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Ethmoid silent sinus syndrome causing inward displacement of the orbit: case report

Published online by Cambridge University Press:  17 July 2009

B McArdle  and
C Perry
B McArdle*
Affiliation:
Division of Surgery, Gold Coast Hospital, Southport, Australia
C Perry
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Queensland, Australia
*
Address for correspondence: Dr Ben McArdle, Division of Surgery, 108 Nerang St, Southport, Qld, Australia4215. E-mail: bennymac@bigpond.net.au
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Abstract

Objective:

We describe a previously unreported case of ethmoid silent sinus syndrome.

Method:

Case report and review of the world literature regarding silent sinus syndrome.

Results:

A 33-year-old woman developed medial displacement of the left orbital contents in the absence of trauma, surgery or other significant pathology. Imaging showed opacification of the left ethmoid sinus and implosion of the medial orbital wall. Previously reported cases of silent sinus syndrome have all involved the maxillary sinus, with subsequent implosion of the orbital floor. Computed tomography scans of our patient showed wide, flat ethmoidal bulla and surrounding cells, with few horizontal bony septae reinforcing the area of collapse.

Conclusion:

This case represents the first report of ethmoid silent sinus syndrome. We argue that, in anatomically susceptible individuals, the silent sinus syndrome can present due to chronic ethmoidal sinusitis.

Keywords

Silent Sinus SyndromeEnophthalmosEthmoidSinusitis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 2 , February 2010 , pp. 206 - 208
Copyright
Copyright © JLO (1984) Limited 2009

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References

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