Yu yay de fil lɛk se i de sink insay? Lɛ wi tɔk bɔt Silent Sinus Syndrome!

Yu dɔn ɛva notis smɔl chenj na wan say na yu fes, mɔ arawnd di say we yu de si? Sɔntɛm yu yay dɔn sink insay smɔl, ɔ yu yaylid dɔn drɔp? Pan ɔl we dɛn tin ya kin tan lɛk smɔl tin, sɔntɛnde, wan kɔndishɔn kin de biɛn am we wi nɔ yɛri bɔku bɔt, bɔt i impɔtant fɔ no bɔt. Wan pan dɛn kayn tin ya na ‘Silent Sinus Syndrome.’ Di nem kin tan lɛk se i strenj smɔl, bɔt lɛ wi kip am simpul.

Wetin na Saylent Sayn Sindrom?

fכ simpul wan, dis na kכndyushכn we de involv di kכva dεm we de rawnd wi nos, we dεn kכl di ‘saynus’. i de afekt di kכva dεm na di tu say dεm na wi nos, we dεn kכl di `(Maxillary sinuses)`. insay dis kכndishכn, wan כ sכmtεm dεn tu yay dεm de sink insay sכmtεm (`(Enophthalmos)`). כ di aybol de go dכn insay di ay sכkεt (`(Ay sכkεt)`). Tink bɔt am lɛk balyɔn we de pul wata ɛn shrink, dis kin apin bikɔs di wɔl dɛn na wi sayn dɛn kin kɔntrakt insay. di fכlכ fכ di ay sכkεt, we lεk di ruf fכ dεn sayn kכva dεm ya, dεn de dכn dכn dis we.

di men rizin fכ dis na biכs di sayn kכva dεm kin blכk. afta dat di sekreshכn dεm we de insay di sayn dεm nכ kin kכmכt εn kam togεda, εn as tεm de go, dεn kin abzכp bak insay di bכdi. fכ dis, dεn de mek wan vaykum insay di sayn kכva, εn di kכva de shrin sכmtεm. Na da tɛm de di yay kin sink.

Dɛn kin ad di wɔd ‘saylent’ bikɔs di kɔndishɔn nɔ kin gɛt pen. Bɔt di shep fɔ di fes, mɔ na wan say, kin bi asymmetrical. Bɔrku tɛm, na wan say nɔmɔ na di fes kin afɛkt, bɔt nɔr kin bɔrku, i kin afɛkt ɔl tu di say dɛm. Tritmɛnt impɔtant fɔ mek di sik nɔ go wɔs ɛn fɔ mek dɛn nɔ gɛt prɔblɛm dɛn lɛk we yu nɔ de si na di say we yu de si ɔ yu nɔ de si di tanɛl.

Aw dis sik kin kɔmɔn?

infakt, dis kכndyushכn we dεn kכl ``Silent Sinus Syndrome'' nכ kin bכku . Dɛn bin kam fɔ no bɔt am fɔ di fɔstɛm ɛn tɔk bɔt am insay 1964. Frɔm da tɛm de, na smɔl pipul dɛn nɔmɔ dɔn gɛt di sik, we na lɛk 100, ɔlsay na di wɔl. So, dɛn nɔ de tɔk bɔku bɔt am.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu go fil dɛn?

di sayn dεm fכ ``Silent Sinus Syndrome'' kin sho sכmtεm fכ wik to mכnt. Bɔt sɔntɛnde, dɛn sayn ya kin apin kwik kwik wan. De men sayn wae yu kin si na wae yu fes de chenj.

• Enophthalmos: Dis na di sayn wae de sho se yu gɛt dis sik pas ɔl. Klosap ɔl di sik pipul dɛn gɛt am. di כmכnt we di yay de bulg kin kכmכt frכm 2 to 6 milimita.
• Dכwnwכd displεsmεnt fכ di aybol (`(Hypoglobus)`):Na lɛk af pan di sik pipul dɛn kin gɛt dis sik. dis min se di aybol dכn dכn dכn insay di ay sכket. Dis kin bi lɛk 1 to 6 milimita.
• chenj dεm na di aylid: dεn dכn si chenj dεm na di posishכn fכ di כp aylid pan lεk 88% pan di sik pipul dεm.
• Dabl vishɔn (`(Diplopia)`): Tu big stɔdi dɔn sho se bitwin 28% ɛn 65% pan di sik pipul dɛn kin gɛt wan kɔndishɔn usay dɛn kin si tu tin wan tɛm.

