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The International Journal on Orbital Disorders, Oculoplastic and Lacrimal Surgery
Volume 25, 2006 - Issue 2
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CASE REPORT

Silent Sinus Syndrome: A Mechanical Theory

Bertrand Baujat MD, PhD Department of Head and Neck Surgery, Hopital Foch, Suresnes, France; Department of Plastic Surgery/Craniofacial Surgery Unit, Chelsea & Westminster Hospital, London, United Kingdom
,
Rémi Derbez MD Department of Head and Neck Surgery, Hopital Foch, Suresnes, France
,
Raphaelle Rossarie MD Department of Head and Neck Surgery, Hopital Foch, Suresnes, France
,
Thomas Hardy MD Department of Oculoplastic Surgery, Chelsea & Westminster Hospital, London, United Kingdom
,
Isabelle Wagner MD Department of Oculoplastic Surgery, Chelsea & Westminster Hospital, London, United Kingdom
,
Darina Krastinova MD Department of Oculoplastic Surgery, Chelsea & Westminster Hospital, London, United Kingdom
&
Frédéric Chabolle MD Department of Oculoplastic Surgery, Chelsea & Westminster Hospital, London, United Kingdom
 show all
Pages 145-148 | Received 27 Oct 2005, Accepted 30 Jan 2006, Published online: 08 Jul 2009
 
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Abstract

We present the case of a progressive enophthalmos, 23 years after an orbital floor fracture treated conservatively. Imaging demonstrated orbital fat herniation into the pterygopalatine fossa and a collapse of the maxillary sinus walls. We hypothesise that some “silent sinus syndrome” might be caused by an aspiration phenomenon resulting from masticatory muscle movements.

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