Manila Nisha G, Tahmasbi Arashlow Mehrnaz, Ehlers Scott, Liang Hui, Nair Madhu K
Department of Diagnostic Sciences, Texas A&M University College of Dentistry, Dallas, TX, USA.
Imaging Sci Dent. 2020 Dec;50(4):365-371. doi: 10.5624/isd.2020.50.4.365. Epub 2020 Dec 15.
While silent sinus syndrome (SSS) is familiar to otolaryngologists and ophthalmologists, it is a rare clinical entity in dentistry and is likely to be underdiagnosed due to dentists' lack of awareness of this condition. SSS presents a diagnostic challenge to dentists, as patients typically have no history of trauma or sinusitis. The characteristic feature of SSS is a gradual retreat of the maxillary sinus walls, resulting in enophthalmos and hypoglobus. Multidetector (multislice) computed tomography is the imaging modality of choice for SSS and other paranasal sinus diseases. Cone-beam computed tomography promises to be an alternative low-dose imaging modality. This report describes 3 cases of SSS in adults, who had no identified clinical symptoms except diminutive and opacified maxillary sinuses, as well as the inward bowing of the sinus walls as noted on cone-beam computed tomographic imaging.
虽然沉默窦综合征(SSS)为耳鼻喉科医生和眼科医生所熟知,但在牙科领域却是一种罕见的临床病症,由于牙医对该病症缺乏认识,很可能存在漏诊情况。SSS给牙医带来了诊断难题,因为患者通常没有外伤或鼻窦炎病史。SSS的特征性表现是上颌窦壁逐渐退缩,导致眼球内陷和眼球下移。多排螺旋计算机断层扫描是诊断SSS及其他鼻窦疾病的首选影像学检查方法。锥形束计算机断层扫描有望成为一种替代性的低剂量成像方式。本报告描述了3例成人SSS病例,这些患者除上颌窦变小和密度增高以及锥形束计算机断层扫描影像显示窦壁向内凹陷外,未发现其他临床症状。