B-ENT

Endoscopy sinus surgery with complete resolution of enophthalmos in a case of silent maxillary sinus

1.

Department of Otorhinolaringology, Santa Maria Hospital, Lleida, Spain

2.

Department of Otorhinolaringology, Vega Baja Hospital, Alicante, Spain

B-ENT 2007; 3: 93-95
Read: 443 Downloads: 364 Published: 21 February 2020

Endoscopy sinus surgery with complete resolution of enophthalmos in a case of silent maxillary sinus. This paper presents a case of true silent right maxillary sinus associated with facial haemangiomae. A 45-year-old woman consulted an ophthalmologist for an asymptomatic “sinking in” of her right eye over a six-month period. Two venous haemangiomae were found: one in the right lower eyelid and one on the right of the upper lip. Ophthalmologic examination revealed a prominent right superior palpebral sulcus. Evaluation included computed tomography (CT) of the orbits, showing an increased right orbital volume and right maxillary sinusitis. The patient underwent a right endoscopic uncinectomy and maxillary antrostomy. The patient experienced a prompt resolution of the enophthalmos. Orbital implantation was not performed because the enophthalmos resolved spontaneously. No changes were observed during two years of follow-up.

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