一名患有沉默性窦综合征且鼻窦手术后自发改善的儿童。

A child with silent sinus syndrome and spontaneous improvement after sinus surgery.

作者信息

Chang David T, Truong Mai Thy

机构信息

Department of Otolaryngology - Head and Neck Surgery, Stanford University, 801 Welch Road, Stanford 94305, United States.

Department of Otolaryngology - Head and Neck Surgery, Stanford University, 801 Welch Road, Stanford 94305, United States; Department of ENT - Head and Neck Surgery, Kaiser Santa Clara, 710 Lawrence Expressway, Department 296, Santa Clara, CA 95051, United States.

出版信息

Int J Pediatr Otorhinolaryngol. 2014 Nov;78(11):1993-5. doi: 10.1016/j.ijporl.2014.08.002. Epub 2014 Aug 10.

DOI:10.1016/j.ijporl.2014.08.002

PMID:25218341

Abstract

Silent sinus syndrome is characterized by an asymptomatic hypoplastic maxillary sinus with progressive enophthalmos and hypoglobus. This is a disease rarely affecting children with the majority of reported cases involving adult patients. Treatment is primarily surgical with endoscopic sinus surgery to restore aeration of the sinus along with orbital reconstruction to restore facial symmetry. In this report, we describe a 7 year old child with facial asymmetry and no sinonasal symptoms. CT showed an opacified hypoplastic right maxillary sinus. One year after endoscopic sinus surgery, there was spontaneous improvement of facial asymmetry and relative maxillary sinus size.

摘要

寂静性窦综合征的特征是上颌窦发育不全且无症状，伴有进行性眼球内陷和眼球下移。这是一种很少影响儿童的疾病，大多数报道的病例涉及成年患者。治疗主要是手术治疗，通过鼻内镜鼻窦手术恢复鼻窦通气，并进行眼眶重建以恢复面部对称性。在本报告中，我们描述了一名7岁儿童，有面部不对称但无鼻窦症状。CT显示右侧上颌窦发育不全且混浊。鼻内镜鼻窦手术后一年，面部不对称和上颌窦相对大小有自发改善。