Apat frɔm dɛn men sayn ya, sɔm ɔda sayn dɛn kin de:

• Ptosis (ɔ Blepharoptosis): Na di ɔpa aylid we de drɔp ɔ drɔp.
• Skwint: Dɛn kin put di aylid dɛn dɔŋ, we kin mek i tan lɛk se di yay dɛn de swɛt.
• Blurred vision: I nɔ kin izi fɔ si tin klia wan ɛn i nɔ kin izi fɔ pe atɛnshɔn.
• Saynsaytis: Na di sayn dɛn we de na di sayn dɛn kin swel ɛn gɛt infɛkshɔn.
• Raynɔria (nɔs we de rɔn): Na wata we de rɔn, we tan lɛk mכkus we de kɔmɔt na di nos.
• Postnasal drip: di mכkus we pasmak de bכku εn i de drεn dכn di bak pat na di trot.
• Fεs prεshכn כ pen: Fכ fil pen כ tayt na di sayn dεm we de na di sayn, lεk arawnd di yay, fכs, εn chεk.

Wetin mek saylɛn sayn sindrom kin apin? Wetin na di tin dɛn we kin mek i apin?

Frɔm we dɛn kam fɔ no bɔt dis sik, sɔm pipul dɛn we de stɔdi bɔt dis sik dɔn kam wit difrɛn tin dɛn bɔt di tin dɛn we kin mek i sik. bכku pipul dεn biliv se di men tin we de mek dis kכndyushכn na we wan pat pan wi nos blכk we dεn kכl ``osteomeatal complex'' dis ``osteomeatal complex'' na wan dilik strכkchכ we de εp fכ mכkus εn di briz fכ fכm kכmכt na di nos. Fɔ tɔk di kɔrɛkt tin, i tan lɛk di say we wi de go insay wi sayn dɛn.

Dɛn ples ya kin blok fɔ difrɛn rizin dɛn. we dεn blok, di sekreshכn dεm de kכmכt insay di sayn kכva dεm. As tɛm de go, wi bɔdi kin tek dis tin we kin gɛda bak. wetin de apin na we dεn de mek wan vεkyum (`(Vacuum effect)`) insay di sayn kכva. fכ dis prεshכn we de fכ lכng tεm, di wכl dεm na di sayn kכva dεm de pul sכmtεm insay εn shrink. fכ dis, di fכlכ fכ di ay sכket (`(Orbital floor)`) we de oba di sayn kכva de pul dכn. Dis kin ivin mek di bon dɛn tan ɛn dɛn shep chenj.

Udat dɛn kin gɛt dis sik mɔ?

enibodi kin gεt dis kכndyushכn, we dεn kכl ``Silent Sinus Syndrome.`` כltu, pipul dεm we gεt כnusual nasal anatomy kin de pan hכy risk. spεshal wan, dεn kin kכnsidr pipul dεm we gεt deviated septum as dεn de pan hכy risk.

Dɛn kin no dis sik pasmak pan pipul dɛm wae dɔn pas 30 ɛn 40 ia. Dɔn bak, pipul dɛn we de smok kin gɛt dis sik.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

Imajin wetin go apin if yu sayn kaviti dεm shrink εn yu yay go kכntinyu fכ sink insay If dεn nכ trit am, dis ``Silent Sinus Syndrome'' kin kכntinyu fכ afekt yu sayn dεm εn i kin mek yu simptom dεm wכs. Yu yay ɔ yu tu yay dɛn kin sink insay mɔ ɛn yu yay bɔl dɛn kin muf go dɔŋ mɔ. as tεm de go, dis kin mek yu gεt ``Pεrifεral vishכn lכs'', we na kכndishכn we yu de si tin dεm frכm di sayd dεm εn si lεk se yu de luk tru tכb. Nɔto dat nɔmɔ, i kin mek wi gɛt ɔda wɛlbɔdi prɔblɛm dɛn bak.

Aw yu kin no dis sik kɔrɛkt wan?

If yu gɛt dɛn sik ya, we yu fɔs go to dɔktɔ, i go chɛk yu ɛn aks yu bɔt yu sik. Dɔn, dɛn kin sɛn yu to spɛshal dɔktɔ we de mɛn yu yes, nos, ɛn trot (dɔktɔ we de mɛn yu yes, ɔ ENT dɔktɔ).

Di spɛshal dɔktɔ go chɛk yu yay gud gud wan ɛn no di sik bay di sayn dɛm we yu gɛt. I go luk fɔ tin dɛn lɛk yay we dɔn sink, yaylid we de drɔp, ɛn yaylid we de drɔp.

Fɔ kɔnfɔm dis kɔndishɔn, yu dɔktɔ kin aks yu bak fɔ mek dɛn du ``CT scan`` (Computed Tomography scan). dis kin si klia wan di kכndishכn fכ di sayn kכva dεm.

Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin mɛn am?

