A case of concurrent silent sinus syndrome, thyroid eye disease, idiopathic orbital inflammatory syndrome, and dacryoadenitis

ABSTRACT

This is a retrospective case description of a single female patient found to have concomitant bilateral silent sinus syndrome, bilateral thyroid eye disease, unilateral dacryoadenitis, and idiopathic orbital inflammation that presented as progressive unilateral right-sided proptosis. The spectrum of inflammatory orbital diseases can make discerning between different entities challenging, but more unique in this case was the simultaneous presentation with bilateral silent sinus syndrome, a rare entity in its own right. Identifying each of these concurrent disease processes is important to establishing a multidisciplinary treatment approach to address all the patient’s orbital and peri-orbital pathology. We hope to highlight the clinical and radiographic findings unique to each of these entities and share our approach to treatment in this complex case.

KEYWORDS:

• Dacryoadenitis
• idiopathic orbital inflammatory syndrome
• silent sinus syndrome
• thyroid eye disease

Acknowledgement

All authors have complied with the standards and guidelines set forth by HIPAA.

Disclosure statement

The authors report no conflicts of interest. The authors have no financial interest or investment in the medications in this document. The authors alone are responsible for the content and writing of the article.