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  Contents > Previous page > Article detail print Order
o Issue N# 2 - 2012 o

RHINOLOGY

Silent Sinus Syndrome – Two case reports


Authors : Barbosa M, Portmann D, Potena M, Rezende R, Maggio V. (Bordeaux)

Ref. : Rev Laryngol Otol Rhinol. 2012;133,2:101-103.

Article published in english
Downloadable PDF document english



Summary : Introduction: Silent Sinus Syndrome (SSS) is a rare patho­logy, characterized by retraction of the maxillary sinus walls, leading to enophthalmos, sometimes diplopia and midfacial depression. It is usually not associated with sinonasal symp­toms. Sinus ventilation and drainage stops its progression, but usually cannot reverse the process. This empiric treatment supports the Hypoventilation Theory that would explain the pathogenesis of this disorder. Materials & methods: We describe two cases of SSS. A 65 year-old-man complaining of enophthalmos with an insidious onset whose CT-Scan confir­med SSS. After he was submitted to drainage surgery, the ocular asymmetry showed slight improvement. The second case describes a 34 year-old-woman with a sudden onset enophthal­mos associated with diplopia, in only 5 days. She didn’t have nasal or sinus related symptoms. CT-scan revealed SSS due to maxillary and ethmoidal sinus. Early endoscopic surgery enabled reversal of enophthalmos and correction of diplopia.

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