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

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.

2016 ◽  
Vol 6 (21) ◽  
pp. 45-48
Author(s):  
Veronica Trombitas ◽  
Alina Nagy ◽  
Diana Vlad ◽  
Aranka Ilea ◽  
Silviu Albu

Abstract BACKGROUND. Silent sinus syndrome (SSS) is known as a relatively new pathology with clinical characterizations, represented by the facial asymmetry determined by progressive enophthalmos and hypoglobus and the absence of nasal symptoms. The theory that sustained this pathology is based on the negative maxillary pressure and the chronic evolution of symptomatology. CASE REPORT. A 49-year-old white female presented in our clinic for facial asymmetry, right facial pressure, right depression of the orbital floor and hypoglobus, without diplopia. The CT scan showed an opaque right maxillary sinus with the depression of the orbital floor. CONCLUSION. The pathogenesis, clinical and imagistic features are the most important in the SSS for diagnosis and correct treatment.


2010 ◽  
Vol 17 (4) ◽  
pp. 440-443 ◽  
Author(s):  
Timur Koca ◽  
Zuleyha Akgun ◽  
Serap Baskaya Yucel ◽  
Nihal Zerman Dag ◽  
Mehmet Teomete

Pregnancy occurring after multimodal therapy in a woman with breast cancer with a 1-year follow-up period is a relatively rare condition and has been defined as pregnancy-associated breast cancer. A patient can become pregnant after chemotherapy for breast cancer while she is on tamoxifen. However, the effects of tamoxifen on fetus and on the course of the pregnancy are still unknown. Here, we present a 39-year-old woman treated with chemotherapy and radiotherapy for bilateral breast cancer, and who became pregnant while taking tamoxifen.


2009 ◽  
Vol 2 (3) ◽  
pp. 51-54 ◽  
Author(s):  
Satyawati Mohindra ◽  
Amanjit K Bal ◽  
Jagvir Yadav

ABSTRACT Purpose The authors intend to present a case of osteosarcoma of the maxilla which presented like a mucocele, a previously unreported phenomenon. Patients and methods Clinical features, radiology, histopathological findings and endoscopically managed osteosarcoma of the maxilla are presented. Diagnostic difficulties and previously reported diagnostic dilemmas related to osteosarcomas of the maxillary sinus are discussed. Results The patient has been on regular follow-up for the past 10 months, and is free from any local or systemic disease. Conclusion Though osteosarcoma of the maxilla is a rare tumor about 6.5% of all osteosarcomas1, patients tend to be in the late-third to mid-fourth decades of life, a high index of suspicion and aggressive management can reduce the morbidity that goes with the management of this condition.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhicheng Zhang ◽  
Xiaowei Huang ◽  
Qian Chen ◽  
Demin Li ◽  
Qi Zhou ◽  
...  

Abstract Background Small intestine duplication cysts (SIDCs) are rare congenital anatomical abnormalities of the digestive tract and a rare cause of hematochezia. Case presentation We describe an adult female presented with recurrent hematochezia. The routine gastric endoscope and colonic endoscope showed no positive findings. Abdominal CT scan indicated intussusception due to the "doughnut" sign, but the patient had no typical symptoms. Two subsequent capsule endoscopes revealed a protruding lesion with bleeding in the distal ileum. Surgical resection was performed and revealed a case of SIDC measuring 6 * 2 cm located inside the ileum cavity. The patient remained symptom-free throughout a 7-year follow-up period. Conclusion SIDCs located inside the enteric cavity can easily be misdiagnosed as intussusception by routine radiologic examinations.


