Article

Simultaneous endoscopic antrostomy and orbital reconstruction in silent sinus syndrome.

Oculoplastic and Orbital Surgery Service, Wills Eye Hospital, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.
Orbit 07/2006; 25(2):97-101. DOI: 10.1080/01676830600671516
Source: PubMed

ABSTRACT To review the surgical outcome of five cases of silent sinus syndrome (SSS) who were treated with simultaneous endoscopic antrostomy and orbital implant placement. Patients with SSS often present with cosmetic change to their facial appearance (enophthalmos, hypoglobus, deep upper lid sulcus). Design: Retrospective case series.
Chart review was performed for cases of SSS who were seen between 1995 and 2003 in two tertiary eye care centers. The age, affected side, presenting symptoms and duration, history of trauma, smoking, and chronic sinusitis, degree of enophthalmos and hypoglobus were recorded.
All patients had a satisfactory post-operative result with correction of the enophthalmos, hypoglobus, and deep upper lid crease deformity. There were no untoward effects such orbital implant infection, diplopia, vision loss or hematoma.
Simultaneous endoscopic antrostomy and orbital implant placement can achieve a satisfactory outcome in cases of SSS with significant enophthalmos and hypoglobus. Orbital implant placement carries minimal risks and should not be delayed only to potentially avoid infection, diplopia, or visual loss, as these events are unlikely.

0 Followers
 · 
77 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Purpose of review Symptoms of diplopia, abnormal eyelid signs (retraction, ptosis, absent crease), ocular asymmetry (hypoglobus, enophthalmos), and dry eyes from lagophthalmos could all indicate the diagnosis of silent sinus syndrome. It is important for the physician to be updated on this relatively rare clinical entity. Recent findings Silent sinus syndrome lies on a spectrum of other forms of sinus-related orbitopathy. Uncommon presentations and descriptions of sinus involvement other than the maxillary sinus add to the variability of presentation. Radiographic features of disease include an opacified and hypoplastic sinus, a lateralized uncinate process, depression of the orbital floor, and a blocked osteomeatal complex. Management of silent sinus syndrome may include a single or multistage surgical approach, or a nonsurgical approach. Summary This review discusses silent sinus syndrome from a neuro-ophthalmological perspective.
    Current Opinion in Ophthalmology 09/2014; 25(6). DOI:10.1097/ICU.0000000000000106 · 2.64 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Bij een 29-jarige patiënte met een bilaterale neusobstructie en frontale hoofdpijn werd de diagnose van het „silent sinus”-syndroom gesteld, ook wel „imploding antrum” of „chronische maxillaire sinusatelectase” genoemd. Dit is een zelden voorkomende verworven spontane unilaterale maxillaire atelectase met complete of gedeeltelijke opacificatie van de maxillaire sinus geassocieerd met spontane, pijnloze enoftalmie en progressieve hypoglobus. De CT-scan van de sinussen toonde een typisch beeld, namelijk opacificatie van de sinus maxillaris rechts met aantrekking van de inferieure orbitarand. Een rechtszijdige endoscopische uncinectomie en een maxillaire antrotomie werden uitgevoerd om de normale sinusventilatie te herstellen. Vervolgens werd er een septoconchaplastiek uitgevoerd om de neusdoorgankelijkheid te verbeteren. Het is belangrijk om deze patiënten te behandelen vermits dit kan evolueren naar enoftalmie en hypoglobus.
    Tijdschrift voor Geneeskunde 09/2014; 70(16):902-906. DOI:10.2143/TVG.70.00.2001668
  • [Show abstract] [Hide abstract]
    ABSTRACT: The silent sinus syndrome (SSS) involves painless facial asymmetry and enophthalmos, which is the result of chronic maxillary sinus atelectasis. In most cases, it is diagnosed clinically, however, using the characteristic imaging features including maxillary sinus outlet obstruction, sinus opacification, and sinus volume loss caused by inward retraction of the sinus walls. Obstruction of the maxillary ostium appears to play a critical role in the development of SSS. Treatment involves functional endoscopic surgery.
    Dental research journal 03/2013; 10(2):264-7. DOI:10.4103/1735-3327.113369