A case of bilateral silent sinus syndrome presenting with chronic ocular surface disease.

Published

Journal Article

The silent sinus syndrome is characterized by atelectasis of the maxillary sinus in the setting of subclinical maxillary sinusitis and obstruction of the osteomeatal unit. The resultant expansion of orbital volume causes enophthalmos and hypoglobus. A review of the literature reveals only unilateral cases. The authors present a case of bilateral silent sinus syndrome presenting with chronic ocular surface disease. A 56-year-old man was referred for tarsorrhaphy to treat a chronic recurrent corneal ulcer. Exam revealed an area of corneal thinning in the left eye. The patient appeared cachectic and there was enophthalmos, hypoglobus, and lagophthalmos on both sides, left worse than right. Due to the patient's appearance and a history of sinonasal malignancy, recurrent malignancy was suspected. A systemic workup was unrevealing, and radiographic studies showed the features of silent sinus syndrome bilaterally. The patient underwent sinus surgery and placement of a left orbital floor implant.

Full Text

Duke Authors

Cited Authors

  • Liss, JA; Patel, RD; Stefko, ST

Published Date

  • November 2011

Published In

Volume / Issue

  • 27 / 6

Start / End Page

  • e158 - e160

PubMed ID

  • 21242847

Pubmed Central ID

  • 21242847

Electronic International Standard Serial Number (EISSN)

  • 1537-2677

International Standard Serial Number (ISSN)

  • 0740-9303

Digital Object Identifier (DOI)

  • 10.1097/iop.0b013e318208356c

Language

  • eng