Document Detail


The silent sinus syndrome: diagnosis and surgical treatment.
MedLine Citation:
PMID:  19146002     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The silent sinus syndrome consists of painless facial asymmetry characterized by unilateral enophthalmos. Reabsorbed bone with displacement of the orbital floor is a constant finding. It is secondary to chronic maxillary sinus atelectasis. The onset of symptoms is usually slightly progressive but can be brisk due to sudden collapse of the orbital thin bony floor. The diagnosis is suggested by clinical findings including endonasal endoscopic examination and confirmed on the basis of computed tomography and magnetic resonance imaging. The restitution treatment of the silent sinus syndrome involves functional endoscopic sinus surgery and plastic reconstruction of the floor of the orbit via transconjunctival approach; an additional vestibular incision may be necessary to treat the malar region. Four cases of this rare and therefore relatively unknown disease are fully discussed.
Authors:
Paolo Bossolesi; Luca Autelitano; Roberto Brusati; Paolo Castelnuovo
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Rhinology     Volume:  46     ISSN:  0300-0729     ISO Abbreviation:  Rhinology     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2009-01-16     Completed Date:  2009-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0347242     Medline TA:  Rhinology     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  308-16     Citation Subset:  IM    
Affiliation:
ENT Department, Azienda ospedaliera Ospedale Circolo e Fondazione Macchi, Varese, Italy. pbossol@libero.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Diagnosis, Differential
Endoscopy
Facial Asymmetry / diagnosis*,  surgery*
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Orbital Diseases / diagnosis*,  surgery*
Paranasal Sinus Diseases / diagnosis*,  surgery*
Syndrome
Tomography, X-Ray Computed

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