Silent sinus syndrome: an unusual case of facial numbness

2018 ◽  
Vol 18 (6) ◽  
pp. 494-496 ◽  
Author(s):  
Samuel Tribich ◽  
Colin J Mahoney ◽  
Nicholas W Davies
Keyword(s):  
Maxillary Sinus ◽  
Complete Resolution ◽  
Unusual Case ◽  
Clinical Context ◽  
Blurred Vision ◽  
Silent Sinus Syndrome ◽  
Osteomeatal Complex ◽  
Middle Meatal Antrostomy ◽  
Facial Numbness ◽  
History Of

A 49-year-old man presented with a 1-week history of right facial paraesthesia with blurred vision and diplopia. Examination was normal apart from reduced facial sensation. Following appropriate neuroimaging, we considered a diagnosis of silent sinus syndrome. He underwent a middle meatal antrostomy with complete resolution of symptoms. Silent sinus syndrome results from occlusion of the osteomeatal complex, preventing normal aeration of the maxillary sinus. Maxillary sinus hypoventilation typically causes inferior displacement of the globe in the orbit (unilateral hypoglobus). Neurologists will only infrequently see people with silent sinus syndrome but it can have devastating consequences if left untreated and so must be considered in the appropriate clinical context.

scholarly journals Unusual case of Giardia lamblia causing eosinophilic ascites along with Plesiomonasshigelloides gastroenteritis

Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
pp. 321-323
Author(s):  
Ballal Mamatha ◽  
Shetty Vignesh ◽  
Agarwal Manali ◽  
Nayal Bhavna ◽  
Umakanth Shashikiran
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Giardia Lamblia ◽  
Complete Resolution ◽  
Unusual Case ◽  
Peripheral Eosinophilia ◽  
Short Trip ◽  
Eosinophilic Ascites ◽  
History Of

A case report of a healthy, immunocompetent male,an international traveller from Germany who had visited India for a short trip,presented at our OPD with a history of loose stools, fever and abdominal pain,for two months. After thorough investigations, he was diagnosed to have an infection withGiardia lambliaacute gastroenteritis (AGE) along witheosinophilic ascites with peripheral eosinophilia, withassociatedPlesiomonasshigelloidesdiarrhoea. He was then treated with metronidazole and cotrimoxazole, which resulted in complete resolution of the symptoms.

Silent sinus syndrome associated with natural childbirth

2018 ◽  
Vol 7 (4) ◽  
pp. 1-5
Author(s):  
Aleksandra Sobolewska ◽  
Pedro Clarós
Keyword(s):  
Maxillary Sinus ◽  
Nasal Congestion ◽  
Rare Condition ◽  
Orbital Floor ◽  
Ipsilateral Side ◽  
Natural Childbirth ◽  
Silent Sinus Syndrome ◽  
Unusual Association ◽  
History Of ◽  
One Step

Spontaneous, painless enophthalmos, hypoglobus with orbital floor resorption and maxillary sinus collapse on the ipsilateral side is recognised as a rare condition known as the silent sinus syndrome. This paper aimed to present an unusual association of natural childbirth and the onset of orbital floor displacement caused by silent sinus syndrome. We wanted to present a case of a 31-year-old woman presented with a 3-month history of painless, progressive right enophthalmos otherwise utterly asymptomatic who developed symptoms shortly after natural childbirth. That association have never been presented before in literature. We also wanted to discuss the pregnancy-related nasal congestion. We present our experience with these case treated with a single-stage procedure, focusing on the advantages of this one-step approach.

scholarly journals Endoscopic antrostomy in the treatment of odontogenic maxillary sinusitis - two cases report

2018 ◽  
Vol 75 (11) ◽  
pp. 1123-1127
Author(s):  
Aleksandar Dimic ◽  
Bozidar Brkovic ◽  
Milan Erdoglija ◽  
Ugljesa Grgurevic ◽  
Jelena Sotirovic ◽  
...  
Keyword(s):  
Case Report ◽  
Nasal Cavity ◽  
Maxillary Sinus ◽  
Foreign Bodies ◽  
Endoscopic Approach ◽  
Histopathological Analysis ◽  
Posterior Teeth ◽  
Osteomeatal Complex ◽  
Middle Meatal Antrostomy ◽  
Odontogenic Origin

Introduction. Maxillary sinusistis of odontogenic origin is a wellknown condition that occurs due to close relationship of the maxillary posterior teeth to the maxillary sinus. We presented two patients with symptoms and signs of chronic inflammation of the maxillary sinus of odontogenic origin. Case report. In both patients, after clinical examination, microbiological testing, skin prick tests to inhalant allergens, and endoscopy of the nasal cavity, we performed the cone beam computed tomography (CBCT) of paranasal sinuses, which showed thickening of the mucosal lining of the maxillary sinus. The mucosal oedema resulted in obstruction of the osteomeatal complex in both patients. The presence of a foreign body in the right alveolar recess in the first case and in the left osteomeatal complex in the second case were noticed. The both foreign bodies had densities similar to bone. The alveolar recesses in both cases were below the level of the nasal cavity floor. The patients were treated by endoscopic approach, a combination of lower and middle meatal antrostomy. The thickened mucous membrane was removed in the region of the osteomeatal complex, and then the foreign bodies were removed in both cases. Histopathological analysis proved that both foreign bodies were tooth roots. Conclusion. This case report show how be able to successfully surgically remove foreign bodies from the maxillary sinuses using endoscopic approach, a combination of both, lower and middle meatal antrostomy.

