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Silent Sinus Syndrome
Philip R. Chapman, MD
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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 enopthalmus, 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

                                        1. 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
                                        2. Pula JH et al: Silent sinus syndrome. Curr Opin Ophthalmol. 25(6):480-4, 2014
                                        3. Mangussi-Gomes J et al: Stage II chronic maxillary atelectasis associated with subclinical visual field defect. Int Arch Otorhinolaryngol. 17(4):409-12, 2013
                                        4. Stephens JC et al: Evaluation and treatment of isolated maxillary sinus disease. Curr Opin Otolaryngol Head Neck Surg. 21(1):50-7, 2013
                                        5. Bas A et al: Silent sinus syndrome: CT and MRI findings. BMJ Case Rep. 2012, 2012
                                        6. McArdle B et al: Ethmoid silent sinus syndrome causing inward displacement of the orbit: case report. J Laryngol Otol. Epub ahead of print, 2009
                                        7. Yousuf K et al: Silent sinus syndrome: case series and literature review. J Otolaryngol Head Neck Surg. 38(5):E110-3, 2009
                                        8. Annino DJ Jr et al: Silent sinus syndrome. Curr Opin Otolaryngol Head Neck Surg. 16(1):22-5, 2008
                                        9. Bossolesi P et al: The silent sinus syndrome: diagnosis and surgical treatment. Rhinology. 46(4):308-16, 2008
                                        10. 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
                                        11. 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
                                        12. Hourany R et al: Silent sinus syndrome: an acquired condition. AJNR Am J Neuroradiol. 26(9):2390-2, 2005
                                        13. 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
                                        14. Rose GE et al: Clinical and radiologic characteristics of the imploding antrum, or "silent sinus," syndrome. Ophthalmology. 110(4):811-8, 2003
                                        15. Illner A et al: The silent sinus syndrome: clinical and radiographic findings. AJR Am J Roentgenol. 178(2):503-6, 2002
                                        16. Vander Meer JB et al: The silent sinus syndrome: a case series and literature review. Laryngoscope. 111(6):975-8, 2001
                                        17. 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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                                        Related Differential Diagnoses
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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 enopthalmus, 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

                                                                              1. 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
                                                                              2. Pula JH et al: Silent sinus syndrome. Curr Opin Ophthalmol. 25(6):480-4, 2014
                                                                              3. Mangussi-Gomes J et al: Stage II chronic maxillary atelectasis associated with subclinical visual field defect. Int Arch Otorhinolaryngol. 17(4):409-12, 2013
                                                                              4. Stephens JC et al: Evaluation and treatment of isolated maxillary sinus disease. Curr Opin Otolaryngol Head Neck Surg. 21(1):50-7, 2013
                                                                              5. Bas A et al: Silent sinus syndrome: CT and MRI findings. BMJ Case Rep. 2012, 2012
                                                                              6. McArdle B et al: Ethmoid silent sinus syndrome causing inward displacement of the orbit: case report. J Laryngol Otol. Epub ahead of print, 2009
                                                                              7. Yousuf K et al: Silent sinus syndrome: case series and literature review. J Otolaryngol Head Neck Surg. 38(5):E110-3, 2009
                                                                              8. Annino DJ Jr et al: Silent sinus syndrome. Curr Opin Otolaryngol Head Neck Surg. 16(1):22-5, 2008
                                                                              9. Bossolesi P et al: The silent sinus syndrome: diagnosis and surgical treatment. Rhinology. 46(4):308-16, 2008
                                                                              10. 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
                                                                              11. 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
                                                                              12. Hourany R et al: Silent sinus syndrome: an acquired condition. AJNR Am J Neuroradiol. 26(9):2390-2, 2005
                                                                              13. 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
                                                                              14. Rose GE et al: Clinical and radiologic characteristics of the imploding antrum, or "silent sinus," syndrome. Ophthalmology. 110(4):811-8, 2003
                                                                              15. Illner A et al: The silent sinus syndrome: clinical and radiographic findings. AJR Am J Roentgenol. 178(2):503-6, 2002
                                                                              16. Vander Meer JB et al: The silent sinus syndrome: a case series and literature review. Laryngoscope. 111(6):975-8, 2001
                                                                              17. Hunt SM et al: Sinusitis-induced enophthalmos: the silent sinus syndrome. Ear Nose Throat J. 79(8):576, 579-81, 584, 2000