Metachronous Bilateral Silent Sinus Syndrome: A Case Report

Document Type : Case Report

Authors

1 Bologna University Medical School - Sant’Orsola-Malpighi Hospital, Via G. Massarenti 9 40138 Bologna, Italy.

2 Azienda Unità Sanitaria Locale di Bologna, ENT Department Bologna, Via Altura 3 40139 Bologna, Italy.

Abstract

Introduction:
Bilateral silent sinus syndrome (SSS) is a very rare pathology reported only in few papers in literature. Most of the described cases are simultaneous, and only one had a metachronous presentation. The evolutionary phases of the disease have yet to be well demonstrated and a complete radiological evaluation is needed to demonstrate the pathogenetic mechanisms that cause the disease.
 
Case Report:
A 45-year-old male presented with a left SSS and a bilateral concha bullosa. He developed a contralateral SSS two years after an endoscopic uncinectomy and re-ventilation of the diseased maxillary sinus. This case is the second reported in literature with a metachronous presentation. A pure endoscopic approach has led to the resolution of symptomatology and the full restoration of the ventilation of the maxillary sinuses. The key role of the uncinate process in the genesis of the pathology has been well demonstrated by the onset of a contralateral SSS in a normally developed maxillary sinus thanks to a complete radiological follow-up.
 
Conclusion:
Bilateral presentation is a rare entity; however, it should be considered in patients with SSS. A minimal endoscopic uncinectomy could also prevent the onset of the disease on the healthy side. 

Keywords

References

  1. Soparkar CN, Patrinely JR, Cuaycong MJ, Dailey RA, Kersten RC, Rubin PA, et al. The silent sinus syndrome. A cause of spontaneous enophthalmos. Ophthalmology1994;101(4):772-8.
  2. Liss JA, Patel RD, Stefko ST. A case of bilateral silent sinus syndrome presenting with chronic ocular surface disease. Ophthal Plast Reconstr Surg 2011; 27(6):e158-60.
  3. Ferri A, Ferri T, Sesenna E. Bilateral silent sinus syndrome: case report and surgical solution. J Oral Maxillofac Surg.2012;70(1):e103-6.
  4. Suh JD, Ramakrishnan V, Lee JY, Chiu AG. Bilateral silent sinus syndrome. Ear Nose Throat J 2012;91(12):e19-21.
  5. Sun DQ, Dubin MG. Treatment of chronic maxillary atelectasis using balloon dilation. Otolaryngol Head Neck Surg 2013;149(5):782-5.
  6. Gunaratne DA, Hasan Z, Floros P, Singh N. Bilateral stage I chronic maxillary atelectasis: A case report. Int J Surg Case Rep 2016;26:53-6.
  7. Trope M, Schwartz JS, Tajudeen BA, Kennedy DW. Bilateral silent sinus syndrome: a rare case and review of literature. Allergy Rhinol 2017;8(2):100-2.
  8. Kass ES, Salman S, Rubin PA, Weber AL, Montgomery WW. Chronic maxillary atelectasis. Ann OtolRhinolLaryngol 1997;106(2):109-16.
  9. Kass ES, Salman B, Montgomery W. Chronic maxillary atelectasis in a child. Ann Otol Rhinol Laryngol 1998;107: 623-25.
  10. Hazan A, Le Roy A, Chevalier E, Benzaken J, Waisberg A, Cymbalista M, et al. Atelectasis of the maxillary sinus. Analysis of progression stages. Apropos of 4 cases. Ann Otolaryngol Chir Cervicofac 1998;115(6):367-72.
  11. Illner A, Davidson HC, Harnsberger HR, Hoffman J. The silent sinus syndrome: clinical and radiographic findings. AJR Am J Roentgenol 2002; 178(2):503-6.
  12. Bossolesi P, Autelitano L, Brusati R, Castelnuovo P. The silent sinus syndrome: diagnosis and surgical treatment.Rhinology 2008;46(4):308-16.
  13. Sciarretta V, Pasquini E, Tesei F, Modugno GC, Farneti G. Endoscopic sinus surgery for the treatment of maxillary sinus atelectasis and silent sinus syndrome. J Otolaryngol 2006;35(1):60-4.
  14. Farneti P, Sciarretta V, Macrì G, Piccin O, Pasquini E. Silent Sinus Syndrome and maxillary sinus atelectasis in children. Int J Pediatr Otorhinolaryngol 2017;98: 150-7.

 

 

Iranian Journal of Otorhinolaryngology
Volume 32, Issue 3 - Serial Number 110
May and June 2020
Pages 175-179

Files

Share

How to cite

Statistics