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AJR 2002; 178:503-506
© American Roentgen Ray Society

Original Report

The Silent Sinus Syndrome

Clinical and Radiographic Findings

Anna Illner1, H. Christian Davidson1, H. Ric Harnsberger1 and John Hoffman2

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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