The gold standard in diagnosing SMS is CT of the paranasal sinuses, which provides high detail of bone structures, unlike MRI. However, even on a standard x-ray of the paranasal sinuses, it is possible to detect darkening and a decrease in the volume of the maxillary sinus, which will give us grounds for further examination.
Surgical only. Consists of creating a stable connection between the sinus and the nasal cavity. The operation is possible only with the use of endoscopic technology and microinstruments. When performing an operation, the qualifications of the surgeon are important - due to the prolapse of the orbital wall, the anatomical relationships change and it is very easy to damage the orbit. When air exchange is restored, enophthalmos usually regresses. If the effect is insufficient, the second stage involves plastic surgery of the lower orbital wall.
Appointment to the doctor
Symptoms of Silent Sinus Syndrome
Silent sinus syndrome (SSS) is a fairly rare disease. Essentially, this disease is is a deformation of the walls of the maxillary sinus caused by various reasons, as a result of which the sinus pressed inward. Such a deformation leads to a change in the shape of the facial skeleton - a hollowing of the cheek, a displacement of the eyeball downwards and inwards.
In short, the development of the disease proceeds as follows. Due to some as yet unidentified Precisely, the reason is that the natural ventilation of the sinuses is disrupted. “Reverse absorption” occurs, which, due to the lack of ventilation of the sinus, it leads to thinning and prolapse (bending) of the walls.
There are primary (spontaneous) and secondary SMS.
The symptom is only the gradual development of enophthalmos (deepening of the eyeball) on one side. It usually develops over a long period of time. Primary, or spontaneous, SMS occurs in adulthood, with the first symptoms appearing within a few months or years. The causes of secondary SMS development are facial trauma, chronic rhinosinusitis, and functional endoscopic endonasal interventions.