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The Silent Sinus Syndrome

Clinical and Radiographic Findings

¹ Department of Radiology, University of Utah, 1A71 Medical Ctr., 50 N. Medical Dr., Salt Lake City, UT 84132.
² Department of Otolaryngology, University of Utah, School of Medicine, Salt Lake City, UT 84132.

OBJECTIVE. The purpose of this article is to acquaint the reader with the clinical and imaging features of the silent sinus syndrome, which is relatively unknown. Discussion of the presentation, treatment, and theory regarding pathogenesis of the syndrome follows.

CONCLUSION. The silent sinus syndrome consists of painless facial asymmetry and enophthalmos caused by chronic maxillary sinus atelectasis. Although the diagnosis is usually suspected clinically, it is confirmed radiologically by characteristic imaging features that include maxillary sinus outlet obstruction, sinus opacification, and sinus volume loss caused by inward retraction of the sinus walls.

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				R. Hourany, N. Aygun, C. C. D. Santina, and S. J. Zinreich Silent Sinus Syndrome: An Acquired Condition AJNR Am. J. Neuroradiol., October 1, 2005; 26(9): 2390 - 2392. [Abstract] [Full Text] [PDF]

				H D Roach, G N Shuttleworth, and N Powell A case of unilateral enophthalmos Br. J. Radiol., August 1, 2003; 76(908): 577 - 578. [Full Text] [PDF]