Abstract
We present the case of a progressive enophthalmos, 23 years after an orbital floor fracture treated conservatively. Imaging demonstrated orbital fat herniation into the pterygopalatine fossa and a collapse of the maxillary sinus walls. We hypothesise that some "silent sinus syndrome" might be caused by an aspiration phenomenon resulting from masticatory muscle movements.
MeSH terms
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Adipose Tissue / pathology
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Adult
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Enophthalmos / diagnosis
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Enophthalmos / etiology*
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Hernia / complications
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Hernia / diagnostic imaging
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Hernia / pathology
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Humans
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Male
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Maxillary Sinus* / diagnostic imaging
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Maxillary Sinus* / pathology
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Orbital Fractures / complications
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Orbital Fractures / diagnostic imaging
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Orbital Fractures / pathology
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Paranasal Sinus Diseases / diagnostic imaging
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Paranasal Sinus Diseases / etiology
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Paranasal Sinus Diseases / physiopathology*
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Radiography
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Syndrome