to ipsilateral maxillary antral atelectasis secondary to asymptomatic obstructive chronic sinus mucosal disease. Ophthalmologists, otorhinolaryngologists, and radiologists must be aware of this entity. This article illustrates the typical presentation in a 17-year-old male with unilateral ptosis and a deep superior sulcus, and characteristic imaging findings of ipsilateral increased orbital volume and depression of the orbital floor, maxillary sinus opacification and atelectasis with retraction of the posterolateral and medial walls, lateralization of the uncinate process, and obstruction of the ostiomeatal unit. This is probably the first time that the syndrome is being reported in such a young person. The pathogenesis, differential diagnosis, and treatment modalities of this entity are also reviewed.

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