A case of providing a surgical treatment for patient with silent sinus syndrome

This article presents a case report of patient with silent sinus syndrome.This syndrome is characterized by reduction in size of sinus with accumulation of pathological content inside it due to obstruction of osteomeatal complex, development of enophthalmos and resorption of bone walls. Such process occurs because of hypoventilation of maxillary sinus and followed by development of chronical maxillary sinusitis. Except generally accepted clinical observations, computer tomography scan of paranasal sinuses and endoscopic endonasal examination are essential for the verification of this syndrome in patients.We believe that in order to prevent sinus collapse it is necessary to provide a surgical treatment which involves making a vide antrostoma through endoscopic approach and correction of middle nasal turbinate and other intra-nasal structures especially those who are located near to osteomeatal complex. This will provide normal conditions for ventilation of middle nasal meatus. Appropriate postoperative examination and care is also required for successful recovery.