1/12. Transient vertical diplopia and silent sinus disorder.A 57-year-old man had isolated transient recurrent vertical diplopia. Left hypoglobus and enophthalmos were present. Investigations revealed an otherwise asymptomatic left maxillary chronic aspecific sinusitis, with 8 mm lowering of the left orbital floor. Transient diplopia was thought to be secondary to transient fusion impairment. Orbital floor reconstruction cured the patient.- - - - - - - - - - ranking = 1keywords = enophthalmos (Clic here for more details about this article) |
2/12. Asymptomatic enophthalmos: the silent sinus syndrome.Although uncommon, enophthalmos may be a presenting symptom of chronic maxillary sinusitis with secondary attentuation of the orbital floor. As such, as awareness of this entity, known as the "silent sinus syndrome," is important to all practising otolaryngologists. Two such cases are presented herein, together with a discussion of the pathophysiology, management, and current literature.- - - - - - - - - - ranking = 5keywords = enophthalmos (Clic here for more details about this article) |
3/12. Unilateral lid retraction during pregnancy.A 32-year-old woman noted left lid retraction during pregnancy. Examination revealed unilateral enophthalmos without symptoms of diplopia or sinus disease. Orbital imaging showed characteristic features of the silent sinus syndrome, which were confirmed intraoperatively. The clinical and imaging attributes of this syndrome are discussed, including possible mechanisms of disease development. Management strategies are summarized. A brief discussion of the differential diagnosis of enophthalmos is also included.- - - - - - - - - - ranking = 2keywords = enophthalmos (Clic here for more details about this article) |
4/12. Sinusitis-induced enophthalmos: the silent sinus syndrome.enophthalmos caused by inadequate maxillary sinus function was first reported in 1964. Since this initial report, scattered case reports and, more recently, reviews have appeared in the literature detailing the pathophysiology, clinical findings, and management of this process. We present a classic case of the asymptomatic development of enophthalmos caused by maxillary sinus hypoventilation: the silent sinus syndrome. In addition, this case included findings in the ethmoid sinuses that suggested their contribution to this disorder, which by our review of the literature has not been well described.- - - - - - - - - - ranking = 5keywords = enophthalmos (Clic here for more details about this article) |
5/12. exophthalmos and orbital floor thickening related to maxillary sinusitis.A 59-year-old woman presented with periocular pain and 1.5 mm of relative proptosis. A computed tomography scan demonstrated thickening of the orbital floor, and an endoscopic sinusectomy revealed chronic sinusitis. Although cases of maxillary sinus disease with orbital floor thickening have been reported, these findings are in contrast to cases of silent sinus syndrome, in which maxillary sinus disease induces thinning and inferior displacement of the orbital floor with secondary enophthalmos and hypoglobus. Thus, while chronic maxillary sinus disease may create negative antral pressure and inferior displacement of the orbital floor, whether orbital floor thinning or thickening occurs varies with each case. The present case represents a combination of maxillary sinusitis with orbital floor thickening and exophthalmos, a less common manifestation of maxillary sinus-related orbitopathy.- - - - - - - - - - ranking = 1keywords = enophthalmos (Clic here for more details about this article) |
6/12. The silent sinus syndrome: a case with normal predisease imaging.The silent sinus syndrome is a cause of spontaneous enophthalmos associated with unilateral chronic maxillary atelectasis. It remains an under-recognised condition in both the ophthalmological and otolaryngological community. We present a case of a 46-year-old lady with a six-month history of enophthalmos to illustrate the clinical features and radiological findings of this condition. Four years prior to presentation, she had normal maxillary sinuses on magnetic resonance imaging.- - - - - - - - - - ranking = 2keywords = enophthalmos (Clic here for more details about this article) |
7/12. A rare complication of functional endoscopic sinus surgery: maxillary atelectasis-induced spontaneous enophthalmos.BACKGROUND: The first case report of spontaneous enophthalmos due to maxillary atelectasis as a late complication of FESS is presented. methods: Chart review of a 24-year-old male who developed a left progressive enophthalmos within three months post bilateral functional endoscopic sinus surgery. RESULTS: The preoperative computed tomography showed a normal left maxillary sinus. The postoperative computed tomography revealed a left maxillary atelectasis with a descending orbital floor. The subject received revised endoscopic sinus surgery and his enophthalmos was stable without further progression after the operation. CONCLUSIONS: This may have been caused by an ostium occlusion with retention of secretions inducing sinus inflammation, osteolytic activity, and osseous remodeling of the sinus walls. A negative pressure may develop. When the pressure gradient exceeds the sinus wall tension, maxillary atelectasis and enophthalmos occur. Prevention of this complication of FESS should include making a patent naso-antral window, minimizing mucosal trauma, and careful postoperative sinoscopic treatment. A "functional" sinus is the goal.- - - - - - - - - - ranking = 8keywords = enophthalmos (Clic here for more details about this article) |
8/12. Silent sinus syndrome: a case presentation and comprehensive review of all 84 reported cases.OBJECTIVES: The term silent sinus syndrome has been used to describe the constellation of progressive enophthalmos and hypoglobus due to gradual collapse of the orbital floor with opacification of the maxillary sinus, in the presence of subclinical chronic maxillary sinusitis. Currently, it is believed to occur as a result of the sequence of events following maxillary sinus hypoventilation due to the obstruction of the ostiomeatal complex. methods: In this study, we present a case of true silent sinus syndrome. In addition, we highlight the previously published cases of silent sinus syndrome, as well as provide a review of the etiology, pathophysiology, radiologic diagnosis, surgical treatment, and pitfalls to avoid in the management of patients with silent sinus syndrome. RESULTS: Eighty-three previously published cases of silent sinus syndrome were reported in the literature and are summarized in this review. CONCLUSIONS: A well-defined set of criteria is needed to classify a patient under the diagnosis of silent sinus syndrome, which include enophthalmos and/or hypoglobus in the absence of clinically evident sinonasal inflammatory disease.- - - - - - - - - - ranking = 2keywords = enophthalmos (Clic here for more details about this article) |
9/12. Silent sinus syndrome, a case presentation."Silent Sinus syndrome" is a quite rare condition of otherwise asymptomatic maxillary sinusitis that presents with enophthalmos. Despite the fact that the "Silent Sinus syndrome" presents with enophthalmos, these patients are finally treated by the otorhinolaryngologist, who should be familiar with this condition, in order to facilitate prompt diagnosis and treatment. We present the case of a 33 year old man with enophthalmos and no other associated symptom that was caused by chronic rhinosinusitis. Functional endoscopic sinus surgery was the treatment of choice. No reconstruction of the orbital floor was performed. One year follow up, following surgical treatment revealed an excellent result.- - - - - - - - - - ranking = 3keywords = enophthalmos (Clic here for more details about this article) |
10/12. Atraumatic enophthalmos: a report of two unusual cases.There are many causes of enophthalmos other than those directly related to maxillofacial trauma. As plastic surgeons, we should be aware of these, in the event that we are consulted concerning their treatment. We have presented two cases that, while not unique to the literature, are uncommonly seen by plastic surgeons. In both these cases, CT scans were valuable in the preoperative diagnosis, as well as in the surgical treatment planning. We feel that, ideally, orbital volume content measurements would assist in better assessment of each patient. When a patient presents with enophthalmos and denies any history of facial trauma, one needs to be diligent in the investigation of its etiology.- - - - - - - - - - ranking = 6keywords = enophthalmos (Clic here for more details about this article) |
| | Next -> |