What is silent sinus syndrome?

Silent sinus syndrome is a rare condition characterized by painless facial asymmetry and facial deformity caused by progressive maxillary sinus collapse. It often occurs unilaterally and is associated with chronic sinusitis or nasal polyposis. The exact cause of silent sinus syndrome is not fully understood, but it is believed to be related to negative pressure in the maxillary sinus leading to gradual reabsorption of bone and sinus collapse.

Symptoms of silent sinus syndrome may include facial asymmetry, sunken appearance of the eye on the affected side, eye pain, double vision, and nasal congestion. Diagnosis is typically made through a physical examination, imaging studies (such as CT scans), and nasal endoscopy.

Treatment for silent sinus syndrome may involve surgical intervention to restore normal sinus function and relieve symptoms. This may include endoscopic sinus surgery to open up the sinus cavity and improve drainage, as well as reconstructive procedures to correct facial deformity. Prognosis for individuals with silent sinus syndrome is generally good with appropriate treatment, but it is important to seek medical attention early to prevent complications.