Article

Enophthalmos as a Complication of Rhinoplasty

  1. Jean Anderson Eloy MD,
  2. Adam Saul Jacobson MD,
  3. Ebrahim Elahi MD,
  4. Michael Robert Shohet MD*

Article first published online: 2 JAN 2009

DOI: 10.1097/01.mlg.0000217254.22699.09

Issue

The Laryngoscope

The Laryngoscope

Volume 116, Issue 6, pages 1035–1038, June 2006

Additional Information

How to Cite

Eloy, J. A., Jacobson, A. S., Elahi, E. and Shohet, M. R. (2006), Enophthalmos as a Complication of Rhinoplasty. The Laryngoscope, 116: 1035–1038. doi: 10.1097/01.mlg.0000217254.22699.09

Author Information

  1. Department of Otolaryngology-Head and Neck Surgery, Mount Sinai School of Medicine, New York, New York, U.S.A.

*Michael Robert Shohet, MD, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1189, New York, NY 10029, U.S.A.

Publication History

  1. Issue published online: 2 JAN 2009
  2. Article first published online: 2 JAN 2009
  3. Manuscript Accepted: 22 FEB 2006

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Keywords:

  • Silent sinus syndrome;
  • enophthalmos;
  • hypoglobus;
  • maxillary sinus atelectasis;
  • rhinoplasty;
  • complications of rhinoplasty

Abstract

Silent sinus syndrome is a known clinical entity caused by negative sinus pressure from acquired obstruction of the maxillary sinus ostium with resulting enophthalmos and hypoglobus. We present a case in which, after septorhinoplasty, a patient developed progressive enophthalmos and hypoglobus. His evaluation was consistent with silent sinus syndrome. This case illustrates the complex reconstructive challenges of repairing an orbit in the setting of fistulization of the orbit with the maxillary sinus cavity. In particular, we highlight the inferior fornyx transconjunctival approach with simultaneous intranasal endoscopic maxillary sinus aeration.

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