Question 357 · LDEK · Maxillary sinusitis

Which clinical symptom is the most specific for the silent sinus syndrome?

  1. A. tenderness in the forehead region with fever above 38°C.
  2. B. unilateral enophthalmos and facial asymmetry.
  3. C. bilateral nasal obstruction with purulent discharge.
  4. D. bilateral loss of smell and presence of nasal polyps.
  5. E. persistent nosebleeds (epistaxis) accompanied with chronic cough.
Hint

The syndrome involves painless, progressive collapse of the maxillary sinus walls, including the orbital floor.

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