Silent sinus syndrome

Case contributed by Dr James Sheldon

Presentation

Asymptomatic. Follow up MRI for previous meningioma resection.

Patient Data

Age: 55 years
Gender: Female
MRI

Collapsed left maxillary sinus, with depression of the left orbit, in keeping with silent sinus syndrome.

Case Discussion

The silent sinus syndrome represents maxillary sinus atelectasis that results in painless enophthalmos, hypoglobus and facial asymmetry. In general, the condition is idiopathic.

Chronic occlusion of the maxillary sinus ostium / ostia results in gradual resorption of the air. Subsequently, negative pressure is generated within the sinus. This in turn results in gradual inward bowing of all four of the maxillary walls

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Case information

rID: 27316
Case created: 29th Jan 2014
Last edited: 18th May 2017
System: Head & Neck
Inclusion in quiz mode: Included

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