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Chronic maxillary atelectasis (including silent sinus syndrome) can present bilaterally

Published online by Cambridge University Press:  18 February 2019

J P K Ho ,
E Wong ,
D A Gunaratne  and
N Singh
J P K Ho*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Westmead Hospital, Sydney, Australia School of Medicine, University of Sydney, Australia
E Wong
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Westmead Hospital, Sydney, Australia School of Medicine, University of Sydney, Australia
D A Gunaratne
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Westmead Hospital, Sydney, Australia
N Singh
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Westmead Hospital, Sydney, Australia School of Medicine, University of Sydney, Australia
*
Author for correspondence: Dr Joyce Ho, Department of Otolaryngology Head and Neck Surgery, Westmead Hospital, Hawkesbury Road, Westmead, NSW 2145, Australia E-mail: [email protected] Fax: +61 (02) 8890 9852
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Abstract

Objective

Chronic maxillary atelectasis is a rare and underdiagnosed condition in which there is a persistent and progressive decrease in maxillary sinus volume secondary to inward bowing of the antral walls. Chronic maxillary atelectasis is typically unilateral. Simultaneous bilateral chronic maxillary atelectasis is extremely uncommon.

Methods

A retrospective review was performed of patient data collected by the senior clinician over a three-year period (2015–2018). A comprehensive literature search was conducted to locate all documented cases of chronic maxillary atelectasis in English-language literature. Abstracts and full-text articles were reviewed.

Results

Three patients presented with sinonasal symptoms. Imaging findings were consistent with bilateral chronic maxillary atelectasis. The literature review revealed at least nine other cases of bilateral chronic maxillary atelectasis. Management is typically via endoscopic middle meatus antrostomy.

Conclusion

Chronic maxillary atelectasis was initially defined as a unilateral disorder, but this description has been challenged by reports of bilateral cases. Further investigation is required to determine the aetiology and pathophysiology of the disease.

Keywords

Maxillary SinusMaxillary SinusitisParanasal Sinuses
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 3 , March 2019 , pp. 251 - 255
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr J Ho takes responsibility for the integrity of the content of the paper

