Improving Surgical Treatment of Maxillary Sinus Cysts

Abstract

Introduction. Chronic cystic maxillary sinusitis (HCVS), occupies one of the leading places on the list of chronic nasal pathology. There is still no consensus on the modern approach to the diagnosis and treatment of cysts. In modern otorhinolaryngology, the problem of choosing an adequate treatment for chronic cystic maxillary sinusitis remains urgent.

The purpose of our study is to develop proposals and recommendations aimed at improving the surgical treatment of maxillary sinus cysts. The research work was based on examining 161 patients with chronic cystic maxillary sinusitis, who were divided into 2 groups depending on the presence of pathological changes in the ostiomeatal complex. All patients underwent an otorhinolaryngological examination, which consisted of an endoscopic examination of the nasal cavity and nasopharynx, pharyngoscopy, otoscopy, laryngoscopy, and MSCT of the paranasal sinuses. Surgical treatment to remove the maxillary sinus cyst was performed in one and two stages, and three approaches were used, depending on the location of the cyst in the sinus.

Results. The use of differentiated endoscopic surgery significantly improved the quality of the treatment of maxillary sinus cysts, and reduced the severity and number of complications after surgery.

Conclusions. With different cyst locations in the maxillary sinus, it is necessary, in our opinion, to choose a tactic that will provide better visualization of the cyst in the sinus and less trauma.