Spontaneous maxillary sinus rupture in the absence of pre-existing sinus disease: case report

2007 ◽  
Vol 122 (5) ◽  
pp. 538-539
Author(s):  
H Beaumont ◽  
N Sharma ◽  
S K Ahmed ◽  
J E O'Connell
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Lateral Wall ◽  
Sinus Disease ◽  
Silent Sinus Syndrome ◽  
Spontaneous Fracture ◽  
Disease Case ◽  
History Of ◽  
Surgical Emphysema ◽  
Maxillary Fracture

AbstractIntroduction:Spontaneous fracture of the maxillary sinus is usually associated with enophthalmos and pre-existing sinus disease.Case report:We present a case of spontaneous maxillary sinus fracture without enophthalmos and with no preceding history of trauma or evidence of sinusitis.Discussion:The closest condition to that presented is silent sinus syndrome. The differences between our case and this syndrome are reviewed. There are no previously reported cases of lateral wall maxillary fracture and associated facial surgical emphysema following nose-blowing.

scholarly journals Silent Sinus Syndrome: A Case Report and Review of Literature

2013 ◽  
Vol 6 (3) ◽  
pp. 144-148 ◽  
Author(s):  
B Satheesh Kumar Bhandary ◽  
Vadisha Bhat ◽  
Marina Saldanha ◽  
Sebin Tom Scaria
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Maxillary Sinus ◽  
Facial Asymmetry ◽  
Rare Condition ◽  
Review Of Literature ◽  
Silent Sinus Syndrome ◽  
Middle Meatal Antrostomy ◽  
Exact Etiology

ABSTRACT Silent sinus syndrome is a rare condition affecting the maxillary sinus, resulting in spontaneous collapse of the sinus walls causing facial asymmetry and unilateral enophthalmos. The exact etiology of this condition is unknown. We report a case of a 20-year-old male presented with facial asymmetry with depression of right cheek associated with heaviness over right cheek, without any disturbance of vision or eye movement. Computed tomography (CT) scan of the paranasal sinus showed a relatively smaller and opacified right maxillary sinus with inward retraction of the roof, medial and posterolateral walls. He underwent endoscopic middle meatal antrostomy. On follow-up, patient is free of symptoms and the CT scan showed well-ventilated sinuses with arrest of the disease progression. How to cite this article Saldanha M, Bhat V, Bhandary BSK, Scaria ST. Silent Sinus Syndrome: A Case Report and Review of Literature. Clin Rhinol An Int J 2013;6(3):144-148.

Silent Sinus Syndrome Secondary to Lymphoma: An Unusual Case With Radiological Evidence of Rapid Progression

2021 ◽  
pp. 000348942110471
Author(s):  
Praveena Deekonda ◽  
Huw A. S. Jones
Keyword(s):  
Maxillary Sinus ◽  
Unusual Case ◽  
Rare Condition ◽  
Clinical Findings ◽  
Lymphocytic Leukemia ◽  
Sinus Surgery ◽  
Rapid Progression ◽  
Silent Sinus Syndrome ◽  
Eye Symptoms ◽  
Sinus Ostium

Objective: To describe a case of silent sinus syndrome secondary to malignancy and discuss the pertinent clinical findings. Silent Sinus Syndrome (SSS) refers to a rare, asymptomatic condition whereby occlusion of the maxillary sinus ostium results in gradual resorption of air, creation of negative pressure and collapse of the maxillary walls. Methods: Review of medical records and literature review using NCBI/PubMed. Results: We describe a case of a 54-year-old gentleman presenting solely with enophthalmos. He had been diagnosed with stage IVa small lymphocytic lymphoma (SLL) 1.5 years prior to this, which was being managed with active surveillance. CT demonstrated severe bowing of the anterior and posterolateral wall, inferior displacement of the floor of the orbit and right enophthalmos, thus supporting a diagnosis of silent sinus syndrome. Compared to previous staging CT at the time of the lymphoma diagnosis these findings were entirely new, and soft tissue in the pterygomaxillary fissure was found to be enlarged. The patient underwent endoscopic sinus surgery and a right maxillary mega-antrostomy was performed to ventilate the maxillary sinus and prevent progression of eye symptoms. A biopsy was taken from the pterygopalatine fossa, which was confirmed to be chronic lymphocytic leukemia (CLL). Conclusion: This case is unique both in being secondary to malignancy, as well as being rapidly progressive given the presence of radiologically normal appearances 1.5 years prior to presentation. Although a rare condition, prompt recognition of SSS is vital to prevent ophthalmological complications. This report highlights malignancy as a potential cause in cases with focal bony remodeling.

