Combined Single-Step Procedure for Correction of Silent Sinus Syndrome

Silent sinus syndrome (SSS) is a rare condition characterized by enophthalmos and hypoglobus that is generally not related to trauma or surgery. We present a 30-year-old man who noticed facial asymmetry during the previous month and was referred to our oculoplastic clinic. His examination revealed r...

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Main Authors: Roee Arnon, Ofer Gluck, Halit Winter, Joseph Pikkel, Avi Rubinov
Format: Article
Language:English
Published: Karger Publishers 2019-03-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:https://www.karger.com/Article/FullText/498964
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author Roee Arnon
Ofer Gluck
Halit Winter
Joseph Pikkel
Avi Rubinov
author_facet Roee Arnon
Ofer Gluck
Halit Winter
Joseph Pikkel
Avi Rubinov
author_sort Roee Arnon
collection DOAJ
description Silent sinus syndrome (SSS) is a rare condition characterized by enophthalmos and hypoglobus that is generally not related to trauma or surgery. We present a 30-year-old man who noticed facial asymmetry during the previous month and was referred to our oculoplastic clinic. His examination revealed right hypoglobus and a 2-mm right enophthalmos. The diagnosis of right SSS was confirmed by orbital and paranasal computed tomography scan. The patient had no otolaryngological symptoms and visual acuity was normal bilaterally. He was treated surgically in a combined approach by a team of oculoplastic and otorhinolaryngology surgeons. Functional endoscopic sinus surgery included uncinectomy, maxillary antrostomy, and orbitotomy, with insertion of an orbital implant. This case demonstrates that a single-step surgery for correction of enophthalmos secondary to SSS is a viable option, leading to quick rehabilitation and excellent aesthetic results.
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spelling doaj.art-5fe0519e02614bacb89676a55f09931c2022-12-21T19:55:38ZengKarger PublishersCase Reports in Ophthalmology1663-26992019-03-011019510010.1159/000498964498964Combined Single-Step Procedure for Correction of Silent Sinus SyndromeRoee ArnonOfer GluckHalit WinterJoseph PikkelAvi RubinovSilent sinus syndrome (SSS) is a rare condition characterized by enophthalmos and hypoglobus that is generally not related to trauma or surgery. We present a 30-year-old man who noticed facial asymmetry during the previous month and was referred to our oculoplastic clinic. His examination revealed right hypoglobus and a 2-mm right enophthalmos. The diagnosis of right SSS was confirmed by orbital and paranasal computed tomography scan. The patient had no otolaryngological symptoms and visual acuity was normal bilaterally. He was treated surgically in a combined approach by a team of oculoplastic and otorhinolaryngology surgeons. Functional endoscopic sinus surgery included uncinectomy, maxillary antrostomy, and orbitotomy, with insertion of an orbital implant. This case demonstrates that a single-step surgery for correction of enophthalmos secondary to SSS is a viable option, leading to quick rehabilitation and excellent aesthetic results.https://www.karger.com/Article/FullText/498964Silent sinus syndromeSingle-step procedure
spellingShingle Roee Arnon
Ofer Gluck
Halit Winter
Joseph Pikkel
Avi Rubinov
Combined Single-Step Procedure for Correction of Silent Sinus Syndrome
Case Reports in Ophthalmology
Silent sinus syndrome
Single-step procedure
title Combined Single-Step Procedure for Correction of Silent Sinus Syndrome
title_full Combined Single-Step Procedure for Correction of Silent Sinus Syndrome
title_fullStr Combined Single-Step Procedure for Correction of Silent Sinus Syndrome
title_full_unstemmed Combined Single-Step Procedure for Correction of Silent Sinus Syndrome
title_short Combined Single-Step Procedure for Correction of Silent Sinus Syndrome
title_sort combined single step procedure for correction of silent sinus syndrome
topic Silent sinus syndrome
Single-step procedure
url https://www.karger.com/Article/FullText/498964
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