Babin E, Bertrand M, Retout A, Gardea E, Choussy O
*ENT Department, Rouen University Hospital, Rouen, France.
B-ENT. 2009;5(2):125-8.
Silent sinus syndrome is rare and its pathophysiology is unclear. We report a case of silent sinus syndrome characterized by progressive enophtalmos with chronic maxillary atelectasis and asymptomatic chronic maxillary sinusitis.
The patient had no history of sinusitis, facial trauma, or sinus surgery. Computed tomography revealed opacification of the right maxillary sinus and inferior bowing of the osteopenic orbital floor. Silent sinus syndrome was diagnosed and functional endoscopic maxillary antrostomy without orbital floor reconstruction was performed.
At one-year follow-up, computed tomography showed optimal ventilation of the maxillary sinus, restoration of the orbital floor, and withdrawal of the orbital content to its normal position.
Endoscopic maxillary antrostomy without orbital floor reconstruction is effective and associated with limited risks for complications; however, the results are observed in the long term.
静息性窦综合征罕见，其病理生理学尚不清楚。我们报告一例静息性窦综合征，其特征为伴有慢性上颌窦肺不张和无症状性慢性上颌窦炎的进行性眼球内陷。
该患者无鼻窦炎、面部外伤或鼻窦手术史。计算机断层扫描显示右上颌窦混浊，骨质减少的眶底向下弯曲。诊断为静息性窦综合征，并进行了功能性内镜上颌窦造口术，未进行眶底重建。
随访一年时，计算机断层扫描显示上颌窦通气良好，眶底恢复，眶内容物回退至正常位置。
不进行眶底重建的内镜上颌窦造口术有效，并发症风险有限；然而，结果是长期观察到的。
