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Inicio Acta Otorrinolaringológica Española Síndrome del seno silente
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Vol. 58. Issue 10.
Pages 491-493 (December 2007)
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Vol. 58. Issue 10.
Pages 491-493 (December 2007)
Caso clínico
Síndrome del seno silente
The Silent Sinus Syndrome
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15066
Montserrat Borràs Perera
Corresponding author
orl@arnau.scs.es

Correspondencia: Dra. M. Borràs Perera. Servicio de Otorrinolaringología y Patología Cérvico-Facial. Hospital Universitari Arnau de Vilanova. Avda. Alcalde Rovira Roure, 80. 25198 Lleida. España.
, Víctor Palomar Asenjo, Josep Soteras Ollé, Joan Carles Fortuny Llanses, Víctor Palomar García
Servicio de Otorrinolaringología y Patología Cérvico-Facial. Hospital Universitari Arnau de Vilanova. Facultad de Medicina. Universitat de Lleida. Lleida. España
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El síndrome del seno silente es una afección muy poco frecuente. Se describe como un enoftalmos unilateral secundario a colapso y opacificación del seno maxilar sin síntomas nasosinusales. La obstrucción del complejo osteomeatal es el factor fisiopatológico desencadenante. El diagnóstico se basa en los hallazgos clínicos y radiológicos. El tratamiento irá dirigido a restablecer la ventilación del seno y, si es necesario, corregir el suelo orbitario. Presentamos el caso de una mujer diagnosticada y tratada en nuestro hospital por esta entidad.

Palabras clave:
Síndrome del seno silente
Atelectasia del seno maxilar
Enoftalmos
Hipoglobo
Complejo osteomeatal

The silent sinus syndrome is a very infrequent pathology. It is described as an enophthalmos secondary to collapse and opacification of maxillary sinus without presenting sinus or nasal symptoms. Osteomeatal complex obstruction is the triggering physiopathologic factor. The clinical symptoms and imaging findings lead to the diagnosis. The treatment consists in restoring sinus ventilation and, if necessary, correcting the orbital floor. We report a case of a woman who was diagnosed and treated because of this entity in our hospital.

Key words:
Silent sinus syndrome
Maxillary sinus syndrome
Enophthalmos
Hypoglobus
Osteomeatal complex

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