A. Michielsens et al., Acquired enophthalmos associated with maxillary sinus hypoplasia and chronic maxillary sinusitis, J FR OPHTAL, 22(4), 1999, pp. 451-455
Background:We report a case of progressive enophthalmos, maxillary sinus hy
poplasia and radiological signs of sinusitis in a young woman.
Case report:The patient had no history of sinus surgery or facial trauma. T
here were no signs of sinusitis. Functional endoscopic sinus surgery was pr
oposed to restore the communication between the nose and the antrum.
Discuss:The particular aspects of asymptomatic maxillary sinus and causes o
f maxillary sinus hypoplasia are discussed. We suggest that obstruction of
the osteomeatal complex causes negative pressure in the maxillary sinus pro
voking bone alterations; These alterations cause the maxillary sinus hypopl
asia and the enophthalmos.