The Silent Sinus Syndrome: A Clinical Review

JOURNAL TITLE: An International Journal Clinical Rhinology

Author
1. Natasha Choudhury
2. Joe Marais
ISSN
0974-4630
DOI
10.5005/jp-journals-10013-1030
Volume
3
Issue
2
Publishing Year
2010
Pages
4
Author Affiliations
    1. Department of Otorhinolaryngology, Northwick Park Hospital, North West London NHS Trust, London United Kingdom
    1. Department of Otorhinolaryngology, Northwick Park Hospital, North West London NHS Trust, London United Kingdom
  • Article keywords
    Silent sinus syndrome, imploding antrum syndrome, chronic maxillary atelactasia, enophthalmos, hypoglobus

    Abstract

    Silent sinus syndrome (SSS) is a rare and interesting clinical condition that is associated with spontaneous, painless, unilateral enophthalmos and hypoglobus resulting from downward bowing of the orbital floor, in the absence of any symptomatic sinonasal disease.

    It generally affects younger patients between the third and fifth decades of life.

    The pathogenesis of silent sinus syndrome is based on chronic maxillary sinus obstruction, related to occlusion of the maxillary infundibulum which results in a hypoventilated sinus and negative pressures. Endoscopic sinus surgery to create a wide maxillary antrostomy with or without orbital floor reconstruction is considered the gold standard treatment of choice.

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