关键词: blowout fracture enophthalmos orbit orbital floor reconstruction silent sinus syndrome

来  源:   DOI:10.7759/cureus.45740   PDF(Pubmed)

Abstract:
Silent sinus syndrome (SSS) is a relatively rare clinical condition occurring in the maxillary sinus exhibiting progressive enophthalmos and hypoglobus. The communication between the orbit and maxillary antrum due to trauma further leads to changes in the maxillary sinus. This could lead to the development of negative pressure within the maxillary sinus, collapse of antrum walls, and sucking in of orbital contents. Here, we present a case of a delayed orbital trauma, which was not treated initially. The patient\'s complaint was a constant feeling of a sunken right eye along with restriction in eye movements. On examination, the clinical and radiographic features were consistent with SSS. Orbital floor reconstruction was performed with the help of a titanium mesh for the correction of hypoglobus and enophthalmos. During follow-up, the patient showed no recurrence of the presenting functional and esthetic complaints. This clinical entity needs prompt diagnosis and early intervention so as to prevent further complications.
摘要:
无声窦综合征(SSS)是一种相对罕见的临床疾病,发生在上颌窦中,表现出进行性眼球内陷和眼球减少。由于外伤,眼眶和上颌窦之间的连通进一步导致上颌窦的变化。这可能导致上颌窦内负压的发展,胃窦壁塌陷,吸入轨道内容物。这里,我们提出了一个延迟性眼眶外伤的病例,最初没有治疗。患者的抱怨是持续的右眼凹陷感以及眼球运动的限制。在检查中,临床和影像学特征与SSS一致.在钛网的帮助下进行了轨道地板重建,以矫正下眼球和内眼。随访期间,患者未出现功能性和美学主诉的复发.该临床实体需要及时诊断和早期干预,以防止进一步的并发症。
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