A case of concurrent silent sinus syndrome, thyroid eye disease, idiopathic orbital inflammatory syndrome, and dacryoadenitis

• Published in: Orbit (Amsterdam) Vol. 36; no. 6; pp. 462 - 464
• Main Authors: Shieh, Wen-Shi, Huggins, Alison B, Rabinowitz, Mindy R, Rosen, Marc R, Rabinowitz, Michael P
• Format: Journal Article
• Language: English
• Published: England 01.12.2017
• Subjects: thyroid eye disease; silent sinus syndrome; idiopathic orbital inflammatory syndrome; Dacryoadenitis
• ISSN: 0167-6830; 1744-5108
• DOI: 10.1080/01676830.2017.1337194

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.