A child with silent sinus syndrome and spontaneous improvement after sinus surgery

David T Chang; Mai Thy Truong

doi:10.1016/j.ijporl.2014.08.002

A child with silent sinus syndrome and spontaneous improvement after sinus surgery

Int J Pediatr Otorhinolaryngol. 2014 Nov;78(11):1993-5. doi: 10.1016/j.ijporl.2014.08.002. Epub 2014 Aug 10.

Authors

David T Chang¹, Mai Thy Truong²

Affiliations

¹ Department of Otolaryngology - Head and Neck Surgery, Stanford University, 801 Welch Road, Stanford 94305, United States.
² Department of Otolaryngology - Head and Neck Surgery, Stanford University, 801 Welch Road, Stanford 94305, United States; Department of ENT - Head and Neck Surgery, Kaiser Santa Clara, 710 Lawrence Expressway, Department 296, Santa Clara, CA 95051, United States. Electronic address: mtruong@ohns.stanford.edu.

PMID: 25218341
DOI: 10.1016/j.ijporl.2014.08.002

Abstract

Silent sinus syndrome is characterized by an asymptomatic hypoplastic maxillary sinus with progressive enophthalmos and hypoglobus. This is a disease rarely affecting children with the majority of reported cases involving adult patients. Treatment is primarily surgical with endoscopic sinus surgery to restore aeration of the sinus along with orbital reconstruction to restore facial symmetry. In this report, we describe a 7 year old child with facial asymmetry and no sinonasal symptoms. CT showed an opacified hypoplastic right maxillary sinus. One year after endoscopic sinus surgery, there was spontaneous improvement of facial asymmetry and relative maxillary sinus size.

Keywords: Child; Endoscopic sinus surgery; Enophthalmos; Hypoglobus; Silent sinus syndrome.

Publication types

Case Reports

MeSH terms

Asymptomatic Diseases / therapy*
Child
Endoscopy
Enophthalmos / surgery*
Facial Asymmetry / surgery*
Female
Humans
Maxillary Sinus / diagnostic imaging
Maxillary Sinus / pathology*
Maxillary Sinus / surgery*
Orbit / surgery
Organ Size
Radiography
Syndrome