Document Detail


Radiology and endoscopic findings of silent maxillary sinus atelectasis and enophthalmos.
MedLine Citation:
PMID:  18439949     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The objective of this study is to discuss the presentation and surgical management of patients presenting with silent maxillary sinus atelectasis with enophthalmos (SMSAE). STUDY DESIGN AND METHODS: We performed an analysis of prospectively collected data on patients with maxillary sinus opacification and associated enophthalmos from 1999 to 2003. Patients were evaluated based on physical examination, nasal endoscopy, and computed tomographic findings. RESULTS: Sixty-four patients were identified with unilateral maxillary sinus opacification. Of these, 7had radiographic evidence of maxillary sinus volume reduction. Of these 7 patients, 5 had maxillary sinus atelectasis with enophthalmos, the components constituting SMSAE. The mean age of the patients was 42 years (range, 22-65). None of the patients had any history of nasal trauma or developmental defects before presentation. All 5 patients with SMSAE had uncinate retraction on nasal endoscopy. Uncinate retraction was not seen in the 2 patients without enophthalmos (chi(2) = 7, P= .008). All 7 patients with maxillary opacification were treated with endoscopic sinus surgery, with resolution of their maxillary sinus obstruction at 2 years' follow-up. Only 1 of 5 patients with SMSAE requested orbital floor reconstruction after sinus surgery performed by the oculoplastic service with resolution of enophthalmos. CONCLUSION: All patients with SMSAE had evidence of uncinate process retraction on nasal endoscopy, whereas patients without enophthalmos did not, and the difference was statistically significant. Surgical treatment is the mainstay of therapy for this condition, with resolution of maxillary opacification at 2 years' follow-up.
Authors:
Frank Virgin; Francis T K Ling; Stilianos E Kountakis
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-03-17
Journal Detail:
Title:  American journal of otolaryngology     Volume:  29     ISSN:  1532-818X     ISO Abbreviation:  Am J Otolaryngol     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-04-28     Completed Date:  2008-12-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8000029     Medline TA:  Am J Otolaryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  167-70     Citation Subset:  IM    
Affiliation:
Medical College of Georgia, Department of Otolaryngology-Head and Neck Surgery, Augusta, GA 30912, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Diagnosis, Differential
Endoscopy / methods*
Enophthalmos / diagnosis*,  etiology
Female
Follow-Up Studies
Humans
Male
Maxillary Sinus / pathology*,  radiography*
Middle Aged
Paranasal Sinus Diseases / complications,  diagnosis*
Retrospective Studies
Tomography, X-Ray Computed / methods*
Young Adult

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


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