Thank you for your query.
1. The most common cause for Silent Sinus Syndrome
is a blocked maxillary sinus. Do you have a history of nasal or facial injury?
2. If you can share the MRI images of your eye and brain, I will be able to give an accurate assessment.
3. If you can get a plain CT PNS (Para Nasal Sinuses) Scan done, it will be helpful. Bone is not visible on MRI Scans.
4. A close-up of your face will help. Otherwise you will have to consult an ENT Specialist
, Eye Specialist and a Plastic Surgeon.
5. Certain other conditions such as Horner's Syndrome must be ruled out.
6. Surgical treatment
involves FESS (Functional Endosocpic Sinus Surgery
) to open the blocked maxillary sinus and Augmentation of the floor of the eye to lift up the sunken eye.
7. Balloon Sinuplasty
is also a new option.