Annino Donald J, Goguen Laura A
Division of Otolaryngology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Curr Opin Otolaryngol Head Neck Surg. 2008 Feb;16(1):22-5. doi: 10.1097/MOO.0b013e3282f2c9aa.
Silent sinus syndrome is a clinical entity with 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 maxillary sinusitis.
It occurs secondary to maxillary sinus hypoventilation due to obstruction of the ostiomeatal unit. Correction of the problem is surgical. Surgery is endoscopic with reestablishment of maxillary aeration and drainage. The orbital repair can be staged. The endoscopic surgeon must be careful of the prolapsed orbital contents in to the maxillary sinus.
Silent sinus syndrome is rare and multiple findings are needed for the diagnosis. These include enophthalmos or hypoglobus in the absence of clinically evident sinonasal inflammatory disease. Treatment consists of correction of the maxillary sinus atelectasis and the orbital defects. There is evidence that a two-stage repair may eliminate the need to perform the orbital repair. Due to the lateral position of the uncinate, endoscopic maxillotomy needs to be done with care to avoid injury to the orbital contents.
寂静性鼻窦综合征是一种临床病症，其特征为由于眶底逐渐塌陷伴上颌窦混浊，在亚临床上颌窦炎存在的情况下出现进行性眼球内陷和眼球下移。
它继发于窦口鼻道复合体阻塞导致的上颌窦通气不足。问题的纠正需通过手术。手术是在内镜下重建上颌窦的通气和引流。眼眶修复可分阶段进行。内镜外科医生必须小心脱垂入上颌窦的眶内容物。
寂静性鼻窦综合征罕见，诊断需要多项发现。这些发现包括在无临床明显的鼻旁窦炎性疾病时出现眼球内陷或眼球下移。治疗包括纠正上颌窦肺不张和眼眶缺损。有证据表明两阶段修复可能无需进行眼眶修复。由于钩突的外侧位置，内镜下上颌窦切开术需谨慎操作以避免损伤眶内容物。