Di gud nyus na dat, yes, bɔku tɛm , ɔpreshɔn na di tritmɛnt fɔ dis sik (Silent Sinus Syndrome). Tu men kayn ɔpreshɔn dɛn de:

• Antrostomy: Dis na fɔ yuz ɛndoskɔp, we na wan tin we gɛt kamɛra, fɔ pul di blɔk we de na di sayn ɛn alaw di tin dɛn we de kɔmɔt na di say we i de kɔmɔt fayn fayn wan. I de mek bak di sayn we de opin we de mek di prɔblɛm big. dis kin fכl כnda di kεtכgrεf fכ εndoskopik sayn כpεrayshכn.
• Ripair orbital floor: Sɔntɛnde, ɔpreshɔn kin inklud bak fɔ ripɛnt di orbital floor. Bɔt sɔm dɔktɔ dɛn se nɔto ɔltɛm dis kin nid fɔ du dis.

Afta dɛn tritmɛnt ya, di sayn dɛn kin bigin fɔ wok nɔmal wan bak, ɛn di sayn dɛm lɛk di wata we de kɔmɔt na di yay kin kam bak to nɔmal.

Us kayn op yu kin gɛt afta yu dɔn gɛt tritmɛnt?

di kwik we yu no dis ``Silent Sinus Syndrome'' kכndyushכn, na di bεtεh fכ yu. Dɔn yu kin mek yu nɔ gɛt siriɔs ay kɔmplikeshɔn ɛn sɔlv di prɔblɛm wit jɔs ``Endoscopic sinus surgery'', we yu nɔ nid fɔ du big ɔpreshɔn (lɛk ``Orbital floor repair'').

If dɛn nɔ trit am, lɛk aw wi bin dɔn tɔk, di sik kin wɔs ɛn i kin mek i gɛt prɔblɛm dɛn lɛk we yu nɔ de si di say we yu de si, diplopia, ɛn we yu nɔ de si fayn. So, i impɔtant fɔ go to dɔktɔ kwik kwik wan.

Yu tink se we de fɔ mek dis nɔ apin?

infakt, dis ``Silent Sinus Syndrome'' na wan sik wae kin afekt enibodi. Bikɔs di wan dɛn we de stɔdi bɔt dis nɔ dɔn fɛn yet di rayt tin we kin mek dis apin, no patikyula we nɔ de fɔ mek i nɔ apin. Bɔt if ɛnitin de we nɔ fayn na di nos, i impɔtant fɔ go to dɔktɔ.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni nyu sayn, lɛk fɔ fil se yu yay dɔn sink, yu yay de drɔp, ɔ yu yay de drɔp, mek shɔ se yu go to dɔktɔ. Dɛn tin ya kin bi simpul tin, bɔt i impɔtant fɔ mek shɔ se natin nɔ de we siriɔs.

Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?

We yu go to dɔktɔ, if yu aks kwɛstyɔn dɛn lɛk dis, dat go ɛp yu fɔ ɔndastand di tin we de apin:

• Aw a bin gɛt dis ``Silent Sinus Syndrome''?
• Us tritmɛnt dɛn yu kin advays?
• Yu tink se a nid fɔ du ɔpreshɔn?
• Aw lɔng i go tek fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn? Wetin a fɔ wɔri bɔt insay da tɛm de?
• Ɛnitin de we a kin du fɔ mek dis ``Silent Sinus Syndrome'' nɔ apin igen?

Yu tink se ɔda nem de fɔ dis?

Yes, dis ``Silent Sinus Syndrome'' dεn kin kכl am wit sεvεra כda nem dεm. fכ egzampl, dεn de yuz ``Krכnik maksila atelektasis'' εn ``Implכding antrum sεndrכm''. Bɔt sɔm pipul dɛn we de stɔdi bɔt dis kin tink se dɛn tin ya na difrɛn, patikyula tin dɛn we kin apin.

So, wetin na di impɔtant tin dɛn we wi fɔ mɛmba frɔm ɔl dɛn tin ya?

Okay, so a op se yu naw gɛt bɛtɛ aidia bɔt wetin wi bin de tɔk bɔt, ``Silent Sinus Syndrome.`` Mɛmba se, pan ɔl we dis na tin we nɔ kin apin so ɔltɛm, i kin afɛkt di yay bikɔs ɔf wan blɔk na wi sayn kaviti.

Di tin we impɔtant pas ɔl na dat if yu notis ɛni nyu ɔ nɔmal chenj na yu fes, mɔ rawnd yu yay – lɛk yay we dɔn sink ɔ aylid we de drɔp – nɔ ignore am. Sɔntɛm i nɔ go bi ɛnitin fɔ wɔri bɔt. Bɔt i bɛtɛ fɔ go to dɔktɔ fɔ no wetin de apin ɛn if nid de, bigin fɔ trit am kwik kwik wan. Dis go ɛp fɔ mek dɛn nɔ gɛt prɔblɛm dɛn we nɔ nid fɔ apin. Yu wɛlbɔdi biznɛs na di tin we impɔtant pas ɔl fɔ wi!

` Saylent sayn sindrom, ay flota, sayn, enoftalmos, haypoglobus, nos kaviti, ENT