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Title:
Single Stage Surgery for Silent Sinus Syndrome with Endoscopic Maxillary Mega-Antrostomy: A Case Series
Series Title:
3. Tate AD, Balamohan SM, Justice JM. Single-Stage Surgery for Silent Sinus Syndrome with Endoscopic Maxillary Mega-Antrostomy: A Case Series. Otolaryngol Online Journal. 2017; 7(2):21-24.
Creator:
Justice, Jeb
Publisher:
Otolaryngology Online Journal
Publication Date:
Language:
English
Physical Description:
Journal Article

Notes

Abstract:
Silent sinus syndrome (SSS) or chronic maxillary atelectasis (CMA) is characterized by enophthalmos or hypo Globus along with maxillary sinus atelectasis and lateralization of the uncinate process without classic rhino sinusitis symptoms. A previous description of surgical management includes maxillary antrostomy with orbital floor repair via an implant, possibly as a two-stage procedure. The objective of this study was to evaluate single-stage endoscopic correction of SSS/CMA via endoscopic maxillary mega-antrostomy without performing planned up-front orbital correction. Eight patients (9 sinuses) in our retrospective review underwent single-stage endoscopic maxillary mega-antrostomy as first-line treatment with removal of the middle 1/3 of the inferior turbinate and medial maxillary wall due to the inferior location of the orbital floor and lateralized uncinate compared to the natural ostium. There were no complications. All sinuses remained ventilated in our study at a mean follow up of 10.3 months without the need for corrective orbital surgery. This method is a reasonable initial treatment option by providing sufficient sinus ventilation and resolution of hypoglobus or enophthalmos (if present) while still safely opening the sinus.
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Collected for University of Florida's Institutional Repository by the UFIR Self-Submittal tool. Submitted by Jeb Justice.

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Source Institution:
University of Florida Institutional Repository
Holding Location:
University of Florida
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All rights reserved by the submitter.
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ABSTRACT Silent sinus syndrome (SSS) or chronic maxillary atelectasis (CMA) is characterized by enophthalmos or hypo Globus along with maxillary sinus atelectasis single-stage endoscopic maxillary mega-antrostomy and lateralized uncinate compared to the natural Keywords: chronic maxillary atelectasis, endoscopic sinus surgery, enophthalmos, hypoglobus, orbit, maxillary sinus Silent sinus syndrome (SSS) or chronic maxillary atelectasis (CMA) are terms used to describe a rare phenomenon characterized by enophthalmos or hypoglobus along with maxillary sinus atelectasis 1 include endoscopic maxillary antrostomy with stage procedure 2 endoscopic maxillary mega-antrostomy without Mega-Antrostomy: A Case Series Received: May Accepted: Published:

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Materials and Methods: Study design: to include sinonasal endoscopy and computed sinus underwent single-stage endoscopic maxillary megaResults: study and others, early SSS may not present changes Pt Age Sex Side Symptom(s) Months mm needed 1 M B 2 2 2 R Pressure 29 R M Incidental CT M Table 1:

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Discussion: by other studies showing that the orbit and maxillary sinus 2 standard maxillary antrostomy as measured between the maxillary mega-antrostomy appears to be an Figure 1:

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T Conclusion: date with reported endoscopic maxillary megaproximity to the orbit