Pediatric Silent Sinus Syndrome: A Case Report and Literature Review.

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY Annals of Otology Rhinology and Laryngology Pub Date : 2025-04-01 Epub Date: 2024-11-27 DOI:10.1177/00034894241302143

Evan S Chernov, Anthony Ghanem, Leonardo Gonzales Parilla, William W Carroll

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Abstract

Objectives: Silent sinus syndrome (SSS) is a rare condition involving idiopathic maxillary sinus underdevelopment, orbital floor resorption, enophthalmos, and hypoglobus. SSS is more commonly described in adults, with only very limited literature in the pediatric population. Given the rarity of the condition, there is a lack of consensus regarding proper diagnostic criteria and treatment strategies. We present a case of pediatric SSS and a review of other cases in the literature.

Methods: Case report and systematic review.

Results: A 12-year-old female patient was referred for incidental MRI findings suggestive of SSS. Examination revealed minimal enophthalmos with some hypoglobus. A CT scan of the sinuses confirmed the diagnosis of SSS, and the patient underwent a right sided endoscopic modified medial maxillectomy/mega-antrostomy with image guidance given the significant maxillary hypoplasia. A literature review of CINAHL, PubMed, and Scopus identified 15 studies that referenced pediatric SSS cases.

Conclusions: This article reports a case of pediatric SSS and compares the presenting symptoms, diagnostic criteria, and surgical intervention to other cases of pediatric SSS. As pediatric SSS is a very rare disease, this case offers a possible treatment strategy for a severely atelectatic maxillary sinus.

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小儿无声窦综合征：病例报告与文献综述

目的：无声上颌窦综合征（SSS）是一种罕见病，包括特发性上颌窦发育不全、眶底吸收、眼球突出和眼睑下垂。SSS 多见于成人，关于儿童的文献非常有限。鉴于该病的罕见性，人们对正确的诊断标准和治疗策略缺乏共识。我们介绍了一例儿科 SSS 病例，并对文献中的其他病例进行了回顾：方法：病例报告和系统回顾：一名 12 岁女性患者因磁共振成像偶然发现提示 SSS 而转诊。检查发现她有轻微的眼球突出和一些眼睑下垂。鼻窦 CT 扫描证实了 SSS 的诊断，鉴于患者上颌骨发育不良，在图像引导下，患者接受了右侧内镜下改良上颌骨内侧切除术/巨腭裂切除术。通过对CINAHL、PubMed和Scopus的文献综述，发现有15项研究引用了小儿SSS病例：本文报告了一例小儿SSS病例，并将其表现症状、诊断标准和手术干预与其他小儿SSS病例进行了比较。由于小儿 SSS 是一种非常罕见的疾病，本病例为严重上颌窦无回声提供了一种可能的治疗策略。

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来源期刊

Annals of Otology Rhinology and Laryngology 医学-耳鼻喉科学

CiteScore

3.10

自引率

7.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.