Treatment of silent sinus syndrome

Silent sinus syndrome is a rare and complex disease that requires highly qualified doctors. There are such doctors in the K+31 clique. Entrust your health to us!
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Symptoms of Silent Sinus Syndrome

Silent sinus syndrome (SSS) is a fairly rare disease. Essentially, this disease is is a deformation of the walls of the maxillary sinus caused by various reasons, as a result of which the sinus pressed inward. Such a deformation leads to a change in the shape of the facial skeleton - a hollowing of the cheek, a displacement of the eyeball downwards and inwards.

In short, the development of the disease proceeds as follows. Due to some as yet unidentified Precisely, the reason is that the natural ventilation of the sinuses is disrupted. “Reverse absorption” occurs, which, due to the lack of ventilation of the sinus, it leads to thinning and prolapse (bending) of the walls.

There are primary (spontaneous) and secondary SMS.

The symptom is only the gradual development of enophthalmos (deepening of the eyeball) on one side. It usually develops over a long period of time. Primary, or spontaneous, SMS occurs in adulthood, with the first symptoms appearing within a few months or years. The causes of secondary SMS development are facial trauma, chronic rhinosinusitis, and functional endoscopic endonasal interventions.

Symptoms of Silent Sinus Syndrome

General information about the disease

Diagnostics

The gold standard in diagnosing SMS is CT of the paranasal sinuses, which provides high detail of bone structures, unlike MRI. However, even on a standard x-ray of the paranasal sinuses, it is possible to detect darkening and a decrease in the volume of the maxillary sinus, which will give us grounds for further examination.

Treatment of silent sinus syndrome

Surgical only. Consists of creating a stable connection between the sinus and the nasal cavity. The operation is possible only with the use of endoscopic technology and microinstruments. When performing an operation, the qualifications of the surgeon are important - due to the prolapse of the orbital wall, the anatomical relationships change and it is very easy to damage the orbit. When air exchange is restored, enophthalmos usually regresses. If the effect is insufficient, the second stage involves plastic surgery of the lower orbital wall.

Features of treatment in K+31
  • Highly qualified specialists
  • International treatment protocols - taking into account foreign and Russian standards
  • Selection of a minimally invasive technique
  • Accompanying treatment that minimizes possible side effects
  • The highest standard and level of safety in anesthesia
  • Use of high-tech equipment from world manufacturers
  • Detailed diagnostics (in-house laboratory, MRI, CT, X-ray, biopsy)
  • Ability to provide round-the-clock assistance, monitoring and diagnostics

