Eloy Jean Anderson, Jacobson Adam Saul, Elahi Ebrahim, Shohet Michael Robert
Department of Otolaryngology-Head and Neck Surgery, Mount Sinai School of Medicine, New York, New York 10029, USA.
Laryngoscope. 2006 Jun;116(6):1035-8. doi: 10.1097/01.mlg.0000217254.22699.09.
Silent sinus syndrome is a known clinical entity caused by negative sinus pressure from acquired obstruction of the maxillary sinus ostium with resulting enophthalmos and hypoglobus. We present a case in which, after septorhinoplasty, a patient developed progressive enophthalmos and hypoglobus. His evaluation was consistent with silent sinus syndrome. This case illustrates the complex reconstructive challenges of repairing an orbit in the setting of fistulization of the orbit with the maxillary sinus cavity. In particular, we highlight the inferior fornyx transconjunctival approach with simultaneous intranasal endoscopic maxillary sinus aeration.
寂静性鼻窦综合征是一种已知的临床病症，由上颌窦口后天性阻塞导致的鼻窦负压引起，进而导致眼球内陷和眼球下移。我们报告一例患者，在鼻中隔鼻成形术后出现进行性眼球内陷和眼球下移。对其评估结果符合寂静性鼻窦综合征。该病例说明了在眼眶与上颌窦腔形成瘘管的情况下修复眼眶所面临的复杂重建挑战。特别是，我们重点介绍了经结膜下穹窿入路同时进行鼻内镜下上颌窦通气的方法。
