what is the icd 10 code for silent sinus syndrome

Full Answer

What is the ICD 10 code for sinus infection?

ICD-10 changes: ICD-10 puts “sick sinus syndrome” in the spotlight, giving it its own code at I49.5. The code is also appropriate for tachycardia-bradycardia syndrome.

What is silent sinus syndrome?

Silent sinus syndrome is a spontaneous, asymptomatic collapse of an air sinus (usually the maxillary sinus and orbital floor) associated with negative sinus pressures. It can cause painless facial asymmetry, diplopia and enophthalmos.

How is silent sinus syndrome (silent sinus syndrome) diagnosed?

Silent sinus syndrome is first suspected based on symptoms. A CT scan can be used to confirm a diagnosis. This can have characteristic features, including maxillary sinus outlet obstruction, sinus opacification, and sinus volume loss caused by inward retraction of the sinus walls.

What are the treatment options for sinus drainage after sinus surgery?

Once sinus drainage has been normalized, orbital floor augmentation surgery may be needed to restore orbital volume and decrease the enophthalmos. Medpor, titanium, autologous bone or another material may be fashioned into a subperiosteal implant, which is placed on the orbital floor.

What is silent sinusitis?

Silent sinus syndrome is a disease characterized by enophthalmos and/or hypoglobus secondary to the collapse of the orbital floor in the presence of asymptomatic chronic maxillary sinusitis.

How do you treat silent sinus syndrome?

The restitution treatment of the silent sinus syndrome involves functional endoscopic sinus surgery and plastic reconstruction of the floor of the orbit via transconjunctival approach; an additional vestibular incision may be necessary to treat the malar region.

How do I know if I have silent sinus syndrome?

Silent sinus syndrome (SSS) is a rare condition characterized by progressive enophthalmos and hypoglobus due to ipsilateral maxillary sinus hypoplasia and orbital floor resorption, with or without sinonasal complaints (1). Patients may also present with eye asymmetry, unilateral ptosis, or diplopia.

How many cases of silent sinus syndrome are there?

The syndrome typically occurs in individuals during their third and fifth decades and has no predilection for sex. There are only 105 cases that were reported in the English literature, with patients typically unaware of the disease [1,,,].

Does silent sinus syndrome get worse?

' ” Silent sinus syndrome is a rare condition that can become serious if left untreated. People with the disorder have a droopy eyelid that gives them the appearance of squinting. The condition eventually can lead to peripheral vision loss and double or blurry vision.

Can silent sinus syndrome cause seizures?

Sick sinus syndrome (SSS) is a dysfunction of sinoatrial node resulting in symptomatic bradycardia or sinus pauses causing decreased cardiac output with cerebral hypoperfusion and usually presents as syncope, presyncope or fatigue. The occurrence of a seizure is very rare.

What does silent sinus syndrome feel like?

Signs and symptoms Silent sinus syndrome can cause facial asymmetry (usually without pain), and vision problems (such as diplopia and enophthalmos). It may also cause headaches, and a feeling of fullness in the nose.

Is silent sinus syndrome congenital?

Results. The silent sinus syndrome has been reported in both children and adults. It is relatively rare and should be differentiated from congenital sinus hypoplasia or atelectasis. It most often affects the maxillary sinus.

Can sinus problems affect the eyes?

Sinus infections cause swelling of the sinus cavities in the bones around the nasal passages and the eyes. Swelling and inflammation can cause pressure on the eyes themselves, resulting in vision distortion, eye pain, and blurred vision.

Can Botox affect your sinuses?

Sinus infections do not influence the effect the botox treatments at all. It is completely safe to get botox treatments if you get sinus infections.

Can sinus pressure cause tremors?

The combination of blockage and infection produces the typical symptoms of acute sinusitis — feelings of pressure and congestion in the face, headaches and fever. In severe cases, shaking chills may also be experienced when the infection spreads to the blood.

What causes Hypoglobus?

Hyperglobus is an elevation of the ocular globe with the majority of the orbit remaining intact and it could be a presenting sign of metastatic disease from prostate cancer. Systematic general, regional and local examination is crucial to elicit subtle signs indicative of new or progressive disease.

What is silent sinus syndrome?

Silent sinus syndrome is a rare condition that can pose a diagnostic challenge. The patient may present with unilateral ptosis or retraction, a deep superior sulcus or orbital asymmetry. The medical history is often noncontributory. This condition is characterized by unilateral spontaneous enophthalmos and hypoglobus due to increased orbital volume ...

What is the pathophysiology of silent sinus syndrome?

The most widely accepted theory is that an inciting event causes occlusion of the ostiomeatal complex through which the maxillary sinus drains into the middle meatus of the nasal antrum.

What is the procedure to open maxillary sinus ostium?

Typically, endoscopic uncinectomy and opening of the maxillary sinus ostium are done. Once sinus drainage has been normalized, orbital floor augmentation surgery may be needed to restore orbital volume and decrease the enophthalmos.

When was silent sinus syndrome first reported?

There is no gender or racial predilection, and patients tend to present during the third to fifth decade of life. The first two reported cases were reported in 1964, but the term “silent sinus syndrome” was coined 30 years later by Soparkar and colleagues. 1 Since that time, several case series have been published in both ...

Why does the sinus wall move inward?

The chronic subatmospheric pressure and hypoventilation of the sinus results in negative pressure, leading the sinus walls to migrate inward. 2 In addition to the orbital floor being pulled downward, there may be bone remodeling and thinning due to increased osteoclast activity. Typically, the periosteum is not affected.