Delayed presentation of silent sinus syndrome after orbital trauma. Am J Otolaryngol 2010;31(1):61-3
Date
12/01/2009Pubmed ID
19944904DOI
10.1016/j.amjoto.2008.09.003Scopus ID
2-s2.0-71549121388 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
OBJECTIVES: We describe the clinical presentation and management of a patient with a remote history of orbital trauma who presented with spontaneous right enophthalmos and radiographic findings consistent with silent sinus syndrome over 30 years after her initial orbital injury.
METHODS: The patient chart and imaging results were reviewed. A literature review of silent sinus syndrome and traumatic enophthalmos was performed.
RESULTS: Our patient had both clinical and radiographic findings consistent with silent sinus syndrome. Only 2 other cases of silent sinus syndrome after orbital trauma have been reported in the literature. The underlying anatomic pathology common to all cases is obstruction of the ostiomeatal complex with subsequent maxillary sinus hypoventilation and sinus collapse. Our patient underwent single stage repair with endoscopic maxillary antrostomy and had resolution of the mucosal disease at 6-month follow-up.
CONCLUSIONS: Posttraumatic cases of silent sinus syndrome are much less common than spontaneous cases but share similar pathophysiology and can be effectively treated using endoscopic techniques.
Author List
Pawar SS, Hong S, Poetker DMAuthors
Sang Hun Hong MD Assistant Professor in the Ophthalmology and Visual Sciences department at Medical College of WisconsinSachin S. Pawar MD Chief, Associate Professor in the Otolaryngology department at Medical College of Wisconsin
David M. Poetker MD Chief, Professor in the Otolaryngology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
EnophthalmosFemale
Humans
Maxillary Sinusitis
Middle Aged
Orbital Fractures
Radiography
Syndrome
Time Factors
