SILENT SINUS SYNDROME Clinical Trial
Official title:
SILENT SINUS SYNDROME (First Case Report, Saudi Arabia With Recommendation)
Silent sinus syndrome is a rare disorder that presents a diagnostic challenge, most of the patients with this syndrome present with ophthalmological complaints without any nasal sinus symptoms, and it has a painless course and slow development. A case report of a 37-years-old-female who was complaining of severe throbbing pain since 2009, is presented here where the diagnosis of SSS was obtained in 2018, this delay in diagnosing the situation had affected the patient lifestyle tremendously.
Silent sinus syndrome is a rare disorder that presents a diagnostic challenge, most of the
patients with this syndrome present with ophthalmological complaints without any nasal sinus
symptoms, and it has a painless course and slow development. The syndrome can be diagnosed
clinically and confirmed radiologically, and CT imaging is considered the gold standard for
its diagnosis. The classical radiographic findings are opacification and collapse of the
sinus walls. Functional endoscopic sinus surgery (FESS) is the standard gold treatment of
choice to arrest the progression of the disease.
A case report of a 37-years-old-female who was complaining of severe throbbing pain since
2009, is presented here where the diagnosis of SSS was obtained in 2018, this delay in
diagnosing the situation had affected the patient lifestyle tremendously.
Accordingly, knowledge of the signs and features of SSS can result in an accurate diagnosis.
Suspected cases of silent sinus syndrome require prompt ear, nose, and throat referral for
consideration of definitive diagnosis and surgical management. Nasal endoscopy and clinical
evaluation are also essential for the diagnosis. Our recommendation is to consider SSS as a
differential diagnosis for patients with spontaneous enophthalmos and hypoglobus, even in the
absence of maxillary sinus opacification. Moreover, encourage all the specialists in the
medical and the dental field to communicate well together in cases like this.
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