Silent sinus syndrome presenting as enophthalmos long after orbital trauma.
Late enophthalmos is a well-known consequence of large orbital floor fractures. In rare cases, late enophthalmos can occur after direct trauma to the maxillary ostiomeatal complex and present as silent sinus syndrome (SSS). We report two cases of SSS manifesting as enophthalmos years after facial trauma. The first patient developed SSS 4 years after a minimally displaced orbital floor fracture. The second patient had progressive enophthalmos as a result of atelectasis of the maxillary sinus years after facial trauma and surgical repair of nasal fractures. There have been two prior reports of SSS presenting after orbital trauma. Our patients differ from these prior reports in that the enophthalmos was discovered years after the initial facial trauma. In the first patient, surgery addressing the blockage of the ostiomeatal complex arrested the enophthalmos; in the second patient, it reversed the enophthalmos.
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts 02114, USA. sandra_montezuma@meei.harvard.edu
Sandra R
SR
Montezuma
Harsha
H
Gopal
Aaron
A
Savar
Angela
A
Turalba
Dean M
DM
Cestari
Nurhan
N
Torun
D000328:Adult; D015841:Enophthalmos / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D005260:Female; D006801:Humans; D008437:Maxilla / Q000293:injuries* / Q000473:pathology / Q000503:physiopathology; D008443:Maxillary Sinus / Q000293:injuries* / Q000473:pathology / Q000503:physiopathology; D009295:Nasal Bone / Q000293:injuries / Q000473:pathology / Q000503:physiopathology; D019635:Neurosurgical Procedures; D009915:Orbit / Q000293:injuries / Q000473:pathology / Q000503:physiopathology; D009917:Orbital Fractures / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D010254:Paranasal Sinus Diseases / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D013577:Syndrome; D013997:Time Factors; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000150:complications