Cone-beam computed tomographic imaging of silent sinus syndrome: A case series and a literature review. Academic Article uri icon


  • While silent sinus syndrome (SSS) is familiar to otolaryngologists and ophthalmologists, it is a rare clinical entity in dentistry and is likely to be underdiagnosed due to dentists' lack of awareness of this condition. SSS presents a diagnostic challenge to dentists, as patients typically have no history of trauma or sinusitis. The characteristic feature of SSS is a gradual retreat of the maxillary sinus walls, resulting in enophthalmos and hypoglobus. Multidetector (multislice) computed tomography is the imaging modality of choice for SSS and other paranasal sinus diseases. Cone-beam computed tomography promises to be an alternative low-dose imaging modality. This report describes 3 cases of SSS in adults, who had no identified clinical symptoms except diminutive and opacified maxillary sinuses, as well as the inward bowing of the sinus walls as noted on cone-beam computed tomographic imaging.

published proceedings

  • Imaging Sci Dent

author list (cited authors)

  • Manila, N. G., Tahmasbi Arashlow, M., Ehlers, S., Liang, H., & Nair, M. K.

citation count

  • 2

complete list of authors

  • Manila, Nisha G||Tahmasbi Arashlow, Mehrnaz||Ehlers, Scott||Liang, Hui||Nair, Madhu K

publication date

  • December 2020