Painless, asymptomatic retraction of maxillary sinus walls, causing ↓ volume of involved maxillary sinus, depression of ipsilateral orbital floor, ipsilateral enophthalmus, and hypoglobus
IMAGING
General Features
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Ho JPK et al: Chronic maxillary atelectasis (including silent sinus syndrome) can present bilaterally. J Laryngol Otol. 133(3):251-5, 2019
Martínez-Capoccioni G et al: Silent sinus syndrome an acquired condition and the essential role of otorhinolaryngologist consultation: a retrospective study. Eur Arch Otorhinolaryngol. ePub, 2016
Pula JH et al: Silent sinus syndrome. Curr Opin Ophthalmol. 25(6):480-4, 2014
Mangussi-Gomes J et al: Stage II chronic maxillary atelectasis associated with subclinical visual field defect. Int Arch Otorhinolaryngol. 17(4):409-12, 2013
Stephens JC et al: Evaluation and treatment of isolated maxillary sinus disease. Curr Opin Otolaryngol Head Neck Surg. 21(1):50-7, 2013
Bas A et al: Silent sinus syndrome: CT and MRI findings. BMJ Case Rep. 2012, 2012
McArdle B et al: Ethmoid silent sinus syndrome causing inward displacement of the orbit: case report. J Laryngol Otol. Epub ahead of print, 2009
Yousuf K et al: Silent sinus syndrome: case series and literature review. J Otolaryngol Head Neck Surg. 38(5):E110-3, 2009
Annino DJ Jr et al: Silent sinus syndrome. Curr Opin Otolaryngol Head Neck Surg. 16(1):22-5, 2008
Bossolesi P et al: The silent sinus syndrome: diagnosis and surgical treatment. Rhinology. 46(4):308-16, 2008
Brandt MG et al: The silent sinus syndrome is a form of chronic maxillary atelectasis: a systematic review of all reported cases. Am J Rhinol. 22(1):68-73, 2008
Sciarretta V et al: Endoscopic sinus surgery for the treatment of maxillary sinus atelectasis and silent sinus syndrome. J Otolaryngol. 35(1):60-4, 2006
Hourany R et al: Silent sinus syndrome: an acquired condition. AJNR Am J Neuroradiol. 26(9):2390-2, 2005
Numa WA et al: Silent sinus syndrome: a case presentation and comprehensive review of all 84 reported cases. Ann Otol Rhinol Laryngol. 114(9):688-94, 2005
Rose GE et al: Clinical and radiologic characteristics of the imploding antrum, or "silent sinus," syndrome. Ophthalmology. 110(4):811-8, 2003
Illner A et al: The silent sinus syndrome: clinical and radiographic findings. AJR Am J Roentgenol. 178(2):503-6, 2002
Vander Meer JB et al: The silent sinus syndrome: a case series and literature review. Laryngoscope. 111(6):975-8, 2001
Hunt SM et al: Sinusitis-induced enophthalmos: the silent sinus syndrome. Ear Nose Throat J. 79(8):576, 579-81, 584, 2000
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Silent sinus syndrome (SSS)
Synonyms
Maxillary atelectasis with enophthalmos
Imploding antrum
Definitions
Painless, asymptomatic retraction of maxillary sinus walls, causing ↓ volume of involved maxillary sinus, depression of ipsilateral orbital floor, ipsilateral enophthalmus, and hypoglobus
IMAGING
General Features
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Ho JPK et al: Chronic maxillary atelectasis (including silent sinus syndrome) can present bilaterally. J Laryngol Otol. 133(3):251-5, 2019
Martínez-Capoccioni G et al: Silent sinus syndrome an acquired condition and the essential role of otorhinolaryngologist consultation: a retrospective study. Eur Arch Otorhinolaryngol. ePub, 2016
Pula JH et al: Silent sinus syndrome. Curr Opin Ophthalmol. 25(6):480-4, 2014
Mangussi-Gomes J et al: Stage II chronic maxillary atelectasis associated with subclinical visual field defect. Int Arch Otorhinolaryngol. 17(4):409-12, 2013
Stephens JC et al: Evaluation and treatment of isolated maxillary sinus disease. Curr Opin Otolaryngol Head Neck Surg. 21(1):50-7, 2013
Bas A et al: Silent sinus syndrome: CT and MRI findings. BMJ Case Rep. 2012, 2012
McArdle B et al: Ethmoid silent sinus syndrome causing inward displacement of the orbit: case report. J Laryngol Otol. Epub ahead of print, 2009
Yousuf K et al: Silent sinus syndrome: case series and literature review. J Otolaryngol Head Neck Surg. 38(5):E110-3, 2009
Annino DJ Jr et al: Silent sinus syndrome. Curr Opin Otolaryngol Head Neck Surg. 16(1):22-5, 2008
Bossolesi P et al: The silent sinus syndrome: diagnosis and surgical treatment. Rhinology. 46(4):308-16, 2008
Brandt MG et al: The silent sinus syndrome is a form of chronic maxillary atelectasis: a systematic review of all reported cases. Am J Rhinol. 22(1):68-73, 2008
Sciarretta V et al: Endoscopic sinus surgery for the treatment of maxillary sinus atelectasis and silent sinus syndrome. J Otolaryngol. 35(1):60-4, 2006
Hourany R et al: Silent sinus syndrome: an acquired condition. AJNR Am J Neuroradiol. 26(9):2390-2, 2005
Numa WA et al: Silent sinus syndrome: a case presentation and comprehensive review of all 84 reported cases. Ann Otol Rhinol Laryngol. 114(9):688-94, 2005
Rose GE et al: Clinical and radiologic characteristics of the imploding antrum, or "silent sinus," syndrome. Ophthalmology. 110(4):811-8, 2003
Illner A et al: The silent sinus syndrome: clinical and radiographic findings. AJR Am J Roentgenol. 178(2):503-6, 2002
Vander Meer JB et al: The silent sinus syndrome: a case series and literature review. Laryngoscope. 111(6):975-8, 2001
Hunt SM et al: Sinusitis-induced enophthalmos: the silent sinus syndrome. Ear Nose Throat J. 79(8):576, 579-81, 584, 2000
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