Bilateral Silent Sinus Syndrome: A Rare Case and Review of Literature

Abstract

Objective:In this report, we presented a rare case of bilateral silent sinus syndrome (SSS) in an otherwise healthy 57-year-old man treated with functional endoscopic sinus surgery (FESS). A systematic review of the literature regarding bilateral SSS was performed.Case Report:A 57-year-old man with well-controlled allergic rhinitis in the absence of previous surgery or trauma presented with bilateral SSS, which was successfully managed with bilateral FESS.Methods:A medical literature data base search of the terms “silent sinus syndrome” “maxillary atelectasis,” “imploding antrum syndrome,” and “bilateral silent sinus syndrome” was performed. The results were then narrowed to include only relevant articles.Results:Relevant articles included three case reports and two articles that describe or mention bilateral SSS. Of the three case reports found, two patients presented with bilateral SSS, whereas the third patient presented metachronously, with the contralateral SSS manifesting 4 months after presentation of the initial ipsilateral SSS.Conclusion:The present literature regarding bilateral SSS is likely incomplete, and further investigation is required to provide greater insight into the prevalence of this disease. In this report, bilateral FESS was successful in resolving symptoms and preventing disease progression.

Natural progression of bilateral maxillary silent sinus syndrome: A metachronous case report

“…Bilateral SSS is extremely rare, with only four reported cases in the literature. 5,9,19,20 Three patients were diagnosed incidentally with synchronous bilateral maxillary SSS upon initial presentation. The other case, reported by Ferri et al, 9 was that of a 27-year-old female who developed right maxillary SSS 4 months after functional endoscopic sinus surgery for the original left maxillary SSS.…”

Bilateral maxillary silent sinus syndrome: A case report and literature review

“…This blockage causes hypoventilation and negative pressure on the affected sinus, causing its walls to collapse and ipsilateral orbital volume alterations. 3 Specific anatomical variants can lead to OMC obstruction. Concha bullosa, a deviated nasal septum, and an acute or chronic infection are all potential SSS risk factors.…”

Etiology, Early Diagnosis and Proper Treatment of Silent Sinus Syndrome Based on Review of the Literature and Own Experience

“…SSS most frequently concerns the maxillary sinus, without the predominance of either the left or right side. There are single descriptions of the bilateral silent sinus syndrome in the literature [28,67,52]. Brown and McArdle [14,69] reported 2 cases of the silent ethmoid sinus syndrome and Naik described 1 patient with the silent frontal sinus [16].…”