Management of spontaneous enophthalmos due to silent sinus syndrome: a case report

Nkenke, Emeka; Iro, Heinrich; Amann, Kerstin; Kirchner, T H; Häusler, Gerd; Neukam, Friedrich Wilhelm; Holbach, Leonard M.

doi:10.1016/j.ijom.2005.01.011

Cited by 14 publications

(13 citation statements)

References 10 publications

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“…Limited antrostomy typically results in a release of negative sinus pressure and re-expansion of the collapsed cavity leading to reduction of enopthalmus [15]. A wide antrostomy prevents future reobstructions, and good reaeration of the sinus helps to avoid recurrent enophthalmos [16].…”

Section: Introductionmentioning

confidence: 99%

The silent sinus syndrome: protean manifestations of a rare upper respiratory disorder revisited

2013

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Silent Sinus Syndrome (SSS) is known to be a rare clinical condition, characterized by spontaneous and progressive enophthalmos and hypoglobus associated with atelectasis of the maxillary sinus and alteration of the orbital floor. Most of the patients with this syndrome present with ophthalmological complaints without any nasal sinus symptoms, and it typically has a painless course and slow development, ergo the term “silent.” Here we present a case report of a patient with occasional coughing spells as the presenting symptom of Silent Sinus Syndrome, which has not been previously described in the literature. The CT scan findings suggested chronic rhinosinusitis. The radiological findings were suggestive of maxillary sinus hypoplasia, with evidence of maxillary sinus atelectasis. Awareness of this syndrome is important for specialists who work with nasal sinus disease, since its management is different than chronic rhinosinusits.

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Section: Introductionmentioning

confidence: 99%

The silent sinus syndrome: protean manifestations of a rare upper respiratory disorder revisited

2013

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“…Unilaterality of issues, sustained by the CT scan, 2. Absence of documented nasosinusal or orbital trauma, surgery or congenital abnormality, no history of chronic rhinosinusitis 3,4,7 , 3. Poverty in local symptoms, rarely found facial or dental pressure, diplopia, 4.…”

Section: Discussionmentioning

confidence: 99%

“…Radiologic examination is essential, CT scan changes are pathognomonic, 6. Histologic examination highlights the inflammatory character of nasal mucosa and excludes purulent inflammation or malignancy 4 . The management of SSS follows two objectives: maxillary sinus drainage and orbital restoration.…”

Section: Discussionmentioning

confidence: 99%

“…Because the antrostomy (FESS) is a minimally invasive procedure and restoring a positive maxillary pressure could resolve the orbital changes, it should be indicated as the primary option. The orbital reconstruction is controversial in literature, some reports indicating a single-stage operation with simultaneous maxillary antrostomy and orbital implants 4,6,7,15 , but a complete remodeling of the implicated bone is achieved two months after surgery, so that the orbital defect could be resolved at a later time if necessary 4 .…”

Section: Discussionmentioning

confidence: 99%

“…The syndrome is a rare pathology characterized by unilateral progressive enophthalmos and/or hypoglobus 4 , which consists in a unilateral painless facial asymmetry 5 , not associated with orbital trauma or surgery, nor with congenital facial asymmetry or rhinosinusitis symptoms or history 6 , but with a chronic evolution of weeks or months. The pathogenesis consists in a maxillary hypoplasia with negative maxillary pressure, determined by the obstruction of the infundibulum 7 associated with the inflammation of sinus mucosa 1 and a subsequent association of the orbital floor collapse 3 and pseudoretraction of the upper eyelid.…”

Section: Introductionmentioning

confidence: 99%

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Silent sinus syndrome - Case presentation

Trombitaș

Nagy

Vlad

et al. 2016

Romanian Journal of Rhinology

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BACKGROUND. Silent sinus syndrome (SSS) is known as a relatively new pathology with clinical characterizations, represented by the facial asymmetry determined by progressive enophthalmos and hypoglobus and the absence of nasal symptoms. The theory that sustained this pathology is based on the negative maxillary pressure and the chronic evolution of symptomatology. CASE REPORT. A 49-year-old white female presented in our clinic for facial asymmetry, right facial pressure, right depression of the orbital floor and hypoglobus, without diplopia. The CT scan showed an opaque right maxillary sinus with the depression of the orbital floor. CONCLUSION. The pathogenesis, clinical and imagistic features are the most important in the SSS for diagnosis and correct treatment.

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Computerassistierte Enophthalmuskorrektur

Vairaktaris²,

et al. 2007

HNO

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Pronounced enophthalmos can restrict patients both functionally and aesthetically. Typical symptoms are double vision on both eyes and obvious asymmetry, both of which were present in the 67-year-old male patient presented in this paper. The resulting data of computed tomography was used to fabricate a patient specific ceramic implant for reconstruction of the left orbital floor with an enophthalmos of 4mm. During the surgery the implant fitted anatomically correct, but exophthalmos occurred. The implant needed to be regraded and recontoured in the dorsal fraction, so that overcorrection could be reduced. With the assistance of optical 3D en- and exophthalmometry during surgery, the position of the cornea vertex was reproducible measured. At the end of surgery, exophthalmos was 1.5 mm. After 12 months, enophthalmos of only 1mm exists. This case displays the combination of a patient specific fabricated implant for reconstruction of the orbital floor with optical 3D-en-and exophthalmometry to correct enophthalmos with a high degree of accuracy. Therefore these two techniques in combination should be used when complex corrections of enophthalmos are needed.

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Management of spontaneous enophthalmos due to silent sinus syndrome: a case report

Cited by 14 publications

References 10 publications

The silent sinus syndrome: protean manifestations of a rare upper respiratory disorder revisited

The silent sinus syndrome: protean manifestations of a rare upper respiratory disorder revisited

Silent sinus syndrome - Case presentation

Computerassistierte Enophthalmuskorrektur

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