Silent sinus syndrome
Encyclopedia
Silent sinus syndrome is a spontaneous, asymptomatic collapse of the maxillary sinus
Maxillary sinus
The pyramid shaped maxillary sinus is the largest of the paranasal sinuses, and drains into the nose. It is present at birth as rudimentary air cells, and develops throughout childhood.-General characteristics:...

 and orbital floor associated with negative sinus pressures. It can cause painless facial asymmetry , diplopia
Diplopia
Diplopia, commonly known as double vision, is the simultaneous perception of two images of a single object that may be displaced horizontally, vertically, or diagonally in relation to each other...

 and enophthalmos
Enophthalmos
Enophthalmos is the recession of the eyeball within the orbit.It may be a congenital anomaly, or be acquired as a result of trauma , Horner's syndrome, silent sinus syndrome, or phthisis bulbi....

. Usually the diagnosis is suspected clinically, and it can be confirmed radiologically by characteristic imaging features that include maxillary sinus outlet obstruction, sinus opacification, and sinus volume loss caused by inward retraction of the sinus walls. Treatment is surgical
Surgery
Surgery is an ancient medical specialty that uses operative manual and instrumental techniques on a patient to investigate and/or treat a pathological condition such as disease or injury, or to help improve bodily function or appearance.An act of performing surgery may be called a surgical...

involving making an outlet for mucous drainage from the obstructed sinus.

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