A case of concurrent silent sinus syndrome, thyroid eye disease, idiopathic orbital inflammatory syndrome, and dacryoadenitis. (2nd November 2017)

• Record Type: Journal Article
• Authors: Shieh, Wen-Shi; Huggins, Alison B.; Rabinowitz, Mindy R.; Rosen, Marc R.; Rabinowitz, Michael P.
• Is Part Of: Orbit. Volume 36:Number 6(2017)
• Page Start: 462
• Page End: 464
• Publication Date: 2017-11-02
• Subjects: Dacryoadenitis -- idiopathic orbital inflammatory syndrome -- silent sinus syndrome -- thyroid eye disease; Eye-sockets -- Surgery -- Periodicals; Eye-sockets -- Diseases -- Periodicals; Orbit -- surgery -- Periodicals; Orbital Diseases -- Periodicals; 617.7
• DOI: 10.1080/01676830.2017.1337194
• Languages: English
• ISSNs: 0167-6830

Abstract

ABSTRACT: This is a retrospective case description of a single female patient found to have concomitant bilateral silent sinus syndrome, bilateral thyroid eye disease, unilateral dacryoadenitis, and idiopathic orbital inflammation that presented as progressive unilateral right-sided proptosis. The spectrum of inflammatory orbital diseases can make discerning between different entities challenging, but more unique in this case was the simultaneous presentation with bilateral silent sinus syndrome, a rare entity in its own right. Identifying each of these concurrent disease processes is important to establishing a multidisciplinary treatment approach to address all the patient's orbital and peri-orbital pathology. We hope to highlight the clinical and radiographic findings unique to each of these entities and share our approach to treatment in this complex case.