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The silent sinus syndrome

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Abstract

Silent sinus syndrome is a rare clinical entity typically characterized by spontaneous and progressive enophthalmos and hypoglobus caused by an alteration of the normal orbital architecture and function from maxillary collapse in the setting of the chronic maxillary sinus hypoventilation. The authors report an unusual case revealed by mild dental pain, present the imaging (before, during and after the development of the disease), discuss the different theories related to pathogenesis and comment the treatment.

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References

  1. Amano S, Hanazawa S, Hirose K, Ohmori Y, Kitano S (1988) Stimulatory effect on bone resorption of interleukin-1-like cytokine produced by an osteoblast-rich population of mouse calvarial cells. Calcif Tissue Int 43(2):88–91

    Article  PubMed  CAS  Google Scholar 

  2. Antonelli P, Duvall A, Teitelbaum S (1992) Maxillary sinus atelectasis. Ann Otol Rhinol Laryngol 101:977–981

    PubMed  CAS  Google Scholar 

  3. Blackwell K, Goldberg R, Calcaterra T (1993) Atelectasis of the maxillary sinus with enophtalmos and midfacial depression. Ann Otol Rhinol Laryngol 102:429–432

    PubMed  CAS  Google Scholar 

  4. Boyd JH, Yaffee K, Holds J (1998) Maxillary sinus atelectasis with enophtalmos. Ann Otol Rhinol Laryngol 107:34–39

    PubMed  CAS  Google Scholar 

  5. Castelein S, Cohen M, Ayache D, Klap P (2002) Atelectasis of the maxillary sinus: report of a case of acute onset. Rev Laryngol Otol Rhinol (Bord) 123(2):99–102

    CAS  Google Scholar 

  6. Dailey RA, Cohen JI (1995) Surgical repair of the silent sinus syndrome. Ophthal Plast Reconstr Surg 11(4):261–268

    Article  PubMed  CAS  Google Scholar 

  7. Davidson JK, Soparkar CN, Williams JB, Patrinely JR (1999) Negative sinus pressure and normal predisease imaging in silent sinus syndrome. Arch Ophthalmol 117(12):1653–1654

    PubMed  CAS  Google Scholar 

  8. Eto RT, House JM (1995) Enophthalmos, a sequela of maxillary sinusitis. Am J Neuroradiol 16(4 Suppl.):939–941

    PubMed  CAS  Google Scholar 

  9. Gillman GS, Schaitkin BM, May M (1999) Asymptomatic enophthalmos: the silent sinus syndrome. Am J Rhinol 13(6):459–462

    Article  PubMed  CAS  Google Scholar 

  10. Hunt SM, Tami TA (2000) Sinusitis-induced enophthalmos: the silent sinus syndrome. Ear Nose Throat J 79(8):576, 579–581, 584

    Google Scholar 

  11. Illner A, Davidson HC, Harnsberger HR, Hoffman J (2002) The silent sinus syndrome: clinical and radiographic findings. Am J Roentgenol 178(2):503–506

    Google Scholar 

  12. Imamura K, Ozawa H, Hiraide T, Takahashi N, Shibasaki Y, Fukuhara T, Suda T (1990) Continuously applied compressive pressure induces bone resorption by a mechanism involving prostaglandin E2 synthesis. J Cell Physiol 144(2):222–228

    Article  PubMed  CAS  Google Scholar 

  13. Kass ES, Salman S, Montgomery WW (1996) Manometric study of complete ostial occlusion in chronic maxillary atelectasis. Laryngoscope 106(10):1255–1258

    Article  PubMed  CAS  Google Scholar 

  14. Kosko JR, Hall BE, Tunkel DE (1996) Acquired maxillary sinus hypoplasia: a consequence of endoscopic sinus surgery? Laryngoscope 106(10):1210–1213

    Article  PubMed  CAS  Google Scholar 

  15. Levine SB, Mitra S (2000) Maxillary sinus involution after endoscopic sinus surgery in a child: a case report. Am J Rhinol 14(1):7–11

    Article  PubMed  CAS  Google Scholar 

  16. Martelli A, Hoyt WF, Newton TH (1984) Enophthalmos and orbital expansion from chronic sinusitis. CT evaluation with reformatted images. J Clin Neuroophthalmol 4(3):167–172

    PubMed  CAS  Google Scholar 

  17. Montgomery W (1964) Mucocele of the maxillary sinus causing enophtalmos. Eye Ear Nose Throat Mon 43:41–44

    PubMed  CAS  Google Scholar 

  18. Ong L, McNab A (2003) The silent sinus syndrome: a case with normal predisease imaging. Orbit 22(3):161–164

    Article  PubMed  Google Scholar 

  19. Rose GE, Lund VJ (2003) Clinical features and treatment of late enophthalmos after orbital decompression: a condition suggesting cause for idiopathic “imploding antrum” (silent sinus) syndrome. Ophthalmology 110(4):819–826

    Article  PubMed  Google Scholar 

  20. Scharf KE, Lawson W, Shapiro JM, Gannon PJ (1995) Pressure measurements in the normal and occluded rabbit maxillary sinus. Laryngoscope 105(6):570–574

    Article  PubMed  CAS  Google Scholar 

  21. Soparkar CN, Patrinely JR, Cuaycong MJ, Dailey RA, Kersten RC, Rubin PA, Linberg JV, Howard GR, Donovan DT, Matoba AY, et al (1994) The silent sinus syndrome. A cause of spontaneous enophthalmos. Ophthalmology 101(4):772–778

    PubMed  CAS  Google Scholar 

  22. Stashenko P, Dewhirst FE, Rooney ML, Desjardins LA, Heeley JD (1987) Interleukin-1 beta is a potent inhibitor of bone formation in vitro. J Bone Miner Res 2(6):559–565

    Article  PubMed  CAS  Google Scholar 

  23. Thomas RD, Graham SM, Carter KD, Nerad JA (2003) Management of the orbital floor in silent sinus syndrome. Am J Rhinol 17(2):97–100

    PubMed  Google Scholar 

  24. Vander Meer JB, Harris G, Toohill RJ, Smith TL (2001) The silent sinus syndrome: a case series and literature review. Laryngoscope 111(6):975–978

    Article  PubMed  CAS  Google Scholar 

  25. White J, Allen L, Lampe N (1994) An unusual cause of enophtalmos. Can J Ophthalmol 29:90–92

    PubMed  CAS  Google Scholar 

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Acknowledgments

All the authors certify that the manuscript has not been submitted for publication in another review and transfer all the copyrights to the “European Archives of Oto Rhino Laryngology.” We disclose any financial or commercial support that could lead to a conflict of interest.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Centre Hospitalo-Universitaire La Timone, Marseilles, France

    F. Facon

  2. Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Mont-Godinne, Université catholique de Louvain, 5530, Yvoir, Belgium

    P. Eloy, P. Brasseur, S. Collet & B. Bertrand

Authors
  1. F. Facon
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  2. P. Eloy
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  3. P. Brasseur
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  4. S. Collet
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  5. B. Bertrand
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Corresponding author

Correspondence to P. Eloy.

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Facon, F., Eloy, P., Brasseur, P. et al. The silent sinus syndrome. Eur Arch Otorhinolaryngol 263, 567–571 (2006). https://doi.org/10.1007/s00405-006-0011-4

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  • DOI: https://doi.org/10.1007/s00405-006-0011-4

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