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[The silent sinus syndrome].

Montserrat Borràs Perera¹, Víctor Palomar Asenjo, Josep Soteras Ollé

¹Servicio de Otorrinolaringología y Patología Cérvico-Facial. Hospital Universitari Arnau de Vilanova. Facultad de Medicina. Universitat de Lleida. Lleida. España. orl@arnau.scs.es

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|December 18, 2007

Summary

Silent sinus syndrome, a rare condition causing eye sinking, results from maxillary sinus issues. Treatment focuses on restoring sinus function and potentially orbital floor repair.

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Area of Science:

Otolaryngology
Ophthalmology
Radiology

Background:

Silent sinus syndrome is an infrequent pathology characterized by enophthalmos secondary to maxillary sinus collapse and opacification.
It occurs without typical sinus or nasal symptoms, making diagnosis challenging.
Osteomeatal complex obstruction is identified as the primary triggering factor.

Observation:

The case involves a female patient presenting with clinical symptoms and imaging findings consistent with silent sinus syndrome.
Diagnosis was established through a combination of clinical evaluation and imaging studies.
The patient experienced enophthalmos secondary to maxillary sinus collapse and opacification.

Findings:

The underlying cause was determined to be an obstructed osteomeatal complex.
Imaging revealed significant maxillary sinus opacification and collapse.
The patient's primary complaint was enophthalmos without overt sinonasal symptoms.

Implications:

Accurate diagnosis relies on recognizing subtle clinical signs and characteristic imaging findings.
Treatment focuses on surgical restoration of maxillary sinus ventilation.
Surgical intervention may include orbital floor correction if indicated, improving patient outcomes.