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[Imploding antrum syndrome: three cases with different management approaches].

Ramiro Chavez-Montoya1, Osvaldo Araujo-Ramírez1, Irma Yolanda Castillo-López1

  • 1Servicio de Otorrinolaringología, Cirugía de Cabeza y Cuello, Hospital de Especialidades, Centro Médico Nacional de Occidente Guadalajara, Jalisco, México.

Cirugia Y Cirujanos
|October 25, 2016
PubMed
Summary

Silent sinus syndrome, a rare condition causing orbital floor collapse, often presents with subtle symptoms. Early radiological diagnosis and individualized treatment, including endoscopic sinus surgery, are crucial for managing this rare entity.

Keywords:
Atelectasia crónica maxilarChronic maxillary atelectasisComplejo osteomeatalEnoftalmosEnophthalmosHipoglobusHypoglobusOstiomeatal complexSilent sinus syndromeSíndrome de seno silente

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Area of Science:

  • Otolaryngology
  • Ophthalmology
  • Oral and Maxillofacial Surgery

Background:

  • Silent sinus syndrome (SSS) is a rare condition characterized by spontaneous collapse of the sinus walls.
  • It is associated with negative pressure, leading to orbital complications like enophthalmos and hypoglobus.
  • Due to its low incidence, SSS is frequently misdiagnosed, with fewer than 150 cases reported.

Observation:

  • Three patients with SSS were identified over two years.
  • Symptoms varied, influencing treatment decisions.
  • Treatment modalities included observation, endoscopic sinus surgery (ESS), and ESS with orbitoplasty.

Findings:

  • Diagnosis of SSS is primarily radiological due to delayed clinical presentation.
  • Treatment requires an individualized approach based on patient symptoms and preferences.
  • Functional Endoscopic Sinus Surgery (FESS) is the initial treatment, potentially followed by orbital floor augmentation.

Implications:

  • Awareness of SSS is vital for ENT, OMF, and ophthalmology specialists to prevent misdiagnosis.
  • Timely diagnosis and appropriate surgical intervention can improve outcomes for patients with SSS.
  • Restoring sinus patency with FESS is key, with subsequent orbital floor reconstruction as needed.