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Silent sinus syndrome

Case contributed by Fakhry Mahmoud Ebouda
Diagnosis certain

Presentation

Chronic headache.

Patient Data

Age: 45 years
Gender: Male
ct

The right maxillary sinus is small in size, atelectatic and totally opacified by pathological soft tissue with obliteration of the right ostiomeatal complex, the uncinate process is superiorly and laterally displaced in direct contact with inferomedial wall of the right orbit. Slight inferior bowing of the right orbital floor, lateral displacement of the right middle and inferior turbinates. Mild mucosal lining thickening of the ethmoid air cells and right sphenoid sinus compartment.

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