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Ethmoidal involvement in "imploding" (silent) sinus syndrome.

Andrew Braganza1, Ramona Khooshabeh

  • 1Schell Eye Hospital, Department of Ophthalmology, Christian Medical College, Vellore 632001 India. ANDREWBNETS@NETSCAPE.NET

Ophthalmic Plastic and Reconstructive Surgery
|July 30, 2005
PubMed
Summary

Silent sinus syndrome, a rare condition, can cause enophthalmos (sunken eye). This case highlights ethmoid sinus involvement and symptoms resolved with endoscopic sinus drainage.

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Area of Science:

  • Otolaryngology
  • Ophthalmology
  • Radiology

Background:

  • Silent sinus syndrome (SSS) is an uncommon condition characterized by chronic maxillary sinusitis leading to enophthalmos.
  • It is typically associated with maxillary sinus pathology, but involvement of other sinuses is less frequently reported.

Observation:

  • A 32-year-old female presented with recent onset of mild right eye enophthalmos.
  • Clinical examination revealed a shrunken and laterally displaced middle turbinate.
  • Computed tomography (CT) scan demonstrated characteristic SSS findings.

Findings:

  • The CT scan confirmed SSS involving both the maxillary and ethmoid sinuses.
  • The ethmoid sinus involvement is a less commonly reported feature of SSS.
  • A shrunken, lateralized middle turbinate was a key diagnostic indicator.

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Implications:

  • This case broadens the understanding of SSS presentation, including ethmoid sinus involvement.
  • Endoscopic sinus drainage proved effective in resolving the patient's symptoms.
  • Highlights the importance of considering SSS in patients with enophthalmos and sinonasal findings.