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Enophthalmos as a Complication of Rhinoplasty
Author(s) -
Eloy Jean Anderson,
Jacobson Adam Saul,
Elahi Ebrahim,
Shohet Michael Robert
Publication year - 2006
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 - 10.1097/01.mlg.0000217254.22699.09
Subject(s) - enophthalmos , medicine , maxillary sinus , ostium , orbit (dynamics) , sinus (botany) , surgery , nasal cavity , complication , diplopia , botany , engineering , biology , genus , aerospace engineering
Silent sinus syndrome is a known clinical entity caused by negative sinus pressure from acquired obstruction of the maxillary sinus ostium with resulting enophthalmos and hypoglobus. We present a case in which, after septorhinoplasty, a patient developed progressive enophthalmos and hypoglobus. His evaluation was consistent with silent sinus syndrome. This case illustrates the complex reconstructive challenges of repairing an orbit in the setting of fistulization of the orbit with the maxillary sinus cavity. In particular, we highlight the inferior fornyx transconjunctival approach with simultaneous intranasal endoscopic maxillary sinus aeration.