Enophthalmos developed in a 44-year-old woman with history of respiratory infection but not of sinus disease. Sinus roentgenograms and MR revealed opacification of the right maxillary antrum, deviation of the nasal septum to the right, obstruction of the right osteomeatal complex, and diminished volume of the right maxillary sinus.

BACKGROUND The orbital blowout fracture is a common facial injury, but full consensus has not been reached regarding its optimal management. The authors retrospectively explored consecutive cases of blowout fractures and proposed new recommendations for treatment. METHODS Two hundred eight newly registered patients were selected from the database of Nagasaki University Hospital over the past ...

PURPOSE Chronic maxillary atelectasis is characterized by unilateral spontaneous enophthalmos and hypoglobus due to increased orbital volume secondary to maxillary sinus inward deformation. Reformation of the sinus architecture and reconstruction of the orbit are key to a successful outcome. Here, we introduce a one-staged surgery that addresses both these goals. PATIENTS AND METHODS We retro...

BACKGROUND The term "orbital blow-out fracture" is referred to as the mechanism by which an impact to the eyeball is transposed as a mechanical energy to the orbital walls, causing them to fracture. Despite a proper surgical technique, a successful anatomic reconstruction of the orbit, and an accurate follow-up, 3 complications are still frequently observed at long-term follow-up: diplopia, eno...

Horner's syndrome (HSd) results from an injury along the cervical sympathetic chain, producing ipsilateral miosis, ptosis, enophthalmos, and facial anhydrosis. Although more commonly associated to malignant tumors affecting the preganglionar segment of the sympathetic chain (especially in the lung apex), HSd has been described as a rare complication of thyroid surgery. We herein report a case o...

Silent sinus syndrome (SSS) is an uncommon disease characterised by enophthalmos, caused by ipsilateral maxillary sinus atelectasis. The diagnosis is clinical with radiological confirmation. The treatment has two objectives: to regulate the aeration of the maxillary sinus through achieving normal nasal cavity drainage and to restore the orbital architecture. A case of SSS treated in our hospita...

Orbital fractures commonly occur in maxillofacial trauma causing enophthalmos and diplopia. If not properly managed the cosmetic and functional problems can virtually become untreatable. In recent years, management of these fractures has been standardized with special emphasis on methods of treatment, timing and materials used for reduction.