Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Am J Otolaryngol. 2010 Jan-Feb;31(1):61-3. doi: 10.1016/j.amjoto.2008.09.003. Epub 2009 Mar 26.
We describe the clinical presentation and management of a patient with a remote history of orbital trauma who presented with spontaneous right enophthalmos and radiographic findings consistent with silent sinus syndrome over 30 years after her initial orbital injury.
The patient chart and imaging results were reviewed. A literature review of silent sinus syndrome and traumatic enophthalmos was performed.
Our patient had both clinical and radiographic findings consistent with silent sinus syndrome. Only 2 other cases of silent sinus syndrome after orbital trauma have been reported in the literature. The underlying anatomic pathology common to all cases is obstruction of the ostiomeatal complex with subsequent maxillary sinus hypoventilation and sinus collapse. Our patient underwent single stage repair with endoscopic maxillary antrostomy and had resolution of the mucosal disease at 6-month follow-up.
Posttraumatic cases of silent sinus syndrome are much less common than spontaneous cases but share similar pathophysiology and can be effectively treated using endoscopic techniques.
我们描述了一位患者的临床表现和处理方法，该患者在初次眼眶外伤 30 多年后，出现了眶内异物病史，伴有自发性右眼眼球内陷和影像学表现符合鼻窦不张综合征。
回顾了患者的病历和影像学结果。对鼻窦不张综合征和外伤性眼球内陷进行了文献回顾。
我们的患者既有临床表现又有影像学表现符合鼻窦不张综合征。文献中仅报道了另外 2 例眼眶外伤后鼻窦不张综合征。所有病例的共同潜在解剖病理学是筛前复合体阻塞，随后导致上颌窦通气不足和窦腔塌陷。我们的患者接受了一期内镜下上颌窦切开术修复，6 个月随访时黏膜疾病得到了缓解。
外伤性鼻窦不张综合征比自发性鼻窦不张综合征少见得多，但具有相似的病理生理学，可通过内镜技术有效治疗。
