Early-diagnosed silent sinus syndrome and cone-beam computed tomography in a pediatric patient: a case report
Leidens Natali, Franco Ademir, Santos Marco C. J., Makeeva Irina M., Fernandes Angela,
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( Leidens Natali ) - Federal University of Parana Department of Stomatology
( Franco Ademir ) - Sechenov University Institute of Dentistry Department of Therapeutic Stomatology
( Santos Marco C. J. ) - Parana State Institute of Otorhinolaryngology Department of Otorhinolaryngology
( Makeeva Irina M. ) - Sechenov University Institute of Dentistry Department of Therapeutic Stomatology
( Fernandes Angela ) - Federal University of Parana Department of Stomatology
Abstract
Chronic maxillary atelectasis (CMA) is a progressive alteration in the volume of the maxillary sinuses that may result in facial asymmetry. CMA in asymptomatic patients is known as silent sinus syndrome (SSS) and is a rare entity, especially in pediatric patients. This study reports a case of SSS in a pediatric patient who received an early diagnosis through cone-beam computed tomography (CBCT). An asymptomatic 12-year-old female patient in orthodontic treatment presented with opacification of the left maxillary sinus on a panoramic radiograph. Clinically, the patient had discrete hypoglobus and enophthalmos. CBCT and nasal video-endoscopy revealed ostiomeatal obstruction with bone deformity, leading to diagnosis of SSS. Endonasal endoscopic maxillary sinusotomy was performed. Two years later, the patient remained asymptomatic, and a second CBCT exam confirmed a stable condition. This case highlights the role of optimal radiographic interpretation for early diagnosis of maxillofacial alterations in pediatric patients.
키워드
Cone-beam computed tomography; Diagnosis; Maxillary sinus; Atelectasis; Surgery
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