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KMID : 0355620200460020155
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2020 Volume.46 No. 2 p.155 ~ p.159
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Early-diagnosed silent sinus syndrome and cone-beam computed tomography in a pediatric patient: a case report
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Leidens Natali
Franco Ademir
Santos Marco C. J.
Makeeva Irina M.
Fernandes Angela
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Abstract
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Chronic maxillary atelectasis (CMA) is a progressive alteration in the volume of the maxillary sinuses that may result in facial asymmetry. CMA in asymptomatic patients is known as silent sinus syndrome (SSS) and is a rare entity, especially in pediatric patients. This study reports a case of SSS in a pediatric patient who received an early diagnosis through cone-beam computed tomography (CBCT). An asymptomatic 12-year-old female patient in orthodontic treatment presented with opacification of the left maxillary sinus on a panoramic radiograph. Clinically, the patient had discrete hypoglobus and enophthalmos. CBCT and nasal video-endoscopy revealed ostiomeatal obstruction with bone deformity, leading to diagnosis of SSS. Endonasal endoscopic maxillary sinusotomy was performed. Two years later, the patient remained asymptomatic, and a second CBCT exam confirmed a stable condition. This case highlights the role of optimal radiographic interpretation for early diagnosis of maxillofacial alterations in pediatric patients.
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KEYWORD
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Cone-beam computed tomography, Diagnosis, Maxillary sinus, Atelectasis, Surgery
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