The silent sinus syndrome

Tova Monos, Jaime Levy, Tova Lifshitz, Moshe Puterman

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)333-335
Number of pages3
JournalIsrael Medical Association Journal
Volume7
Issue number5
StatePublished - 1 May 2005
Externally publishedYes

Keywords

  • Enophthalmos
  • Imaging
  • Pathogenesis
  • Silent sinus syndrome

ASJC Scopus subject areas

  • Medicine (all)

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