ENT and Allergology Specialist, Department of Laryngology and Laryngological Oncology, Upper Silesian Medical Centre, Independent Public Research Hospital N° 7 of Silesian Medical University, Katowice, Poland.
Resident, Department of Laryngology and Laryngological Oncology, Upper Silesian Medical Centre, Independent Public Research Hospital N° 7 of Silesian Medical University, Katowice, Poland; Resident, Department of Otorhinolaryngology and Oncological Laryngology in Zabrze, Medical University of Silesia, Katowice, Poland.
J Oral Maxillofac Surg. 2022 Jan;80(1):113.e1-113.e8. doi: 10.1016/j.joms.2021.08.166. Epub 2021 Sep 3.
The authors' aim was to review the literature in terms of the etiology of the syndrome, the frequency of Silent Sinus Syndrome (SSS) and surgical procedure, as well as to present their own experience.
The authors used PubMed, Medline, and Science Direct websites to find and review the most significant papers related to SSS. The case reports of SSS published between 2010 and 2020 were reviewed. A retrospective case review of 8 patients with SSS treated at the authors' departments was done.
The silent sinus syndrome has been reported in both children and adults. It is relatively rare and should be differentiated from congenital sinus hypoplasia or atelectasis. It most often affects the maxillary sinus. SSS is usually diagnosed when facial asymmetry or vision problems occur. Late diagnosis requires endoscopic sinus surgery, involving orbital wall reconstruction. The etiology of the syndrome, including the role of bacterial flora found in the sinuses, is unclear.
Early diagnosis of SSS enables avoiding orbital complications and limits surgical intervention to endoscopic surgery. Further research into bacteriology may help to understand the pathophysiology of the silent sinus syndrome.
作者旨在回顾该综合征的病因学文献，包括 Silent Sinus Syndrome（SSS）的频率和手术方法，并介绍自己的经验。
作者使用 PubMed、Medline 和 Science Direct 网站查找并回顾了与 SSS 相关的最重要的论文。回顾了 2010 年至 2020 年间发表的 SSS 病例报告。对作者科室治疗的 8 例 SSS 患者进行了回顾性病例分析。
SSS 已在儿童和成人中报告。它相对较少见，应与先天性鼻窦发育不良或肺不张相区别。它最常影响上颌窦。当出现面部不对称或视力问题时，通常会诊断为 SSS。晚期诊断需要进行内镜鼻窦手术，包括眼眶壁重建。该综合征的病因，包括鼻窦中发现的细菌菌群的作用，尚不清楚。
早期诊断 SSS 可避免眼眶并发症，并将手术干预限制在内镜手术。对细菌学的进一步研究可能有助于了解 Silent Sinus Syndrome 的病理生理学。
