Silent sinus syndrome
Diagnosis almost certain
Updates to Case Attributes
Body
was changed:
There is total opacification of the maxillary antrum. All the walls of the maxillary sinus appear to be bowing toward the center. There is also relative increase of the orbital volume with resultant enophthalmousenophthalmos. The orbital floor is displaced inferiorly ( this can be demonstrated by a line passing through the two orbital floors). There is also increased retro-antralretroantral fat. The uncinate process has deviated laterally causing more narrowing of the OMC . There may be relative bone thickening ( from(from the repeated osteolysis osteolysis).
CT
- diminished volume of maxillary sinus with total opacification
- inward bowing of sinus walls
- lateralization of the uncinate process with relative narrowing of the OMC
- increased
retro-antralretroantral pad of fat - increased orbital volume with relative increase of the orbital fat
- downward displacement of the orbital floor
- bone changes from the repeated inflammation
-<p>There is total opacification of the maxillary antrum . All the walls of the maxillary sinus appear to be bowing toward the center . There is also relative increase of the orbital volume with resultant enophthalmous. The orbital floor is displaced inferiorly ( this can be demonstrated by a line passing through the two orbital floors). There is also increased retro-antral fat. The uncinate process has deviated laterally causing more narrowing of the OMC . There may be relative bone thickening ( from the repeated osteolysis ).</p><p><strong>CT</strong></p><ul>- +<p>There is total opacification of the maxillary antrum. All the walls of the maxillary sinus appear to be bowing toward the center. There is also relative increase of the orbital volume with resultant enophthalmos. The orbital floor is displaced inferiorly ( this can be demonstrated by a line passing through the two orbital floors). There is also increased retroantral fat. The uncinate process has deviated laterally causing more narrowing of the OMC . There may be relative bone thickening (from the repeated osteolysis).</p><p><strong>CT</strong></p><ul>
-<li>increased retro-antral pad of fat</li>- +<li>increased retroantral pad of fat</li>
-</ul><p> </p><p> </p>- +</ul>
Race
changed from Middle eastern to .
Age
changed from 56 years old to 56 years.
Presentation
was changed:
Facial asymmetry.
Diagnostic Certainty
was set to
.
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