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Cystic sinusitis: surgical treatment of the cyst

One of the varieties of chronic sinusitis is the cystic form of the disease. It is characterized by the fact that on the background of inflammation of the maxillary sinus can be used to detect the cyst. As a rule, rounded container with a liquid contents.

The reason for the formation of cystic sinusitis, but rather a cyst, is found in the blockage of one of the many glands of the nasal mucosa. Typically, these ducts can quite easily get clogged due to thickening of the inflamed mucous membrane, and this occurs under the influence of the infection.

Despite the fact that the gland is inflamed, it continues to produce mucus that naturally builds up. The walls of the glands are stretched under accumulated mucus. Formed round tumors that are located in the cavity of the groin and diagnosed as cysts.

In addition, there are several which lead to the appearance of the cyst:

  • Local allergic reaction that affects the sinuses.
  • Chronic disease processes that are inflammation, these include a sore throat and adenoids.
  • And abnormal structure of the nose and the presence of sinuses polyps.

Note also that the cyst continues to increase in size due to the fact that the inner epithelial layer retains the ability to produce the secret.

The symptoms of cystic sinusitis

Quite often a cyst in the nasal sinus generally can not be seen and detected by cystic formation quite by accident, during the inspection. However, there are cases when the cyst makes itself known certain symptoms.

There is a feeling of fullness in the sinuses, then there may be pain in the upper jaw and in the forehead. To give such a pain in the temple or in the eye socket. We can also note an increase in pain when tilting the head forward.

However, characteristic symptoms concerning cystic sinusitis does not exist, and the diagnosis doctors put only after a thorough examination.


The basic method that allows to identify cystic masses and to correctly diagnose cystic sinusitis, remains x-rays. X-rays are performed in two projections, and by the way, as soon As the sinus completely cleared, using the same needle begins contrast material with iodine. Then the patient is suitable to x-rays, and doing x-rays in several projections.

The contrast material introduced into the sinus of the nose, helps to set off the free space of the sinus and allows the doctor to see her condition, and also shows the polyps and the exact size of the cystic education.

But the simplest and most effective and modern method of research of cystic sinusitis is consideredendoscopy. It is important to emphasize that the main advantage of this method is the ability to biopsy tissue cysts, which allows to determine the nature of education.

Complications of cystic sinusitis

Have cystic sinusitis quite small number of complications, and the main ones can be considered:

  • long festering cyst of nasal sinus,
  • inflammation of neighboring organs and tissues that are adjacent to the cyst,
  • pressure cystic formation with constant growth of bony structures and subsequent deformation.
  • Necrosis of bone tissue.

Treatment of cystic sinusitis

Let's start with the asymptomatic course of the disease. In this case we can say the lack of growth of cystic masses, and the absence of violations of nasal breathing. In this case, a simple anti-inflammatory therapy, which is considered strictly according to the existing symptoms.

However, it is recommended to monitor the patient. In some cases, such asymptomatic cystic formation may not just stop growing in size, but also to identify regression, and completely to disperse themselves, it may be a method however has some disadvantages, first talk about the fact that surgery can leave behind fairly noticeable scars. Additionally, the scar violates the integrity of the mucosa and has a negative impact on its physiological functions, as a result, you may experience different pathology.

This type of operation more than 100 years, however, during this time it has been improved and no longer causes such a serious trauma of the nasal mucosa.

Operation Denker

While surgical intervention also there is opening of the front wall of the maxillary sinus, only now it is done by the person.

The choice of this method is due to the need for a radical excision of the cyst, especially for problems with cystic formation, which is at the rear of the nasal sinuses.

This method's main disadvantage is the high invasiveness.

Endoscopic surgery

Endoscopic surgery in case of treatment of cysts is the most modern and allows to minimize the options of injury. In this method, you can not do cuts on the face and the cyst is removed through the nose.

It is important to note that this type of operation are practically no contraindications and is extremely rare to have complications and the recovery period is only a few hours, maximum two days.

The downside of this type of surgery can be called the inability to use, under certain localizations of cystic formations.Learn more about cystic formation in the nose can be found in our material — Cyst sinus symptoms, removal, pictures.

Photodynamic method

It is a modern technique for the treatment of cystic sinusitis, which is still being tested. The method of introduction into the sinus of the nose through an incision of a particular active substance.

At the same time with the introduction of a substance on the mucosa affected by the laser beam through a special light guide.


In conclusion, we note again that the treatment of cystic sinusitis should be conducted only in a medical facility, and either by puncture and drainage or surgery.

Necessary to completely eliminate the use of any unconventional folk treatment lavage, inhalation, instillation of the medicinal herbs. All this does not affect the cyst, but this treatment may lead to deterioration of health, increase the growth of cystic masses.