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Silent sinus syndrome: A traumatic case.

E Février1, C Vandersteen2, L Castillo2

  • 1Service d'ophtalmologie, hôpital Pasteur 2, CHU de Nice, 06000 Nice, France.

Journal of Stomatology, Oral and Maxillofacial Surgery
|April 16, 2017
PubMed
Summary
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Silent sinus syndrome, a cause of enophthalmos, can result from orbital trauma. A fractured uncinate process led to maxillary sinus closure, causing orbital floor lysis in a case study.

Area of Science:

  • Ophthalmology
  • Otorhinolaryngology
  • Maxillofacial Surgery

Background:

  • Silent sinus syndrome is a rare condition causing progressive enophthalmos and hypoglobus.
  • It results from maxillary sinus atelectasis and orbital floor osteolysis, often idiopathic but can be traumatic or iatrogenic.

Observation:

  • A 33-year-old man presented with left orbital trauma and a non-displaced orbital floor fracture.
  • Three months post-trauma, he developed progressive enophthalmos, with CT revealing left orbital floor lysis and maxillary sinus atelectasis.

Findings:

  • The enophthalmos was attributed to an associated left uncinate process fracture, not the initial orbital floor fracture.
  • This fracture caused closure of the maxillary sinus infundibulum, leading to hypoventilation and subsequent orbital floor lysis.
Keywords:
AtelectasiaEnophthalmosSinus

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Implications:

  • This case highlights the importance of considering uncinate process fractures in orbital trauma.
  • Surgical intervention, including maxillary sinus ostium opening and orbital floor reconstruction, resolved the condition.