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Negative Sinus Pressure and Normal Predisease Imaging in Silent Sinus Syndrome
Arch Ophthalmol. 1999;117:1653-1654.
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We present the first case of silent sinus syndrome with both normal predisease imaging findings and documented negative maxillary sinus pressure, demonstrating unequivocally the acquired nature and possible etiologic association with negative maxillary sinus pressure in at least some cases of silent sinus syndrome.
Report of a Case
A 27-year-old woman with painless, progressive sinking of her right eye over a 3-month period demonstrated 8 mm of enophthalmos and 4 mm of hypoglobus. Computed tomography showed a small, opacified right maxillary sinus with a depressed orbital floor (Figure 1), a new finding, as a magnetic resonance imaging study performed 3 years earlier (for new-onset seizures) was normal (Figure 2).
Figure appears in full text version.
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Figure 1. Computed tomographic scan (axial [left] and coronal [right]) at time of presentation shows marked depression of the right orbital floor with opacification of the right maxillary sinus.
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Figure appears in full text version.
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Comment
Corresponding author: Joseph Davidson, MD, 360 S Mt Auburn Rd, Cape Girardeau, MO 63702-2018 (e-mail: idoctor@iname.com).
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