SILENT SINUS SYNDROME
Conditions
Keywords
Case report, Silent sinus syndrome, SSS, CT, MRI, Functional endoscopic sinus surgery
Brief summary
Silent sinus syndrome is a rare disorder that presents a diagnostic challenge, most of the patients with this syndrome present with ophthalmological complaints without any nasal sinus symptoms, and it has a painless course and slow development. A case report of a 37-years-old-female who was complaining of severe throbbing pain since 2009, is presented here where the diagnosis of SSS was obtained in 2018, this delay in diagnosing the situation had affected the patient lifestyle tremendously.
Detailed description
Silent sinus syndrome is a rare disorder that presents a diagnostic challenge, most of the patients with this syndrome present with ophthalmological complaints without any nasal sinus symptoms, and it has a painless course and slow development. The syndrome can be diagnosed clinically and confirmed radiologically, and CT imaging is considered the gold standard for its diagnosis. The classical radiographic findings are opacification and collapse of the sinus walls. Functional endoscopic sinus surgery (FESS) is the standard gold treatment of choice to arrest the progression of the disease. A case report of a 37-years-old-female who was complaining of severe throbbing pain since 2009, is presented here where the diagnosis of SSS was obtained in 2018, this delay in diagnosing the situation had affected the patient lifestyle tremendously. Accordingly, knowledge of the signs and features of SSS can result in an accurate diagnosis. Suspected cases of silent sinus syndrome require prompt ear, nose, and throat referral for consideration of definitive diagnosis and surgical management. Nasal endoscopy and clinical evaluation are also essential for the diagnosis. Our recommendation is to consider SSS as a differential diagnosis for patients with spontaneous enophthalmos and hypoglobus, even in the absence of maxillary sinus opacification. Moreover, encourage all the specialists in the medical and the dental field to communicate well together in cases like this.
Interventions
None listed
Sponsors
King Saud University
Study design
Observational model
CASE_CROSSOVER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
37 Years to 37 Years
Inclusion criteria
signs or symptoms in the eyes. signs in the Sinus that seen by X-ray.
Exclusion criteria
Children ( \<7 years old)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knowledge of the signs and features of Silent Sinus Syndeome will result in accurate diagnosis by A computerized tomography (CT) scan. | 10 years | Suspected cases of silent sinus syndrome require prompt ear, nose and throat referral for consideration of definitive diagnosis and surgical management. Nasal endoscopy and clinical evaluation are essential for the diagnosis, while CT imaging consider the gold standard for its diagnosis. Functional endoscopic sinus surgery is the gold standard treatment to arrest the progression of the disease and the position of the orbital floor can improve following surgical treatment. |
Countries
Saudi Arabia
Outcome results
None listed