Volume 10, Issue 1 (3-2025)
J Res Dent Maxillofac Sci 2025, 10(1): 68-72 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
ZareBidoki F, Heidarkhani Tehrani S, kiyamehr Z. Clinical and Radiographic Evaluation of the Silent Sinus Syndrome: The Importance of Simultaneous Assessment. J Res Dent Maxillofac Sci 2025; 10 (1) :68-72
URL: http://jrdms.dentaliau.ac.ir/article-1-429-en.html
URL: http://jrdms.dentaliau.ac.ir/article-1-429-en.html
1- Department of Oral and Maxillofacial Radiology, School of Dentistry, Iran University of Medical Sciences, Tehran Iran
2- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
3- Department of Pediatric Dentistry, School of Dentistry, Iran University of Medical Sciences, Tehran Iran ,z.kiamehr@gmail.com
2- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
3- Department of Pediatric Dentistry, School of Dentistry, Iran University of Medical Sciences, Tehran Iran ,
Abstract: (369 Views)
Background and Aim: The silent sinus syndrome (SSS) is indeed a rare clinical condition. The exact cause of SSS is still unknown, but it is believed to result from chronic negative pressure within the maxillary sinus, leading to progressive inward retraction of the sinus walls and subsequent orbital floor remodeling.
Case Presentation: This case report describes a 61-year-old male with slight facial asymmetry and nasal septum deviation with a normal range of vision. According to cone-beam computed tomography (CBCT) findings, the right maxillary sinus appeared hypoplastic and opaque and the right orbit had 4.58 mm displacement compared to the left orbit.
Conclusion: Accurate diagnosis of the SSS requires assessing clinical and radiographic findings. Rhinologists and, to a lesser extent, ophthalmologists and dentomaxillofacial radiologists are skilled at diagnosing SSS through CBCT imaging of the paranasal sinuses. However, general radiologists are not often well aware of this syndrome. Increasing awareness among general radiologists is vital for prompt identification and appropriate care.
Case Presentation: This case report describes a 61-year-old male with slight facial asymmetry and nasal septum deviation with a normal range of vision. According to cone-beam computed tomography (CBCT) findings, the right maxillary sinus appeared hypoplastic and opaque and the right orbit had 4.58 mm displacement compared to the left orbit.
Conclusion: Accurate diagnosis of the SSS requires assessing clinical and radiographic findings. Rhinologists and, to a lesser extent, ophthalmologists and dentomaxillofacial radiologists are skilled at diagnosing SSS through CBCT imaging of the paranasal sinuses. However, general radiologists are not often well aware of this syndrome. Increasing awareness among general radiologists is vital for prompt identification and appropriate care.
Type of Study: Case report |
Subject:
Radiology
References
1. Albadr FB. Silent sinus syndrome: interesting computed tomography and magnetic resonance imaging findings. Journal of clinical imaging science. 2020 Jun 18;10:38. [DOI:10.25259/JCIS_62_2020] [PMID] []
2. Rosso C, Saibene AM, Felisati G, Pipolo C. Silent sinus syndrome: systematic review and proposal of definition, diagnosis and management. Acta Otorhinolaryngologica Italica. 2022 Jun 30;42(4):305. [DOI:10.14639/0392-100X-N1598] [PMID] []
3. Ong LY, McNab AA. The silent sinus syndrome: a case with normal predisease imaging. Orbit. 2003 Jan 1;22(3):161-4. [DOI:10.1076/orbi.22.3.161.15623] [PMID]
4. Tousidonis M, Alvarez-Mokthari S, Khayat S, de Moreta GS, Ochandiano S. Contemporary Treatment of Silent Sinus Syndrome: A Case Report and Literature Review. Cureus. 2024 Apr 4;16(4). [DOI:10.7759/cureus.57577] [PMID] []
5. Kramer N, Manthei B, Speier L, Bigcas JL, Manthei S, Bigcas J. Granulomatosis with polyangiitis as an etiology of silent sinus syndrome: a case report. Cureus. 2024 May 31;16(5). [DOI:10.7759/cureus.61442]
6. Sheikhi M, Jalalian F. The silent sinus syndrome. Dental research journal. 2013 Mar;10(2):264. [DOI:10.4103/1735-3327.113369] [PMID] []
7. Stryjewska-Makuch G, Goroszkiewicz K, Szymocha J, Lisowska G, Misiołek M. Etiology, early diagnosis and proper treatment of silent sinus syndrome based on review of the literature and own experience. Journal of Oral and Maxillofacial Surgery. 2022 Jan 1;80(1):113-e1. [DOI:10.1016/j.joms.2021.08.166] [PMID]
8. Petraroli M, Riscassi S, Panigari A, Maltese M, Esposito S. Silent Sinus Syndrome and Williams Syndrome: two rare diseases found in a pediatric patient. Frontiers in Pediatrics. 2020 Apr 28;8:211. [DOI:10.3389/fped.2020.00211] [PMID] []
9. Salari S, Anbiaee N, Baee MB. Silent sinus syndrome: A case report. Clinical Case Reports. 2023 Oct 25;11(11):e8095. [DOI:10.1002/ccr3.8095] [PMID] []
10. Fiorenza UD, Spoldi C, Nekrasova L, Pipolo C, Lozza P, Scotti A, Maccari A, Felisati G, Saibene AM. Prevalence of maxillary sinus hypoplasia and silent sinus syndrome: a radiological cross-sectional retrospective cohort study. American Journal of Rhinology & Allergy. 2022 Jan;36(1):123-8. [DOI:10.1177/19458924211029418] [PMID]
11. Rose GE, Sandy C, Hallberg L, Moseley I. Clinical and radiologic characteristics of the imploding antrum, or "silent sinus," syndrome. Ophthalmology. 2003 Apr 1;110(4):811-8. [DOI:10.1016/S0161-6420(02)01993-0] [PMID]
12. Perera MB, Asenjo VP, Ollé JS, Llanses JC, García VP. The silent sinus syndrome. Acta Otorrinolaringologica (English Edition). 2007 Jan 1;58(10):491-3. [DOI:10.1016/S2173-5735(07)70395-2]
13. Sánchez-Dalmau BF, Pascual L, Lao X, Maiz J. Sinus syndrome, an uncommon cause of enophthalmos. Archivos de la Sociedad Espanola de Oftalmologia. 2008 Feb;83(2):125-8. [DOI:10.4321/S0365-66912008000200012]
14. Wang XR, Zhao XD. Secondary silent sinus syndrome: case report. Chinese medical journal. 2004 May 1;117(05):785-6.
15. Sesenna E, Oretti G, Anghinoni ML, Ferri A. Simultaneous management of the enophthalmos and sinus pathology in silent sinus syndrome: a report of three cases. Journal of Cranio-Maxillofacial Surgery. 2010 Sep 1;38(6):469-72. [DOI:10.1016/j.jcms.2009.12.003] [PMID]
16. Behbehani R, Vacareza N, Bilyk JR, Rubin PA, Pribitkin EA. Simultaneous endoscopic antrostomy and orbital reconstruction in silent sinus syndrome. Orbit. 2006 Jan 1;25(2):97-101. [DOI:10.1080/01676830600671516] [PMID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
