Silent sinus syndrome: CT and MRI findings

Baş, Ahmet; Tutar, Onur; Samancı, Cesur; Kepek, Fadima

doi:10.1136/bcr-2012-007492

Cited by 12 publications

(9 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…CT scans are typical and make the diagnosis definitive [3,4,[8][9][10]. Coronal scans usually show laterally retracted uncinate process and medial sinus wall, enlarged medial meatus, inferiorly displaced orbital floor, increased orbital volume, and axial scans show inward retracted medial and superior walls of the maxillary sinus (MS), decreased MS volume (atelectasis of the maxillary sinus).…”

Section: Sažetakmentioning

confidence: 99%

"Silent sinus syndrome": One more indication for functional endoscopic sinus surgery

et al. 2014

View full text Add to dashboard Cite

Introduction. Silent sinus syndrome is a rare condition, characterized by spontaneous and progressive enophthalmos and hypoglobus associated with atelectasis of the maxillary sinus and downward displacement of the orbital floor. Patients with this syndrome present with ophthalmological complaints, without any nasal or sinus symptoms. Silent sinus syndrome has a painless course and slow development. It seems to be a consequence of maxillary sinus hypoventilation due to obstruction of the ostiomeatal unit. The CT scan findings are typical and definitely confirm the diagnosis of silent sinus syndrome. Case report. We present the case of a 35-year-old woman, with no history of orbital trauma or surgery. She had slight righthemifacial pressure with no sinonasal symptoms. The patient had no double vision nor other ophthalmological symptoms. The diagnosis of silent sinus syndrome was based on the gradual onset of enophthalmos and hypoglobus, in the absence of orbital trauma (including surgery) or prior symptoms of sinus disease. On paranasal CT scans there was a complete opacification and atelectasis of the right maxillary sinus with downward bowing of the orbital floor. The patient was treated with functional endoscopic sinus surgery, with no orbital repair. Conclusion. Silent sinus syndrome presents with orbithopaties but is in fact a rhinologic disease, so all ophthalmologists, rhinologists and radiologists should know about it. The treatment of choice for silent sinus syndrome is functional endoscopic sinus surgery, which should be performed with extra care, by an experienced rhinosurgeon.

show abstract

Section: Sažetakmentioning

confidence: 99%

"Silent sinus syndrome": One more indication for functional endoscopic sinus surgery

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Orbita ve paranasal bilgisayarlı tomografi kesitlerinde maksiller infindibular obstrük siyon, uncinate prosesde lateral retraksiyon ve alt duvarda incelmeyle birlikte sinüse doğru yönelim gözlenir. 7,8 Çok daha nadir gözlenen frontal sinüsün etkilendiği olgularda hiperglobus gelişebilirken, etmoid sinüs etkilendiğinde gözde mediale yer değiştirme görülebilir. 9 Benzer bilgisayarlı tomografi bulguları orbita travmaları, tiroid orbitapati ve kozmetik rinoplasti cerrahileri sonrası oluşabilmektedir.…”

Section: Resi̇munclassified

Silent Sinus Syndrome as a Cause of Ptosis

Akıdan¹,

Çoban²,

Eyigör³

et al. 2018

Turkiye Klinikleri J Ophthalmol

View full text Add to dashboard Cite

ilent (Sessiz) sinüs sendromu maksiller sinüsün bir hastalığıdır. Patofizyolojisi günümüzde hala tam olarak açıklık kazanmamakla birlikte üzerinde durulan bir kaç teori mevcuttur. Şu an için en güçlü teori maksiller sinüs ostiumunun tıkanmasına bağlı olarak maksiller sinüs içinde uzun süre negatif basınç oluşarak, hipoventilasyon ve sekresyon akümülas-yonunda bozukluğa yol açmasıdır.1 Gelişen negatif basınç ve hipoventilasyon etkisiyle osteoklastlar aktifleşmekte osteopeni, sinus duvarlarında incelme gözlenmektedir.2 Orbita tabanında incelme, kollaps ve ilerleyen sü-reçte gelişen atelektazinin enoftalmus ve hipoglobusa sebep olduğu düşü-nülmektedir.3 Sıklıkla yaşamın 3 ile 5. dekatlarında görülmekte olup

show abstract

“…Imaging of the choice for SSS is CT 16,[22][23][24] . CT finding is typical and definitely confirms the diagnosis 1,4,16,20,[22][23][24] .…”

Section: Diagnosismentioning

confidence: 99%

“…Imaging of the choice for SSS is CT 16,[22][23][24] . CT finding is typical and definitely confirms the diagnosis 1,4,16,20,[22][23][24] . At coronal CT scans, we shall see the uncinate process and medial sinus wall retracted laterally; medial meatus enlarged, orbital floor retracted into sinus lumen, increased orbital volume, inward retraction of medial and superior walls of the MS, decrease in the MS volume and its total opacification ( Figure 2).…”

Section: Diagnosismentioning

confidence: 99%