Document Detail

A case of bilateral silent sinus syndrome presenting with chronic ocular surface disease.
MedLine Citation:
PMID:  21242847     Owner:  NLM     Status:  MEDLINE    
The silent sinus syndrome is characterized by atelectasis of the maxillary sinus in the setting of subclinical maxillary sinusitis and obstruction of the osteomeatal unit. The resultant expansion of orbital volume causes enophthalmos and hypoglobus. A review of the literature reveals only unilateral cases. The authors present a case of bilateral silent sinus syndrome presenting with chronic ocular surface disease. A 56-year-old man was referred for tarsorrhaphy to treat a chronic recurrent corneal ulcer. Exam revealed an area of corneal thinning in the left eye. The patient appeared cachectic and there was enophthalmos, hypoglobus, and lagophthalmos on both sides, left worse than right. Due to the patient's appearance and a history of sinonasal malignancy, recurrent malignancy was suspected. A systemic workup was unrevealing, and radiographic studies showed the features of silent sinus syndrome bilaterally. The patient underwent sinus surgery and placement of a left orbital floor implant.
Jason A Liss; Ravi D Patel; S Tonya Stefko
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  27     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2011 Nov-Dec
Date Detail:
Created Date:  2011-11-10     Completed Date:  2012-01-20     Revised Date:  2013-05-08    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e158-60     Citation Subset:  IM    
Division of Oculoplastic Surgery, Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina 27705, USA.
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MeSH Terms
Chronic Disease
Enophthalmos / etiology*,  radiography,  surgery
Maxillary Sinus / pathology*,  radiography,  surgery
Maxillary Sinusitis / complications*,  radiography,  surgery
Middle Aged
Ophthalmologic Surgical Procedures
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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