What is opacification of the sinuses?
Inflammation. Sinonasal inflammatory disease with sinus ostial obstruction is a very common cause of an opacified paranasal sinus. An air-fluid level suggests acute sinusitis; in chronic sinus disease, one may see mucosal thickening and sclerosis of the bony sinus walls.
Is silent sinus syndrome serious?
Silent sinus syndrome (SSS) is a rare disease process characterized by progressive enophthalmos and hypoglobus due to ipsilateral maxillary sinus hypoplasia and orbital floor resorption. Patients may also present with eye asymmetry, unilateral ptosis, or diplopia.
How is silent sinus syndrome treated?
The restitution treatment of the silent sinus syndrome involves functional endoscopic sinus surgery and plastic reconstruction of the floor of the orbit via transconjunctival approach; an additional vestibular incision may be necessary to treat the malar region.
What is silent sinus condition?
Silent sinus syndrome is a disease characterized by enophthalmos or hypoglobus secondary to the collapse of the orbital floor in the presence of asymptomatic chronic maxillary sinusitis.
How long does frontal sinusitis last?
Most acute sinusitis symptoms begin to disappear within a few days of treatment. However, you should always take all prescribed medications as instructed. It may take several weeks before the problem completely clears. If symptoms persist for 12 weeks or longer, it’s known as chronic frontal sinusitis.
Is surgery necessary for silent sinus syndrome?
Management of silent sinus syndrome is surgical, by performing an endoscopic maxillary antrostomy . Most of the patients may remain asymptomatic with well ventilated maxillary sinus, while a few may require orbital floor reconstruction as a second stage procedure .
How do you know if you have silent sinus syndrome?
Key Diagnostic Features: Diminished volume of maxillary sinus is noted. Secondary signs include downward displacement and thinning of the ipsilateral orbital floor, retraction of all the sinus walls, widening of the ipsilateral middle meatus and increase in the retroantral fat pad.
Can blocked sinuses cause blurry vision?
Sinus infections cause swelling of the sinus cavities in the bones around the nasal passages and the eyes. Swelling and inflammation can cause pressure on the eyes themselves, resulting in vision distortion, eye pain, and blurred vision.
Can sinuses affect eyes?
The eyes. In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes – this usually starts in one eye and spreads to the other eye soon after.
What is the drug of choice for sinusitis?
The antibiotics of choice include agents that cover organisms causing acute sinusitis but also cover Staphylococcus species and anaerobes. These include amoxicillin-clavulanate, cefpodoxime proxetil, cefuroxime, gatifloxacin, moxifloxacin, and levofloxacin.
Which food is not good for sinusitis?
Food to Avoid Avoid dairy if you have had previous episodes of sinus infections. Also, try to avoid refined sugar as it is pro-inflammatory and increases the production of mucus. Other foods to avoid include tomatoes (contain histamines), chocolate, cheese, gluten, and fruits like bananas, which can cause congestion.
What causes obstruction of the natural sinus OS?
Obstruction of the natural sinus os may be secondary to multiple mechanisms including lateralized infundibular wall, lateralized middle turbinate, mucocele or polyp occluding the ostium, inflamed nasal mucosa, or presence of infraorbital ethmoid air cells that narrow maxillary ostium.
When do healthy sinuses become blocked sinusitis?
Similarly, when your sinuses are healthy, you breathe in and out easily, and you never contemplate all the mucus production and air-conditioning occurring inside your nasal cavity. Then you notice you’re congested, and after several days or weeks, you start to feel sinus pressure in your face or forehead.
What happens when the OMC is blocked in the sinus?
When the OMC gets blocked, in short order mucus backs up and the doors from the sinuses (the ostia) become blocked as well, as shown in Figure 3.1. The cilia stop beating effectively, and drainage from the sinuses stops or is severely curtailed.
What is the medical term for silent sinus?
The silent sinus syndrome, also known as imploding antrum and chronic maxillary sinus atelectasis, consists of findings of painless enophthalmos and inward retraction of the ipsilateral maxillary sinus walls on imaging studies ( 1, 2 ). The resultant volume loss in the maxillary sinus accounts for orbital enlargement and enophthalmos.