References

1Kass, ES, Salman, S, Weber, AL, Rubin, PAD, Montgomery, WW. Chronic maxillary atelectasis. Ann Otol Rhinol Laryngol 1997;106:109–16Google Scholar
2Brandt, MG, Wright, ED. The silent sinus syndrome is a form of chronic maxillary atelectasis: a systematic review of all reported cases. Am J Rhinol 2008;22:68–73Google Scholar
3Montgomery, W. Mucocele of the maxillary sinus causing enophthalmos. Eye Ear Nose Throat Mon 1964;43:41–4Google Scholar
4Soparkar, CNS, Patrinely, JR, Cuaycong, MJ, Dailey, RA, Kersten, RC, Rubin, PAD et al. The silent sinus syndrome: a cause of spontaneous enophthalmos. Ophthalmology 1994;101:772–8Google Scholar
5de Dorlodot, C, Collet, S, Rombaux, P, Horoi, M, Hassid, S, Eloy, P. Chronic maxillary atelectasis and silent sinus syndrome: two faces of the same clinical entity. Eur Arch Otorhinolaryngol 2017;274:3367–73Google Scholar
6Gunaratne, DA, Hasan, Z, Floros, P, Singh, N. Bilateral stage I chronic maxillary atelectasis: a case report. Int J Surg Case Rep 2016;26:53–6Google Scholar
7Ferri, A, Ferri, T, Sesenna, E. Bilateral silent sinus syndrome: case report and surgical solution. J Oral Maxillofac Surg 2012;70:e103–6Google Scholar
8Suh, JD, Ramakrishnan, V, Lee, JY, Chiu, AG. Bilateral silent sinus syndrome. Ear Nose Throat J 2012;91:E19–21Google Scholar
9Shieh, W, Huggins, AB, Rabinowitz, MR, Rosen, MR, Rabinowitz, MP. A case of concurrent silent sinus syndrome, thyroid eye disease, idiopathic orbital inflammatory syndrome, and dacryoadenitis. Orbit 2017;36:462–4Google Scholar
10Illner, A, Davidson, HC, Harnsberger, HR, Hoffman, J. The silent sinus syndrome: clinical and radiographic findings. AJR Am J Roentgenol 2002;178:503–6Google Scholar
11Mangussi-Gomes, J, Nakanishi, M, Chalita, MR, Damasco, F, De Oliveira, CACP. Stage II chronic maxillary atelectasis associated with subclinical visual field defect. Int Arch Otorhinolaryngol 2013;17:409–12Google Scholar
12Annino, DJ Jr, Goguen, LA. Silent sinus syndrome. Curr Opin Otolaryngol Head Neck Surg 2008;16:22–5Google Scholar
13Ando, A, Cruz, AA. Management of enophthalmos and superior sulcus deformity induced by the silent sinus syndrome. Aesthetic Plast Surg 2005;29:74–7Google Scholar
14Liss, JA, Patel, RD, Stefko, ST. A case of bilateral silent sinus syndrome presenting with chronic ocular surface disease. Ophthal Plast Reconstr Surg 2011;27:e158–60Google Scholar
15Sun, DQ, Dubin, MG. Treatment of chronic maxillary atelectasis using balloon dilation. Otolaryngol Head Neck Surg 2013;149:782–5Google Scholar
16Kohn, JC, Rootman, DB, Xu, D, Goldberg, RA. Infratemporal fossa fat enlargement in chronic maxillary atelectasis. Br J Ophthalmol 2013;97:1005–9Google Scholar
17Lin, GC, Sedaghat, AR, Bleier, BS, Holbrook, EH, Busaba, NY, Yoon, MK et al. Volumetric analysis of chronic maxillary atelectasis. Am J Rhinol Allergy 2015;29:166–9Google Scholar
18Cobb, AR, Murthy, R, Cousin, GC, El-Rasheed, A, Toma, A, Uddin, J et al. Silent sinus syndrome. Br J Oral Maxillofac Surg 2012;50:e81–5Google Scholar
19Numa, WA, Desai, U, Gold, DR, Heher, KL, Annino, DJ. Silent sinus syndrome: a case presentation and comprehensive review of all 84 reported cases. Ann Otol Rhinol Laryngol 2005;114:688–94Google Scholar
20Kass, ES, Salman, S, Montgomery, WW. Manometric study of complete ostial occlusion in chronic maxillary atelectasis. Laryngoscope 1996;106:1255–8Google Scholar
21Rose, GE, Lund, VJ. Clinical features and treatment of late enophthalmos after orbital decompression: a condition suggesting cause for idiopathic “imploding antrum” (silent sinus) syndrome. Ophthalmology 2003;110:819–26Google Scholar
22Ende, K, Mah, L, Kass, ES. Progression of late-stage chronic maxillary atelectasis. Ann Otol Rhinol Laryngol 2002;111:759–62Google Scholar
23Vander Meer, JB, Harris, G, Toohill, RJ, Smith, TL. The silent sinus syndrome: a case series and literature review. Laryngoscope 2001;111:975–8Google Scholar
24Baujat, B, Derbez, R, Rossarie, R, Hardy, T, Wagner, I, Krastinova, D et al. Silent sinus syndrome: a mechanical theory. Orbit 2006;25:145–8Google Scholar
25Kashima, T, Goldberg, RA, Kohn, JC, Rootman, DB. One-stage bone strip reconstruction technique with balloon sinus dilatation surgery for chronic maxillary atelectasis. Clin Ophthalmol 2016;10:2363–8Google Scholar
26Kilty, SJ. Maxillary sinus atelectasis (silent sinus syndrome): treatment with balloon sinuplasty. J Laryngol Otol 2014;128:189–91Google Scholar
27Facon, F, Eloy, P, Brasseur, P, Collet, S, Bertrand, B. The silent sinus syndrome. Eur Arch Otorhinolaryngol 2006;263:567–71Google Scholar
28Alons-ter Hoeven, J, de Keizer, RJ, van der Meij, AG, van Merkesteyn, JP. Silent sinus syndrome secondary to a radix relicta in the antrum. J Craniofac Surg 2010;21:607–9Google Scholar
29Thomas, RD, Graham, SM, Carter, KD, Nerad, JA. Management of the orbital floor in silent sinus syndrome. Am J Rhinol 2003;17:97–100Google Scholar