Raveggi Elisa, Sobrero Federica, Gerbino Giovanni
Division of Maxillofacial Surgery, Surgical Science Department, Città della Salute e della Scienza Hospital, University of Turin, 10126 Torino, Italy.
J Pers Med. 2023 Mar 25;13(4):578. doi: 10.3390/jpm13040578.
Silent sinus syndrome is a rare disorder characterized by ipsilateral enophthalmos and hypoglobus following a collapse of the orbital floor, in the presence of asymptomatic long-term maxillary sinusitis. It results in enophthalmos, hypoglobus and deepening of the superior palpebral sulcus. A standardized treatment protocol for this infrequent syndrome has not yet been established. The management includes restoration of maxillary sinus ventilation with functional endoscopic sinus surgery and orbital reconstruction, either concurrently or separately. In this paper, the authors presented two patients successfully treated with patient-specific implants, and intraoperative navigation. These cases highlight the benefit of computer-assisted planning and titanium patient-specific implants in the management of silent sinus syndrome. To the best of our knowledge, this is the first report that described the use of PSI with titanium spacers performed with the aid of intraoperative navigation for SSS treatment. Advantages, drawbacks of this technique and treatment alternatives currently available in the literature were also discussed.
沉默性窦综合征是一种罕见的疾病，其特征为在存在无症状的长期上颌窦炎的情况下，眶底塌陷后出现同侧眼球内陷和眼球下移。它会导致眼球内陷、眼球下移以及上睑沟加深。针对这种罕见综合征的标准化治疗方案尚未确立。治疗方法包括通过功能性鼻内镜鼻窦手术恢复上颌窦通气以及进行眶重建，可同时进行或分别进行。在本文中，作者介绍了两例成功采用定制植入物和术中导航进行治疗的患者。这些病例突出了计算机辅助规划和钛制定制植入物在沉默性窦综合征治疗中的益处。据我们所知，这是第一份描述借助术中导航使用带钛间隔物的定制植入物治疗沉默性窦综合征的报告。文中还讨论了该技术的优缺点以及目前文献中可用的其他治疗选择。
