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Early-diagnosed silent sinus syndrome and cone-beam computed tomography in a pediatric patient: a case report

대한구강악안면외과학회지 2020년 46권 2호 p.155 ~ 159
Leidens Natali, Franco Ademir, Santos Marco C. J., Makeeva Irina M., Fernandes Angela,
소속 상세정보
 ( 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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