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Silent sinus syndrome.
Neelu K Hira1, William J Lipham, Michelle M Marciniak
1Minnesota Eye Consultants, Minneapolis, Minnesota, USA. nhira@bhs.umn.edu
Optometry (St. Louis, Mo.)
|October 16, 2004
Summary
Silent sinus syndrome (SSS) causes eye changes like enophthalmos and hypoglobus without pain or nasal symptoms. Diagnosis requires imaging to differentiate it from other conditions.
Area of Science:
- Otolaryngology
- Ophthalmology
- Radiology
Background:
- Silent sinus syndrome (SSS) is a subset of chronic maxillary atelectasis (CMA).
- SSS involves inward retraction of maxillary sinus walls due to osteomeatal complex obstruction.
- Unlike CMA, SSS presents without pain or sinus congestion.
Observation:
- Patients with SSS typically present with spontaneous unilateral enophthalmos and hypoglobus.
- These patients lack a history of facial trauma or surgery.
- Nasal symptoms, sinusitis, and pain are notably absent in SSS cases.
Findings:
- A case of a 28-year-old woman with asymptomatic enophthalmos and hypoglobus due to SSS is presented.
- The study discusses the presentation, diagnosis, and treatment of SSS.
- SSS should be considered in the differential diagnosis for enophthalmos and hypoglobus without trauma or nasal symptoms.
Implications:
- SSS diagnosis requires a comprehensive eye examination.
- Axial and coronal CT scans of the sinuses and orbits are crucial for confirming SSS.
- Early and accurate diagnosis of SSS is essential for appropriate management.