title: A child with silent sinus syndrome and spontaneous improvement after sinus surgery.
abstract: Silent sinus syndrome is characterized by an asymptomatic hypoplastic maxillary sinus with progressive enophthalmos and hypoglobus. This is a disease rarely affecting children with the majority of reported cases involving adult patients. Treatment is primarily surgical with endoscopic sinus surgery to restore aeration of the sinus along with orbital reconstruction to restore facial symmetry. In this report, we describe a 7 year old child with facial asymmetry and no sinonasal symptoms. CT showed an opacified hypoplastic right maxillary sinus. One year after endoscopic sinus surgery, there was spontaneous improvement of facial asymmetry and relative maxillary sinus size.
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Stanford University, 801 Welch Road, Stanford 94305, United States.
authors.forename: David T
authors.initials: DT
authors.lastname: Chang
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Stanford University, 801 Welch Road, Stanford 94305, United States; Department of ENT - Head and Neck Surgery, Kaiser Santa Clara, 710 Lawrence Expressway, Department 296, Santa Clara, CA 95051, United States. Electronic address: mtruong@ohns.stanford.edu.
authors.forename: Mai Thy
authors.initials: MT
authors.lastname: Truong
mesh_terms: D058070:Asymptomatic Diseases / Q000628:therapy*; D002648:Child; D004724:Endoscopy; D015841:Enophthalmos / Q000601:surgery*; D005146:Facial Asymmetry / Q000601:surgery*; D005260:Female; D006801:Humans; D008443:Maxillary Sinus / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D009915:Orbit / Q000601:surgery; D009929:Organ Size; D011859:Radiography; D013577:Syndrome
keywords: Child; Endoscopic sinus surgery; Enophthalmos; Hypoglobus; Silent sinus syndrome