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[Chronic maxillary atelectasis (silent sinus syndrome)].

Dariusz Babiński1, Andrzej Skorek, Czesław Stankiewicz

  • 1Katedra i Klinika Chorób Uszu, Nosa, Gardła i Krtani AM w Gdańsku.

Otolaryngologia Polska = the Polish Otolaryngology
|March 16, 2007
PubMed
Summary

Chronic maxillary atelectasis can cause enophthalmos (sunken eyes) even with asymptomatic sinus disease. Endoscopic maxillary antrostomy is an effective surgical treatment for this rare condition.

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Area of Science:

  • Otolaryngology
  • Ophthalmology
  • Radiology

Background:

  • Chronic maxillary atelectasis is a rare condition.
  • It can present as enophthalmos without obvious sinus pathology.

Observation:

  • Three cases (2 men, 1 woman, aged 20-39) presented with enophthalmos.
  • Symptoms included diplopia in one patient; allergic rhinitis and septal deviation were noted in others.
  • Imaging revealed unilateral maxillary opacification, medial/posterolateral wall bowing, and orbital floor collapse.

Findings:

  • All patients underwent successful endoscopic sinus surgery with maxillary antrostomy.
  • One patient experienced spontaneous orbital floor recovery and symptom resolution.
  • Intrasinus manometry confirmed negative pressure in one case.

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Implications:

  • Enophthalmos can be a presenting sign of asymptomatic chronic maxillary atelectasis.
  • Endoscopic maxillary antrostomy is a highly effective treatment.
  • Surgical intervention can resolve enophthalmos and associated symptoms without orbital floor repair.