PMID: 9439386Jan 24, 1998Paper

Maxillary sinus atelectasis with enophthalmos

The Annals of Otology, Rhinology, and Laryngology
J H BoydJ Holds

Abstract

Chronic maxillary sinusitis may present as atelectasis of the sinus with changes to surrounding structures. Several mechanisms have been proposed for this problem. Chronic obstruction of the sinus ostium, with resultant retention of secretions and osteitic bone resorption, may account for these changes. Enophthalmos is one manifestation that may require corrective treatment. Titanium micromesh reconstruction of the orbital floor, with or without onlay concha cartilage, has reliably resolved the enophthalmos. Reconstruction of the orbital floor and ventilation of the obstructed sinus ostium may be carried out relatively safely in a single operation. The standard endoscopic technique of uncinate removal and middle meatal antrostomy should be modified to prevent orbital penetration. This report reviews our series of 6 patients with this problem, as well as a comprehensive review of the literature. Recommendations for management of both the obstruction and the secondary orbital manifestations are presented.

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Citations

Jan 24, 2002·AJR. American Journal of Roentgenology·Anna IllnerJohn Hoffman
Feb 17, 2006·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·F FaconB Bertrand
Apr 1, 2014·Otolaryngologic Clinics of North America·Raza PashaMohammad Nadir Ijaz
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Apr 29, 2008·American Journal of Otolaryngology·Frank VirginStilianos E Kountakis
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