2017 ◽  
Vol 23 (4) ◽  
pp. e9-e13
Author(s):  
S.A. Lalé ◽  
E.B. Burger ◽  
J.H.J.M. Bessems ◽  
V. Pollet ◽  
C.A. van Nieuwenhoven

2003 ◽  
Vol 17 (2) ◽  
pp. 97-100 ◽  
Author(s):  
Robert D. Thomas ◽  
Scott M. Graham ◽  
Keith D. Carter ◽  
Jeffrey A. Nerad

Background Enophthalmos in a patient with an opacified hypoplastic maxillary sinus, without sinus symptomatology, describes the silent sinus syndrome. A current trend is to perform endoscopic maxillary antrostomy and orbital floor reconstruction as a single-staged operation. A two-staged approach is performed at our institution to avoid placement of an orbital floor implant in the midst of potential infection and allow for the possibility that enophthalmos and global ptosis may resolve with endoscopic antrostomy alone, obviating the need for orbital floor reconstruction. Methods A retrospective review identified four patients with silent sinus syndrome evaluated between June 1999 and August 2001. Patients presented to our ophthalmology department with ocular asymmetry, and computerized tomography (CT) scanning confirmed the diagnosis in each case. Results There were three men and one woman, with ages ranging from 27 to 40 years. All patients underwent endoscopic maxillary antrostomy. Preoperative enophthalmos determined by Hertel's measurements ranged from 3 to 4 mm. After endoscopic maxillary antrostomy, the range of reduction in enophthalmos was 1–2 mm. Case 2 had a preoperative CT scan and a CT scan 9 months after left endoscopic maxillary antrostomy. Volumetric analysis of the left maxillary sinus revealed a preoperative volume of 16.85 ± 0.06 cm3 and a postoperative volume of 19.56 ± 0.07 cm3. This represented a 16% increase in maxillary sinus volume postoperatively. Orbital floor augmentation was avoided in two patients because of satisfactory improvement in enophthalmos. In the other two patients, orbital reconstruction was performed as a second-stage procedure. There were no complications. Conclusion Orbital floor augmentation can be offered as a second-stage procedure for patients with silent sinus syndrome. Some patients’ enophthalmos may improve with endoscopic antrostomy alone.


2009 ◽  
Vol 33 (4) ◽  
pp. 279-282 ◽  
Author(s):  
Ayca Ulusoy ◽  
Murat Akkocaoglu ◽  
Seden Akan ◽  
Ilken Kocadereli ◽  
Zafer Cehreli

Inversion of premolars is an extremely rare condition, which usually requires extraction. This case report describes the inversion of an impacted maxillary second premolar in an 11-year-old male, and the multidisciplinary treatment approach for bringing the tooth into a normal position within the arch. In order to provide sufficient space for surgical reimplantation of the tooth, the mesially-drifted neighbouring maxillary first molar was first endodontically treated, followed by orthodontic distalization of the tooth. The inverted tooth was removed surgically and reimplanted without the use of splints for stabilization. After a 12-month follow-up period, the tooth maintained its vitality without any root resorption. Reimplantation of impacted inverted premolars can be a viable treatment alternative to extraction


2021 ◽  
Vol 3 (1) ◽  
pp. 22-25
Author(s):  
Adekunle Olowu ◽  
Adel Abbas Alzehairy

Adrenal cysts are rare lesions that could be epithelial, endothelial, parasitic or haemorrhagic[1], as well as pseudocysts. Haemorrhagic adrenal cysts are extremely rare and are often asymptomatic, so diagnosis can be really challenging. This can prove really difficult for primary care physicians who are often the frontline clinicians these patients tend to present to. They are usually benign lesions and do not often cause mortality if detected early and prompt surgery is done, as was the case with the patient in our case report[4]. When they do become symptomatic, they can present with different systemic symptoms as documented in literature, including in our case report[2,4]. Diagnosis is usually through Ultrasound and CT Scan and management is largely laparoscopic or open excision depending on the size of the lesion, surgical expertise and local protocol. Most patients make full recovery and mortality is extremely low [3]. The aim of this review is to provide a broader overview of the subject, highlight salient points in several studies relating to haemorrhagic cysts, provide an up to date follow up information on the index patient in our case report and to explore possible areas for future study [4,6]. This review also includes a suggested management algorithm and intends to emphasize the fact that patients who present in primary, urgent or emergency care settings with persistent non-specific symptoms should be investigated for rare diseases.


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