Abstract
The silent sinus syndrome (SSS) consists of painless facial asymmetry characterized by palpebral retraction and enophthalmos, secondary to chronic maxillary sinus atelectasis. It is a quite rare clinical entity. A review of the literature reveals about 120 cases reported. Although this kind of pathology often initially is presented to ophthalmologist, most of these patients will be referred to ENT surgeon for suitable treatment.This has two objectives: to perform an endoscopic sinus surgery to restore adequate ventilation and, occasionally, plastic reconstruction of the floor of the orbit. We report a 17-year-old man with SSS as source of an orbital process responsible for palpebral retraction and enophthalmos. Regarding this case, the literature is also reviewed in detail.
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