scholarly journals An Unusual Case of Leg Pain in a Competitive Cyclist

2014 ◽  
Vol 6 (6) ◽  
pp. 492-496 ◽  
Author(s):  
Dror Lindner ◽  
Gabriel Agar ◽  
Benjamin Gilbert Domb ◽  
Yiftah Beer ◽  
Idit Shub ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Complete Resolution ◽  
Unusual Case ◽  
External Iliac Artery ◽  
Lower Limbs ◽  
Leg Pain ◽  
Overuse Injuries ◽  
Competitive Cyclists ◽  
History Of ◽  
Impact Sport

Cycling has become a popular recreational and competitive sport. The number of people participating in the sport is gradually increasing. Despite being a noncontact, low-impact sport, as many as 85% of athletes engaged in the sport will suffer from an overuse injury, with the lower limbs comprising the majority of these injuries. Up to 20% of all lower extremity overuse injuries in competitive cyclists are of a vascular source. A 39-year-old competitive cyclist had a 5-year history of thigh pain during cycling, preventing him from competing. The patient was eventually diagnosed with external iliac artery endofibrosis. After conservative treatment failed, the patient underwent corrective vascular surgery with complete resolution of his symptoms and return to competitive cycling by 1 year. Since its first description in 1985, there have been more than 60 articles addressing external iliac artery endofibrosis pathology.

scholarly journals Microbiology, Histopathology, and Radiographic Findings in Silent Sinus Syndrome

2021 ◽  
pp. 194589242198916
Author(s):  
Henry D. Zheng ◽  
Jeffrey C. Mecham ◽  
Yassmeen Abdel-Aty ◽  
Devyani Lal ◽  
Michael J. Marino
Keyword(s):  
Maxillary Sinusitis ◽  
Dental Disease ◽  
Radiographic Findings ◽  
Silent Sinus Syndrome ◽  
Microbiological Characteristics ◽  
Phone Survey ◽  
Computed Tomography Scans ◽  
History Of ◽  
Mechanical Factors ◽  
Chronic Maxillary Sinusitis

Background The histopathology and microbiology associated with silent sinus syndrome (SSS) have not been well described. Objective This study details the histopathological and microbiological characteristics in addition to radiographic findings of SSS in comparison to those of chronic maxillary sinusitis (CRS). Methods 42 patients diagnosed with SSS at Mayo Clinic Hospital in Arizona were identified. Paranasal computed tomography scans of the 42 SSS patients as well as 42 matched CRS patients were analyzed in order to assess differences in the prevalence of septal spurs/deviation. 20 of the SSS patients and 19 of the matched CRS patients also had histopathology and microbiology reports, which were compiled and summarized. Additionally, 19 SSS and 19 matched CRS patients were contacted via phone survey for a more complete patient history regarding maxillary dental disease/surgery. Results SSS patients have a significantly higher prevalence of septal spurs/deviation than CRS patients. The microbiomes of SSS patients more closely resemble those of healthy controls than those of CRS patients. Analysis of the histopathology of SSS reveals chronic, non-specific inflammation similar to that seen in non-eosinophilic CRS without polyps. SSS patients were significantly more likely to have a history of maxillary dental disease requiring surgery. Conclusion These data support the hypothesis that the pathogenesis of SSS is more likely due to anatomical/mechanical factors than inflammatory/microbiological factors.

An isolated primary Rathke's cleft cyst in the cerebellopontine angle

2014 ◽  
Vol 121 (4) ◽  
pp. 846-850 ◽  
Author(s):  
Jun Fan ◽  
Songtao Qi ◽  
Yuping Peng ◽  
Xi-an Zhang ◽  
Binghui Qiu ◽  
...  
Keyword(s):  
Cerebellopontine Angle ◽  
Imaging Features ◽  
Good Recovery ◽  
Suprasellar Region ◽  
Adjacent Structures ◽  
Facial Numbness ◽  
History Of ◽  
Rathke's Cleft Cysts ◽  
Rathke's Cleft

Rathke's cleft cysts (RCCs) are benign cysts typically located in the sellar or suprasellar region; ectopic isolated lesions are extremely rare. The authors describe the case of a 25-year-old man with a giant symptomatic RCC arising primarily at the cerebellopontine angle (CPA), only the second case reported thus far. The patient presented with a 2-year history of right hearing impairment and tinnitus accompanied by vertigo and headache and a 2-week history of right facial numbness. Subsequently, he underwent total cyst removal via retrosigmoid craniotomy with a good recovery. He experienced no recurrence during a 64-month follow-up period. The possible pathogenesis, differential diagnosis, and surgical treatment of such cysts are discussed in this article. Isolated ectopic RCCs can arise from the ectopic migration of Rathke's pouch cells during the embryonic period. It is still difficult to distinguish ectopic RCCs from other cystic lesions of the CPA given the lack of specific imaging features. Aggressive resection of the cyst wall is not recommended, except when lesions do not closely adhere to adjacent structures.

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