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08:07
Establishment of a Rat Model of Superior Sagittal-Sinus Occlusion via a Thread-Embolism Method
Published on: July 4, 2021
Silent sinus syndrome: a mechanical theory
Bertrand Baujat1, Rémi Derbez, Raphaelle Rossarie
1Department of Head and Neck Surgery, Hôpital Foch, Suresnes, France. b.baujat@hopital-foch.org
Orbit (Amsterdam, Netherlands)
|June 7, 2006
Summary
Progressive enophthalmos developed 23 years after orbital floor fracture. This case suggests masticatory muscle movements may cause silent sinus syndrome via aspiration of orbital fat.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Plastic and Reconstructive Surgery
Background:
- Orbital floor fractures can lead to delayed complications.
- Silent sinus syndrome (SSS) is characterized by orbital tissue prolapse into the maxillary sinus.
Observation:
- A patient presented with progressive enophthalmos 23 years post-orbital floor fracture.
- Imaging revealed orbital fat herniation into the pterygopalatine fossa and maxillary sinus wall collapse.
Findings:
- The findings suggest a potential link between masticatory muscle activity and SSS.
- Aspiration of orbital fat into the pterygopalatine fossa due to masticatory movements is hypothesized.
Implications:
- This mechanism offers a novel explanation for some cases of SSS.
- Understanding this phenomenon could refine the management of delayed orbital complications.
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