Clinical and Radiographic Evaluation of the Silent Sinus Syndrome: The Importance of Simultaneous Assessment

Background and Aim:The silent sinus syndrome (SSS) is indeed a rare clinical condition.The exact cause of SSS is still unknown, but it is believed to result from chronic negative pressure within the maxillary sinus, leading to progressive inward retraction of the sinus walls and subsequent orbital floor remodeling.Case Presentation: This case report describes a 61-year-old male with slight facial asymmetry and nasal septum deviation with a normal range of vision.According to cone-beam computed tomography (CBCT) findings, the right maxillary sinus appeared hypoplastic and opaque and the right orbit had 4.58 mm displacement compared to the left orbit.Conclusion: Accurate diagnosis of the SSS requires assessing clinical and radiographic findings.Rhinologists and, to a lesser extent, ophthalmologists and dentomaxillofacial radiologists are skilled at diagnosing SSS through CBCT imaging of the paranasal sinuses.However, general radiologists are not often well aware of this syndrome.Increasing awareness among general radiologists is vital for prompt identification and appropriate care.