Authors: Gabriel MartínezCapoccioni Ernesto VarelaMartínez Carlos MartínMartín
Publish Date: 2016/03/10
Volume: 273, Issue: 10, Pages: 3183-3188
Abstract
The silent sinus syndrome SSS is a rare clinical entity characterized by painless spontaneous enophthalmos hypoglobus and facial deformities secondary to chronic maxillary sinus atelectasis The aim of this study was to present an SSS diagnostic feature and evaluate the relationship between nasal septum deviation and maxillary sinus volume A retrospective chart review of the clinical characteristics of 20 patients diagnosed with SSS between January 2013 and July 2014 were analyzed by the Department of Otorhinolaryngology of University Hospital Complex of Santiago de Compostela 14 patients were females and six males The mean age was 43 years range 28–67 years The right maxillary sinus was involved in 12 patients and the left maxillary sinus in eight patients There was no statistical difference between gender and the presence of SSS Maxillary sinus sizes were significantly smaller on the same side as the deviation p 001 14 patients were treated with functional endoscopic sinus surgery FESS with maxillary antrostomy We concluded that patients with SSS usually present with facial asymmetry and the best approach to document and show all facial asymmetries for these patients are the frontal and craneocaudal photographs The present study demonstrates that in adult patients SSS generally presents a septal deviation to the affected maxillary sinus We recommend performing a paranasal sinus CT scan when the patient has a deviated nasal septum retraction of the malar eminence evidenced from the viewpoint craniocaudal facial and hypoglobus FESS performing postero–anterior uncinectomy and enlargement of the maxillary ostium is recommended to restore sinus pressure and prevent progression of the enophthalmos hypoglobus and facial deformities
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