Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-24T00:25:32.576Z Has data issue: false hasContentIssue false

Maxillary sinus atelectasis (silent sinus syndrome): treatment with balloon sinuplasty

Published online by Cambridge University Press:  27 January 2014

S J Kilty*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, University of Ottawa, Ottawa Hospital, Ottawa Health Research Institute, Ontario, Canada
*
Address for correspondence: Dr Shaun Kilty, Department of Otolaryngology-Head and Neck Surgery, Ottawa Hospital, Civic Campus, Parkdale Clinic, Room 242, 1053 Carling Ave, Ottawa, Ontario K1Y 4E9, Canada Fax: +1 613 729 2412 E-mail: shaunkilty@hotmail.com

Abstract

Introduction:

Maxillary sinus atelectasis is a form of chronic rhinosinusitis of uncertain aetiology. Previously, the conventional treatment for this condition has been standard endoscopic surgery. There are no reports in the literature of successful treatment using balloon sinuplasty.

Methods:

A case of a patient with right maxillary sinus atelectasis is presented, who was treated using the balloon sinuplasty technique.

Results:

The patient's right maxillary sinus atelectasis was successfully treated using balloon sinuplasty. Three-month follow-up evaluation documented retention of the remodelled form of the uncinate process, and of maxillary sinus os patency.

Conclusion:

This is the first report of successful use of the balloon sinuplasty technique for the treatment of maxillary sinus atelectasis. Follow up demonstrated resolution of the underlying pathophysiology. Further study of the balloon sinuplasty technique for the treatment of maxillary sinus atelectasis is required to determine whether it has widespread applicability, given the current standard treatment.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the 24th Congress of the European Rhinologic Society and 31st Symposium on Infection and Allergy of the Nose, 17–21 June 2012, Toulouse, France

References

1Montgomery, WW. Mucocele of the maxillary sinus causing enophthalmos. Eye Ear Nose Throat Mon 1964;43:41–4Google Scholar
2Soparkar, CN, Patrinely, JR, Cuaycong, MJ, Dailey, RA, Kersten, RC, Rubin, PA et al. The silent sinus syndrome: a cause of spontaneous enophthalmos. Ophthalmology 1994;101:772–8CrossRefGoogle ScholarPubMed
3Kass, ES, Salman, S. Manometric study of complete ostial occlusion in chronic maxillary atelectasis. Laryngoscope 1996;106:1255–8Google Scholar
4Sivasubramaniam, R, Sacks, R, Thornton, M. Silent sinus syndrome: dynamic changes in the position of the orbital floor after restoration of normal sinus pressure. J Laryngol Otol 2011;125:1239–43Google Scholar
5Brown, CL, Bolger, WE. Safety and feasibility of balloon catheter dilation of paranasal sinus ostia: a preliminary investigation. Ann Otol Rhinol Laryngol 2006;115:293–9Google Scholar
6Catalano, PJ. Balloon technology: let the truth be told. Curr Allergy Asthma Rep 2013;13:250–4CrossRefGoogle ScholarPubMed