{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T12:03:15Z","timestamp":1776686595707,"version":"3.51.2"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["World j. otorhinolaryngol.-head neck surg."],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Silent sinus syndrome (SSS) is a rare condition characterized by spontaneous maxillary sinus collapse with associated orbital deformity. Existing studies are limited by heterogeneous surgical approaches, small sample sizes, and short follow\u2010up. This study aimed to evaluate long\u2010term clinical and patient\u2010reported outcomes after endoscopic sinus surgery for SSS and to assess the necessity and frequency of concurrent orbital floor reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case series was conducted at a tertiary academic center, including adults with radiologically confirmed SSS who underwent functional endoscopic sinus surgery (FESS) between 2012 and 2024. Clinical records and CT imaging were reviewed for demographics, radiologic features, ocular findings, surgical details, and postoperative course. Long\u2010term outcomes were obtained through clinic visits and standardized telephone interviews, assessing symptom resolution, ocular changes, need for additional procedures, and quality of life (1\u20135 Likert scale).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010four patients met inclusion criteria (mean age 45.2 years; 54.2% male). All exhibited maxillary sinus atelectasis with orbital floor retraction. FESS was performed in all cases; one patient (4.2%) required orbital floor reconstruction. No intraoperative complications or revision surgeries occurred. After a mean follow\u2010up of 4.71 years, all patients reported complete or near\u2010complete resolution of sinonasal and ocular symptoms, with normalization or improvement of enophthalmos\/hypoglobus. Mean quality\u2010of\u2010life score was 4.58\/5.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Endoscopic sinus surgery provides highly effective, durable management of SSS, with no recurrences and excellent patient\u2010reported outcomes over long\u2010term follow\u2010up. Routine orbital floor reconstruction is unnecessary and should be reserved for select cases with persistent diplopia or cosmetic deformity after sinus re\u2010aeration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjo2.70102","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T11:20:28Z","timestamp":1776684028000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Silent Sinus Syndrome: 13\u2010Year Experience With Endoscopic Surgery and Long\u2010Term Patient Outcomes"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0651-6994","authenticated-orcid":false,"given":"Sholem","family":"Hack","sequence":"first","affiliation":[{"name":"City St. George's University London School of Medicine, Program Delivered by University of Nicosia at the Chaim Sheba Medical Center Ramat Gan Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arkadi","family":"Yakirevitch","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Sheba Medical Center Tel Hashomer Israel"},{"name":"Gray Faculty of Medical &amp; Health Sciences Tel\u2010Aviv University Tel\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Nakache","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Sheba Medical Center Tel Hashomer Israel"},{"name":"Gray Faculty of Medical &amp; Health Sciences Tel\u2010Aviv University Tel\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eran","family":"Glikson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Sheba Medical Center Tel Hashomer Israel"},{"name":"Gray Faculty of Medical &amp; Health Sciences Tel\u2010Aviv University Tel\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin23.028"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2015-210548"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(94)31267-x"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-N1598"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0000000000000713"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2008.22.3118"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2007.04.008"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-017-4622-8"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215111001952"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhino10.103"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.25259\/JCIS_62_2020"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11547-012-0822-x"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940511400906"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2020.07.026"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1159\/000498964"},{"key":"e_1_2_14_17_1","unstructured":"\u201cSilent Sinus Syndrome: Look Past the Eye \u201d accessed May 21 2025 https:\/\/www.reviewofophthalmology.com\/article\/silent-sinus-syndrome-look-past-the-eye."}],"container-title":["World Journal of Otorhinolaryngology - Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjo2.70102","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/wjo2.70102","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjo2.70102","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T11:20:32Z","timestamp":1776684032000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjo2.70102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,20]]},"references-count":16,"alternative-id":["10.1002\/wjo2.70102"],"URL":"https:\/\/doi.org\/10.1002\/wjo2.70102","archive":["Portico"],"relation":{},"ISSN":["2095-8811","2589-1081"],"issn-type":[{"value":"2095-8811","type":"print"},{"value":"2589-1081","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,20]]},"assertion":[{"value":"2025-12-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"wjo2.70102"}}