A cyst in the frontal sinus (right and left): surgery to remove
Cyst of the frontal sinus is a pathological formation, located in the frontal sinus, which is characterized by the presence of a wall, and secretory content.
Depending on the factors education and duration of cyst, pathology can include both bacteriological (so-called pyocele) and sterile (the so-called mucocele) slimy secret. It is worth noting that the formation mechanism of the secrets of both types does not differ heavy.
The fact that almost the entire surface of the paranasal sinuses consists of epithelial tissue having its own glands. Due to them, induces the production of mucus necessary to moisten the cavity of the nose.
Each such gland has its own excretory duct, through which directly the mucous secret enters the nasal departments. Pathology occurs in the case of total or partial destruction of the duct. Moreover, the production of mucus in this case is not terminated as a result of which, is formed a spherical formation, which will continue to increase in size.
Some interesting statistics: in practice, a cyst of the frontal sinus can occur in patients in the age group from 11 to 21 years. Pathology appears less frequently in patients in the middle age category. In some cases, the cyst of the frontal sinus is observed in patients of age group above fifty years. Whereas in the older age cystic pathology in the region of the frontal sinuses almost never occur, but may be mucous or purulent secretory fluid. In fact the development of pathology is observed the lowering of the lower part of the frontal sinus, resulting in a large probability of abnormal position of the eyeball, the organ can shift down or out under the influence of pressure.
Often patients who suffer from cyst may be diagnosed this pathology as ghosting. Also not less well-known cases such symptomatic manifestations, as a significant violation of color vision, with subsequent decreased visual acuity. It should be noted that in most cases cystic pathology in the frontal sinus can also cause permanent epiphora.
Possible complications of cyst-like pathology
In the absence of timely conservative or surgical treatment, pathology may be the cause of the formation of the so-called fistula (hole). Through hole formed pathological pus or serous contents of the cyst would be to pour the anatomical structure adjacent to the front part of the sinus.
Local complications and pathologies of the frontal sinuses rarely get to heal through the use ofof conservative therapy. For this reason, in case of purulent complications due to the release mucocele or pyocele, must necessarily be a complex surgical intervention, accompanied with partial or complete destruction of the eyeball.
Given the fact that the pathology of the frontal sinuses can develop asymptomatic, diagnosis of the cyst is not based only on the immediate complaints of the patient. For the detection of cysts in the area of the frontal sinus is used mainly x-ray diffraction. Often in the case of presence of complications in the field of view require a mandatory consultation of the ophthalmologist, whereas in the case of suspected meningitis require a visit to a neurologist. The most accurate results of a CT scan when compared to conventional x-rays.
Cystic tumor in the frontal sinus, which is less than 1/3 of the total volume of the sinus, in most cases not diagnosed during x-rays. For this reason, in the case of suspected or mucocele pyocele in the area of the frontal sinus is required to conduct a CT scan or MRI.
In addition, as indicated by the audiologist may conduct a probing of the frontal sinus with a special probe Lansberge with the aim of determining patency in the area of the fronto-nasal canal. As a rule, the differential diagnosis of pathology of the frontal sinus carried out in the presence of diseases such as: sinusitis and also a dermoid cyst and a tumor.
Treatment of cyst-like pathology in the region of the frontal sinus
If symptomatic manifestations of the disease are pronounced, plus there is (or is suspected) possible complications – the patient shows a surgical treatment. However, in the early stages of development of the cyst may use to treat conservative methods.
Surgical removal of the cyst
Due to the use of drugs to eliminate swelling inflammation, doctors can achieve the full disclosure of anastomoses in the region of the frontal sinuses. Then, in the cavity of the sinus should be entered various tanning substances, the washing of the cyst and also encourages the further resorption. the same method is used, if it is diagnosed based on the use of endoscopic equipment. In this case, access to the front of the sine is carried out by means of penetration into natural Petuhova holes of the nose, which is then removed through the cystic formation located in the frontal sinus.
Such surgery is not as traumatic, plus is characterized by a relatively short postoperativerecovery period. In this case, the endoscopic method is less painful for most patients and almost has no contraindications. In addition, the quality of endoscopic surgery said also the fact that in most cases as the surgical treatment is the resumption of the normal functioning of the frontal sinuses.