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Silent sinus syndrome after facial trauma: A case report and literature review
Author(s) -
Araslanova Rakhna,
Allen Larry,
Rotenberg Brian W.,
Sowerby Leigh J.
Publication year - 2017
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.26527
Subject(s) - sss* , medicine , facial trauma , enophthalmos , sinus (botany) , surgery , antecedent (behavioral psychology) , presentation (obstetrics) , psychology , developmental psychology , botany , diplopia , biology , genus
Objective The accepted definition of silent sinus syndrome (SSS) excludes posttraumatic cases. To challenge current exclusion criteria of antecedent facial trauma, we have identified all published cases of posttraumatic SSS in English literature, including a new representative case from our institution. Data Sources MEDLINE, EMBASE, and Scopus databases. Review Methods All case reports and case series published in English literature from 1964 through August 2016 were sequentially identified. Authors of cases with missing information were contacted for completion. Results Thirteen documented cases of posttraumatic SSS were identified through the literature review. An additional case from our institution was presented, bringing the total reported case count to 14. Time from initial trauma to presentation ranged from 2 months to 32 years, with a median duration of 6 months. Endoscopic sinus surgery (ESS) with either concurrent or staged orbital floor implant repair was used to treat posttraumatic SSS in 64% of reported cases. Three patients had ESS alone, with one case showing postoperative improvement in enophthalmos. Conclusion Recent emergence of case reports of SSS postorbital and facial trauma challenge the current exclusion criteria of precedent facial trauma. Posttraumatic SSS is rare, but the availability of cross‐sectional imaging pre‐ and postdevelopment of SSS makes a strong case for a causal relationship. Laryngoscope , 127:1520–1524, 2017

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