隐匿性鼻窦综合征

Silent Sinus Syndrome

隐匿性鼻窦综合征(SSS)系指在亚临床上颌窦炎的情况下,慢性上颌窦膨胀不全,导致眼眶底壁呈弓形下凹,眼球内陷并向下移位的一组综合征。SSS具有自发性、渐进性的特点,一般为单侧发病。患者无明显的鼻炎、鼻窦炎病史及眼部疾病史或外伤史。大多数学者认为上颌窦慢性膨胀不全是SSS的主要原因,而上颌窦慢性膨胀不全则是由上颌窦窦口阻塞引起的。治疗采用鼻内镜下重建上颌窦的通气和引流及行眶壁修复和重建。

Silent sinus syndrome（SSS）is a clinical entity with the constellation of enophthalmos and hypoglobus due to gradual collapse of the obital floor with chronic maxillary atelectasis,in the presence of subclinical maxillary sinusitis.Spontaneous,progressive and unilateral are characteristics of SSS.Patients usually present with no history of sinonasal symptoms,eye disease or eye trauma.Most scholars believe that chronic maxillary atelectasis due to obstruction of the ostiomeatal complex is the main reason for the SSS.Treatment consists of endoscopic reestablishing a functional drainage passage and restoring the normal orbital architecture.