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New research · Ophthalmology
World journal of otorhinolaryngology - head and neck surgery · 4d
StudyWorld journal of otorhinolaryngology - head and neck surgery · 2026

Silent Sinus Syndrome: 13-Year Experience With Endoscopic Surgery and Long-Term Patient Outcomes.

Sholem Hack, Arkadi Yakirevitch, Gabriel Nakache, Eran Glikson
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OphthalmologyStudy

Orbital floor reconstruction was rarely needed after endoscopic surgery for silent sinus syndrome.

Silent Sinus Syndrome: 13-Year Experience With Endoscopic Surgery and Long-Term Patient Outcomes.

Sholem Hack … Eran Glikson
World journal of otorhinolaryngology - head and neck surgery · 2026
Background

Silent sinus syndrome (sinus syndrome) is a rare condition characterized by spontaneous maxillary sinus collapse with associated orbital deformity.

Purpose

This study aimed to evaluate long-term clinical and patient-reported outcomes after endoscopic sinus surgery for sinus syndrome and to assess the necessity and frequency of concurrent orbital floor reconstruction.

Methods

A retrospective case series was conducted at a tertiary academic center, including adults with radiologically confirmed sinus syndrome who underwent functional endoscopic sinus surgery (functional endoscopic sinus surgery) between 2012 and 2024.

Results
4.2%
only 1 of 24 patients needed extra eye-socket floor repair surgery
More results

Twenty-four patients met inclusion criteria (mean age 45.2 years; 54.2% male).

All exhibited maxillary sinus atelectasis with orbital floor retraction.

No intraoperative complications or revision surgeries occurred.

Mean quality-of-life score was 4.58/5.

“
Conclusion · 1 of 2

Endoscopic sinus surgery provides highly effective, durable management of sinus syndrome, with no recurrences and excellent patient-reported outcomes over long-term follow-up.

Conclusion · 2 of 2

Routine orbital floor reconstruction is unnecessary and should be reserved for select cases with persistent diplopia or cosmetic deformity after sinus re-aeration.

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