Facial Asymmetry as a Presentation of Silent Sinus Syndrome

A 43-year-old man presented with a 2 months history of sunken eye and facial asymmetry. He had no history of rhinorrhoea, hyposmia, headache, facial pains, or diplopia. There was no history of trauma or facial surgery. His clinical examination revealed enophthalmos, deepening of superior palpebral sulcus, deviation of nasal septum to right, and lateralisation of the right middle turbinate. There were no polyps or middle meatal discharge. Ophthalmological assessment showed no diplopia, normal visual acuity, normal field vision, and normal fundal examination