Silent sinus syndrome: Reduction of surgical invasiveness in an underdiagnosed clinical entity
Mantsopoulos K, Thimsen V, Karkos P, Sievert M, Iro H, Constantinidis J (2022)
Publication Type: Journal article
Publication year: 2022
Journal
Book Volume: 43
Article Number: 103541
Journal Issue: 5
DOI: 10.1016/j.amjoto.2022.103541
Abstract
Objective: The aim of this study was to investigate our experience in the management of silent sinus syndrome. Material and methods: The records of all patients treated for silent sinus syndrome between 2011 and 2021 were evaluated retrospectively. Data were collected on epidemiological parameters (age, gender), referral specialty, imaging findings, surgical approach, and management. Results: In total, nine cases made up our final study sample (5 men, 4 women; male-female ratio 1:0.8). Their mean age was 39 years (range: 19–71 years). Besides the typical imaging findings (orbital floor depression, maxillary sinus atelectasis with ostium occlusion), lateralization of the uncinate process could be seen in seven cases (77.8 %) and ipsilateral septal deviation in six cases (66.6 %). Four cases were managed by means of middle meatal antrostomy and five with additional reconstruction of the orbital floor (transconjuctival approach in two cases, endonasal endoscopic approach in three cases). Enopthalmus recovered in all cases; diplopia (3 cases) recovered completely in two cases and partly in one case. Conclusion: Reduced surgical invasiveness in silent sinus syndrome, with management of the cause (maxillary sinus hypoventilation) and the sequel (orbital floor depression) using the same endoscopic approach, is associated with an acceptable clinical outcome.
Authors with CRIS profile
Konstantinos Mantsopoulos
Department of Otorhinolaryngology – Head and Neck Surgery
Vivian Thimsen
Department of Otorhinolaryngology – Head and Neck Surgery
Matti Sievert
Department of Otorhinolaryngology – Head and Neck Surgery
Heinrich Iro
Lehrstuhl für Hals-, Nasen- und Ohrenheilkunde
Involved external institutions
Greece (GR)How to cite
APA:
Mantsopoulos, K., Thimsen, V., Karkos, P., Sievert, M., Iro, H., & Constantinidis, J. (2022). Silent sinus syndrome: Reduction of surgical invasiveness in an underdiagnosed clinical entity. American Journal of Otolaryngology, 43(5). https://doi.org/10.1016/j.amjoto.2022.103541
MLA:
Mantsopoulos, Konstantinos, et al. "Silent sinus syndrome: Reduction of surgical invasiveness in an underdiagnosed clinical entity." American Journal of Otolaryngology 43.5 (2022).
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