Savvateeva D M, Svistushkin V M, Averbukh V M, Dzhafarova M Z
I.M. Sechenov First Moscow State Medical University, Russian Ministry of Health, Moscow, Russia, 119991.
Federal Research and Clinical Centre of Otorhinolaryngology, Russian Federal Medico-Biological Agency, Moscow, Russia, 123182.
Vestn Otorinolaringol. 2015;80(6):10-13. doi: 10.17116/otorino201580610-13.
The objective of the present study was to analyze the frequency of the silent sinus syndrome (SSS) based on the results of computed tomography of the paranasal sinuses (PNS) in the patients presenting with the uncinate process (UP) apposed to the orbital wall. The study included 35 patients with the uncinate process apposed to the orbital wall who had been operated in the Clinic of ENT Diseases of I.M. Sechenov First Moscow State Medical University. The examination of the nasal cavity with the use of computed tomography and PNS endoscopy revealed the silent sinus syndrome in 14 patients. Ten of them had endoscopically confirmed type 2 hypoplasia of maxillary sinuses (MS). This finding suggests the necessity of computed tomography of paranasal sinuses in the patients with this condition in order to exclude the diagnosis of silent sinus syndrome even in the absence of exophthalmos. All the patients included in the present study underwent endoscopic surgery on maxillary sinuses that resulted in the adequate widening of the ostium and comprehensive sanation of the sinuses.
本研究的目的是根据鼻窦计算机断层扫描（PNS）结果，分析钩突（UP）贴附于眶壁的患者中沉默窦综合征（SSS）的发生率。该研究纳入了35例钩突贴附于眶壁且在莫斯科第一国立谢马什克医科大学耳鼻喉疾病诊所接受手术的患者。使用计算机断层扫描和PNS内镜对鼻腔进行检查后发现，14例患者存在沉默窦综合征。其中10例经内镜证实为上颌窦（MS）2型发育不全。这一发现表明，对于患有这种情况的患者，即使没有眼球突出，也有必要进行鼻窦计算机断层扫描以排除沉默窦综合征的诊断。本研究纳入的所有患者均接受了上颌窦内镜手术，手术使窦口充分扩大，并对鼻窦进行了全面清理。