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

Our doctors

Spiranskaya Olga Aleksandrovna
Experience 18 years
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Spiranskaya
Olga Aleksandrovna
Head of the Otolaryngology Department, Otolaryngologist
Tetzoeva Zalina Muratovna
Experience 24 years
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Tetzoeva
Zalina Muratovna
Deputy chief physician for outpatient care, otolaryngologist, surgeon
Kochetkova (Minavnina) Yulia Vladimirovna
Experience 13 years
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Kochetkova (Minavnina)
Yulia Vladimirovna
Otorhinolaryngologist
Osipova Irina Andreevna
Experience 25 years
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Osipova
Irina Andreevna
Head of the center for otolaryngology and ENT rheumatology, otolaryngologist, surgeon, leading specialist, expert in ENT pathology in autoimmune diseases
Lapshina Anastasia Andreevna
Experience 11 years
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Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Samarin Nikolay Evgenyevich
Experience 18 years
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Samarin
Nikolay Evgenyevich
ENT doctor
Lopatin Andrew Stanislavovich
Experience 45 years
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Lopatin
Andrew Stanislavovich
Otorhinolaryngologist, surgeon
Portnyagina Maria Pavlovna
Experience 13 years
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Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya Galina Rustemovna
Experience 27 years
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Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Koblova Tatyana Alexandrovna
Experience 22 years
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Koblova
Tatyana Alexandrovna
ENT doctor
Punkov Maxim Anatolevich
Experience 20 years
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Punkov
Maxim Anatolevich
ENT doctor
Varenkova Olga Vladimirovna
Experience 25 years
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Varenkova
Olga Vladimirovna
Otorhinolaryngologist
Budeikina Liliya Sergeevna
Experience 11 years
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Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
Kornienko Roman Anatolievich
Experience 27 years
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Kornienko
Roman Anatolievich
Otorhinolaryngologist
Budnitskaya Elena Vasilievna
Experience 12 years
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Budnitskaya
Elena Vasilievna
Otorhinolaryngologist
Varvyanskaya Anastasia Vladimirovna
Experience 21 year
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Varvyanskaya
Anastasia Vladimirovna
Otolaryngologist, surgeon, leading specialist, expert in olfactory dysfunction
Mamedov Vasif Eivaz ogly
Experience 8 years
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Mamedov
Vasif Eivaz ogly
Audiologist
Chekaldina Elena Vladimirovna
Experience 13 years
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Chekaldina
Elena Vladimirovna
Otorhinolaryngologist
Samusenkova Ksenia Vladislavovna
Experience 5 years
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Samusenkova
Ksenia Vladislavovna
Otorhinolaryngologist
Polivoda Anna Mikhailovna
Experience 19 years
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Polivoda
Anna Mikhailovna
Otorhinolaryngologist, audiologist, otoneurologist
Balybina Natalia Alekseevna
Experience 4 years
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Balybina
Natalia Alekseevna
Otorhinolaryngologist
Malyavina Ulyana Stanislavovna
Experience 27 years
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Malyavina
Ulyana Stanislavovna
Otorhinolaryngologist
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Our doctors are laureates of the ProDoctors Award
Our doctors are laureates of the ProDoctors Award

The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

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Otorhinolaryngologist primary appointment
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from 5 460 ₽
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Почему К+31?
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Reviews

A great doctor and person.
12.12.2025
O. Viktor Viktorovich
Excellent doctor, attentive and sensitive! She diagnosed me and prescribed treatment! Thank you.
06.12.2025
P. Olga Alexandrovna
All my hopes were for the upcoming surgery. I really liked the doctor, and I trust Zalina Muratovna completely.
04.12.2025
G. Ramella Namiz kyzy
Olga Vladimirovna is a wonderful, attentive, and professional doctor. I was very pleased with my visit and received all the help and information I needed.
29.11.2025
Yu. Alexey Igorevich
Good approach to children. Everything is great.
29.11.2025
Ch. Roman Vitalievich
I express my deepest gratitude to Natalia Alekseevna for her exceptional professionalism and humane approach. I especially appreciate her rare combination of competence and tact. Natalia Alekseevna knows how to create an atmosphere of trust, where you feel more than just a patient, but someone whose opinion and comfort truly matter. Thank you for your attention to detail, personalized approach, and ability to convey information in accessible language. I recommend Natalia Alekseevna as a doctor with an inner intelligence, a keen interest, and enthusiasm for her work. Doctors like her are worth everything. I was also pleasantly surprised by the atmosphere in the clinic itself: all the staff are polite and attentive, and there's convenient parking. And the bright, inspiring music playing on the first floor reminded me of Kamila Valieva's Olympic short program—the same purity, grace, and sense of wonder. Thank you!
28.11.2025
K. Natalia Vladimirovna
Very attentive and qualified doctor
25.11.2025
A. Nadezhda Valerievna
I really liked the doctor, and I also really liked Zhanna Andreevna. You can tell she's experienced and competent, and the office had a wonderful, open atmosphere. Special thanks to Olesya, the administrator on the first floor. She's very friendly and helpful. Overall, I really liked the clinic.
23.11.2025
P. Daniil Vyacheslavovich
The doctor always listens and hears attentively, which is even unusual. He is genuinely interested in how the patient is feeling and sees them as people.
04.11.2025
O. Tatyana Alexandrovna
The best doctor. Thank you so much.
31.10.2025
Ya. Tatyana Petrovna

About doctor:

Osipova Irina Andreevna

Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
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Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

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Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
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Mon-Fri: 08:00 – 21:00
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K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

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01.11: 09:00—20:00

02.11—04.11: 09:00—18:00

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