PMC7198876_01
PMC7198876_02
Facial MRI (A) and CT (B) scans performed in the patient with WS when she was 5 years old. No significant asymmetry between the maxillary sinuses was observed.
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F1
Facial MRI (Figure 1A) and CT (Figure 1B) performed when she was 5 years old for the evaluation of dysmorphic facial features did not show any significant asymmetry between the maxillary sinuses.
The patient at the age of 7 years. the physical examination showed progressive facial asymmetry with right hypoglobus and enophthalmos that had never been reported during her first years of life.
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F2
During her follow-up, at 7 years of age the physical examination showed progressive facial asymmetry with right hypoglobus (i.e., inferior displacement of the globe in the orbit) and enophthalmos that had never been reported during the first years of life (Figure 2).
PMC7198876_03
Facial MRI (A) and CT (B) scans performed in the patient with WS when she was 7 years old. MRI showed that the right maxillary sinus was opacified, with central inspissated secretions; it was also diminished in volume with inward bowing of the maxillary walls and the uncinate process was lateralized (A). CT scan confirmed the opacified right maxillary sinus with retraction of the maxillary walls as well as the lateralized and demineralized uncinate; it also demonstrated the partial occlusion of the maxillary infundibulum and the fact that the orbital floor was located inferiorly.
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F3
This imaging showed a constellation of radiological features typical of SSS (Figure 3). Facial MR scan revealed a hypoplastic and opacified right maxillary sinus with retraction of the maxillary sinus walls and diminished sinus volume (Figure 3A). To support the evidence from MR imaging, a CT scan was performed and showed a diminished volume of the right maxillary sinus, which was completely opacified; the CT scan also showed a lateralized uncinate process with retraction of the middle turbinate and demineralization of the sinus walls (Figure 3B).
PMC7198876_04