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A child with silent sinus syndrome and spontaneous improvement after sinus surgery
Affiliation:1. Department of Otolaryngology – Head and Neck Surgery, Stanford University, 801 Welch Road, Stanford 94305, United States;2. Department of ENT – Head and Neck Surgery, Kaiser Santa Clara, 710 Lawrence Expressway, Department 296, Santa Clara, CA 95051, United States;1. Division of Mental Health, Norwegian Institute of Public Health, 0403 Oslo, Norway;2. Division of Epidemiology, Norwegian Institute of Public Health, 0403 Oslo, Norway;3. Department of Obstetrics and Gynecology and Institute of Clinical Medicine, Akershus University Hospital, 1478 Lørenskog, Norway;1. Respiratory Endoscopy Unit, Department of Paediatric Anesthesia and Intensive Care, Meyer Children Hospital, Florence, Italy;2. Pediatric Cardiology Unit, Meyer Children Hospital, Florence, Italy;3. Department of Paediatrics, Parma Children Hospital, Parma, Italy;4. Pediatric Cardiac Surgery, Heart Hospital, G. Monasterio Tuscany Foundation, Massa, Italy;5. Department of Anesthesia and Intensive Care, Ospedale Riuniti di Foggia, Foggia, Italy;1. Université des Sciences et Techniques de Masuku, BP: 943 Franceville, Gabon;2. Université de Lorraine, 34 cours Léopold 54000 Nancy, France;1. School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, United States;2. Facial Plastic and Reconstructive Surgery, Division of Otolaryngology – Head and Neck Surgery, Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, United States;3. West Texas Craniofacial Center of Excellence, Lubbock, TX, United States;1. The Children''s Hospital at Westmead, Westmead, NSW, Australia;2. Nottingham University Hospitals, Nottingham, United Kingdom;3. University of Sydney, Discipline of Paediatrics and Child Health, Darlington, NSW, Australia
Abstract:Silent sinus syndrome is characterized by an asymptomatic hypoplastic maxillary sinus with progressive enophthalmos and hypoglobus. This is a disease rarely affecting children with the majority of reported cases involving adult patients. Treatment is primarily surgical with endoscopic sinus surgery to restore aeration of the sinus along with orbital reconstruction to restore facial symmetry. In this report, we describe a 7 year old child with facial asymmetry and no sinonasal symptoms. CT showed an opacified hypoplastic right maxillary sinus. One year after endoscopic sinus surgery, there was spontaneous improvement of facial asymmetry and relative maxillary sinus size.
Keywords:Silent sinus syndrome  Child  Enophthalmos  Hypoglobus  Endoscopic sinus surgery
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