Silent sinus syndrome

Case contributed by Dr Domenico Nicoletti

Presentation

Congested nose and pain in the left cheek.

Patient Data

Age: 65 years
Gender: Male
CT

CT paranasal sinuses

Enlargement of the left middle nasal meatus with the collapse of the medial wall of the left maxillary sinus and compression of the infundibulum with maxillary sinus outlet obstruction; associated with a lowered orbital floor, increased orbital volume and flattening of the malar eminence.

Case Discussion

Silent sinus syndrome is characterized by progressive adult-onset enophthalmos and is due to the collapse of one or all of the maxillary sinus walls.

Progressive enophthalmos is sometimes associated with cheek pain, diplopia and blurred vision.

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Case information

rID: 56430
Published: 1st Nov 2017
Last edited: 16th Jul 2018
System: Head & Neck
Inclusion in quiz mode: Included

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