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Ethmoid silent sinus syndrome causing inward displacement of the orbit: case report

Published online by Cambridge University Press:  17 July 2009

B McArdle  and
C Perry
B McArdle*
Affiliation:
Division of Surgery, Gold Coast Hospital, Southport, Australia
C Perry
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Queensland, Australia
*
Address for correspondence: Dr Ben McArdle, Division of Surgery, 108 Nerang St, Southport, Qld, Australia4215. E-mail: bennymac@bigpond.net.au
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Abstract

Objective:

We describe a previously unreported case of ethmoid silent sinus syndrome.

Method:

Case report and review of the world literature regarding silent sinus syndrome.

Results:

A 33-year-old woman developed medial displacement of the left orbital contents in the absence of trauma, surgery or other significant pathology. Imaging showed opacification of the left ethmoid sinus and implosion of the medial orbital wall. Previously reported cases of silent sinus syndrome have all involved the maxillary sinus, with subsequent implosion of the orbital floor. Computed tomography scans of our patient showed wide, flat ethmoidal bulla and surrounding cells, with few horizontal bony septae reinforcing the area of collapse.

Conclusion:

This case represents the first report of ethmoid silent sinus syndrome. We argue that, in anatomically susceptible individuals, the silent sinus syndrome can present due to chronic ethmoidal sinusitis.

Keywords

Silent Sinus SyndromeEnophthalmosEthmoidSinusitis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 2 , February 2010 , pp. 206 - 208
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Soparkar, CN, Patrinely, JR, Cuaycong, MJ, Dailey, RA, Kersten, RC, Rubin, PA et al. The silent sinus syndrome: a cause of spontaneous enophthalmos. Ophthalmology 1994;101:772–8CrossRefGoogle ScholarPubMed
2Montgomery, WW. Mucocele of the maxillary sinus causing enophthalmos. Eye Ear Nose Throat Mon. 1964;43:41–2Google Scholar
3Numa, WA, Desai, U, Gold, DR, Heher, KL, Annino, DJ. Silent sinus syndrome: a case presentation and comprehensive review of all 84 reported cases. Ann Otol Rhinol Laryngol 2005;114:688–94Google Scholar
4Braganza, A, Khooshabeh, R. Ethmoidal involvement in “imploding” (silent) sinus syndrome. Ophthal Plast Reconstr Surg 2005;21:305–7CrossRefGoogle ScholarPubMed
5Rose, GE, Sandy, C, Hallberg, L, Mosely, I. Clinical and radiologic characteristics of the imploding antrum or “silent sinus” syndrome. Ophthalmology 2003;110:811–18Google Scholar