THE SILENT SINUS SYNDROME: A MISDIAGNOSED PTERYGO-MAXILLARY FOSSA TUMOUR - CASE REPORT
Abstract:
This entity is relatively new in sino-nasal pathology, characterized by a chronic unilateral
maxillary sinusitis, without specific symptoms. Like atelectatic otitis caused by the middle ear negative
pressure dysfunction of the Eustachion tube, in silent sinus syndrome, a slight thickening of the sinus walls
appears, caused by chronic inflammation and negative intrasinusal pressure due to the osteo-meatal
dysfunction, with the onset of indolent enophthalmos. Materials and methods: We present a 38-year-old man
misdiagnosed with right pterygomaxillar fossa tumor, suffering from fluctuant migrena, partial nasal
obstruction onset 3 years earlier, associated in the last 3 months with unilateral indolent enophtalmia,
unilateral vision problem and facial asymmetry. Clinic and paraclinic examinations showed a likely silent
sinus syndrome. In this case we performed sino-nasal surgical treatment. Conclusion: SSS is a rare
pathology, characterised by lack of pain and progressive enophtalmos, being necessary a multidiscipline
outcome
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