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Nonsurgical Management of Silent Sinus Syndrome With Hyaluronic Acid Gel.
MedLine Citation:
PMID:  21415803     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
A 44-year-old woman was referred with 3 mm of left enophthalmos and a deep superior sulcus. She was diagnosed 6 months earlier with silent sinus syndrome and had undergone a left middle-meatal antrostomy with improvement of her hypoglobus but not of her enophthalmos and superior sulcus deformity. Two milliliters of Restylane SubQ (Q-Med AB, Uppsala, Sweden) was injected as a single bolus in the intraconal and extraconal posterior orbit via a standard transcutaneous inferotemporal approach using a primed green 21-gauge needle. Immediate reduction of enophthalmos by approximately 2 mm and superior sulcus improvement were noted. This remained stable at 6 months. The symptoms and signs of silent sinus syndrome can be effectively corrected with this minimally invasive nonsurgical option. To our knowledge, the use of hyaluronic acid gel for the treatment of enophthalmos in silent sinus syndrome has not been previously reported.
Authors:
Ioannis Mavrikakis; Efstathios T Detorakis; Ioannis Yiotakis; Dimitrios Kandiloros
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-16
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  -     ISSN:  1537-2677     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
*Department of Ophthalmology, Metropolitan Hospital, Athens; †Department of Ophthalmology, University Hospital of Heraklion, Crete; ‡Department of Otolaryngology, University of Athens, Hippokration Hospital, Athens; and §Department of Otolaryngology, University of Athens, Attikon Hospital, Athens, Greece.
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