Simultaneous management of the enophthalmos and sinus pathology in silent sinus syndrome: A report of three cases

Received 4 April 2009; accepted 21 December 2009. published online 22 January 2010.

Summary

Silent sinus syndrome is a rare disorder affecting the maxillary sinus unilaterally, characterized by ipsilateral enophthalmos and hypoglobus. The treatment is surgical: the endoscopic approach represents the gold standard for the restoration of normal sinus aeration, but there is no consensus in the management of the enophthalmos. Most authors suggest a two stage procedure consisting of endoscopic sinus surgery initially and a delayed secondary operation for the restoration of the orbital floor. We present our experience with three cases treated with a single-stage procedure, focusing on the advantages of this one-step approach.

Keywords: silent sinus syndrome, floor of the orbit reconstruction, endoscopic sinus surgery

1 Maxillo-Facial Surgery Division, Head and Neck Department (Head: Prof. E. Sesenna), University and Hospital of Parma, Italy

2 Otolaryngology Head and Neck Surgery Division, Head and Neck Department (Head: Prof. T. Ferri), University and Hospital of Parma, Italy

Andrea FERRI, MD, via Gramsci 14, 43100 Parma, Italy. Tel.: +39 0521703107/9; Fax: +39 0521703761.

PII: S1010-5182(09)00223-6

doi:10.1016/j.jcms.2009.12.003

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