Images in... Silent sinus syndrome

A 35-year-old male patient presented to our clinic com-plaining of a 2-week history of progressive left cheek depression causing visible asymmetry of the face and the sensation of his left eye ‘sinking in ’ for the previous 5 days. The patient had a history of minor bilateral inter-mittent nasal obstruction symptoms and slight rhinor-rhoea. On examination enophthalmos of the left eye and facial asymmetry were observed (figure 1). CT scans of the orbit and the nose and paranasal sinuses showed complete opacification and collapse of the left maxillary sinus with inferior bowing of the orbital floor (figure 2). The patient was diagnosed to have silent sinus syn-drome (SSS). Patency of maxillary sinus ostium was achieved with an endoscopic approach under genera