Silent Sinus syndrome- should we be concerned?

Abstract

Abstract In this paper, we report on the radiological findings of silent sinus syndrome. This is significant because silent sinus syndrome can lead to enophthalmos, facial asymmetry and diplopia if left untreated. It is usually diagnosed based on radiological findings. Patients normally present to the head and neck specialty for unrelated concerns and upon taking radiographic imaging, features of silent sinus syndrome can be seen. It is the duty of the surgeon to be aware of sinus abnormalities and inform the patient of such findings. This paper highlights the radiological features clinicians should be aware of. Clinical relevance: Radiologists and head and neck clinicians should be aware of the features of silent sinus syndrome. The syndrome is poorly reported on but radiological features are consistent across case reports. Objectives: The reader should have an awareness of the radiological signs of maxillary sinus pathology and understand features of silent sinus syndrome. They should be able to Include sinus related findings in radiographic report for orbito-facial imaging.