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Establishment of a Modified Ferric Chloride-Induced Superior Sagittal Sinus Thrombosis

Establishment of a Modified Ferric Chloride-Induced Superior Sagittal Sinus Thrombosis

Published on: December 30, 2025

Silent sinus syndrome.

M C Miman¹, M Akarcay, S Doganay

¹Otorhinolaryngology & Head and Neck Surgery Department, Inonu University, Malatya, Turkey.

Annals of Ophthalmology (Skokie, Ill.)

|October 23, 2009

Summary

This summary is machine-generated.

Silent Sinus Syndrome (SSS) can cause enophthalmos and is treatable with endoscopic surgery. This case shows successful recovery of enophthalmos after endoscopic maxillary meatotomy.

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Area of Science:

Otolaryngology
Ophthalmology
Medical Imaging

Background:

Silent Sinus Syndrome (SSS) is a rare condition characterized by chronic maxillary sinusitis leading to orbital complications.
Enophthalmos, the recession of the eyeball within the orbit, can be a presenting symptom of SSS.

Observation:

A case of SSS with enophthalmos is presented, treated with unilateral endoscopic maxillary meatotomy.
Orbital floor reconstruction was intentionally delayed following the initial endoscopic sinus surgery.

Findings:

The patient experienced significant recovery of enophthalmos eight months post-surgery.
Radiological imaging confirmed improvement in the orbital and sinus structures.

Implications:

SSS should be considered in the differential diagnosis of enophthalmos.
Endoscopic sinus surgery is an effective treatment modality for SSS, potentially avoiding the need for more invasive orbital reconstruction.