Acquired unilateral pseudoptosis: a presentation of silent sinus syndrome.
Klin Monbl Augenheilkd
; 223(5): 409-11, 2006 May.
Article
em En
| MEDLINE
| ID: mdl-16705517
ABSTRACT
BACKGROUND:
Acquired unilateral ptosis usually results from either levator palpebrae disinsertion, eyelid disorder, myasthenia gravis, mitochondrial myopathy, Horner's syndrome, or third nerve palsy. In rare cases, an orbital process is responsible for ptosis or pseudoptosis. HISTORY AND SIGNS A healthy 31-year-old patient complained for 6 months of right eyelid ptosis. On examination, there was 1 mm right upper eyelid ptosis and 1 mm of right enophthalmos. Upon downgaze, an apparent right eyelid retraction was present. Magnetic resonance imaging showed filling and retraction of the right maxillary sinus with inferior displacement of the right orbital floor. THERAPY ANDOUTCOME:
Surgical management was performed with a favourable outcome.CONCLUSIONS:
Silent sinus syndrome is an asymptomatic chronic maxillary sinus atelectasis, resulting in ipsilateral enophthalmos, hypoglobus, and occasionally eyelid pseudoptosis. Silent sinus syndrome should be incorporated in the differential diagnosis of acquired unilateral ptosis.
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Base de dados:
MEDLINE
Assunto principal:
Doenças dos Seios Paranasais
/
Blefaroptose
/
Enoftalmia
/
Seio Maxilar
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article