Silent sinus syndrome: a mechanical theory.
We present the case of a progressive enophthalmos, 23 years after an orbital floor fracture treated conservatively. Imaging demonstrated orbital fat herniation into the pterygopalatine fossa and a collapse of the maxillary sinus walls. We hypothesise that some "silent sinus syndrome" might be caused by an aspiration phenomenon resulting from masticatory muscle movements.
Baujat
Bertrand
B
Department of Head and Neck Surgery, Hôpital Foch, Suresnes, France. b.baujat@hopital-foch.org
Derbez
Rémi
R
Rossarie
Raphaelle
R
Hardy
Thomas
T
Wagner
Isabelle
I
Krastinova
Darina
D
Chabolle
Frédéric
F
D000273:Adipose Tissue / Q000473:pathology; D000328:Adult; D015841:Enophthalmos / Q000175:diagnosis / Q000209:etiology*; D006547:Hernia / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000000981:diagnostic imaging / Q000473:pathology; D009917:Orbital Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology; D010254:Paranasal Sinus Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology*; D011859:Radiography; D013577:Syndrome