Document Detail

Surgical repair of the silent sinus syndrome.
MedLine Citation:
PMID:  8746817     Owner:  NLM     Status:  MEDLINE    
Spontaneous enophthalamos and hypoglobus associated with the silent sinus syndrome are disfiguring for the patient and create functional problems, such as lagophthalmos and audible clicking while blinking. We describe a surgical technique that was used to successfully treat two patients with this disorder of maxillary sinus hypoplasia and orbital floor resorption. Two patients underwent transconjunctival exploration of the involved orbital floor with simultaneous Caldwell-Luc procedure. The floor was elevated by packing the maxillary sinus, and the remainder of the orbital soft-tissue volume disparity was filled with either autogenous nasal septal cartilage or banked irradiated costochondral cartilage. Both patients had uncomplicated, complete resolution of their functional problems and cosmetic disfigurement. These patients remained clinically stable for a 1-year follow-up period. This technique appears to be a safe and effective means to correct the functional and cosmetic abnormalities associated with the silent sinus syndrome.
R A Dailey; J I Cohen
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  11     ISSN:  0740-9303     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-10-11     Completed Date:  1996-10-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  261-8     Citation Subset:  IM    
Casey Eye Institute, Department of Ophthalmology, Oregon Health Sciences University, Portland, USA.
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MeSH Terms
Bone Resorption / complications,  radiography,  surgery*
Cartilage / transplantation*
Enophthalmos / etiology,  radiography,  surgery
Maxillary Sinus / abnormalities*,  radiography,  surgery
Orbit / radiography,  surgery*
Orbital Diseases / complications,  radiography,  surgery*
Paranasal Sinus Diseases / complications,  radiography,  surgery*
Tomography, X-Ray Computed

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

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