Heilmeier U, Decker C, Miller C, Hintschich C, Reiser M F, Mueller-Lisse U G
Institut für Klinische Radiologie, Klinikum der Ludwig-Maximilians-Universität München, Campus Innenstadt, Ziemssenstr. 1, 80336, München, Deutschland.
Radiologe. 2010 Oct;50(10):902-6. doi: 10.1007/s00117-010-2067-9.
An extensive spectrum of differential diagnoses has to be considered when a patient presents with enophthalmos. The most common causes of this presentation include orbital trauma or contraction and atrophy of the orbital contents secondary to scleroderma or radiotherapy. However radiologists also have to consider less common causes of enophthalmos, such as the imploding antrum syndrome or the ethmoid silent sinus syndrome. The latter involves the ethmoidal cells and results in medial orbital wall implosion. Along with the case presentation the pathogenesis, incidence and differential diagnoses of ethmoid silent sinus syndrome are elucidated. In particular the differentiation from normal anatomical variants, such as dehiscent lamina papyracea is discussed.
当患者出现眼球内陷时，必须考虑广泛的鉴别诊断范围。这种表现最常见的原因包括眼眶创伤或眼眶内容物因硬皮病或放疗继发的收缩和萎缩。然而，放射科医生还必须考虑眼球内陷的不太常见的原因，如鼻窦内陷综合征或筛窦静息性鼻窦综合征。后者累及筛窦气房，导致眶内侧壁内陷。结合病例介绍，阐述了筛窦静息性鼻窦综合征的发病机制、发病率和鉴别诊断。特别讨论了与正常解剖变异（如纸样板裂开）的鉴别。
