Microgaimorotomy: removal of the maxillary sinus cyst

Microgaimorotomy

Microhemorrhoid helps to cope with chronic sinusitis and its complications, polyps, cysts in the maxillary sinuses. The technique is a minimally invasive operation using video endoscopic technology and aims to remove the pathological contents through the natural opening of the sinus or with minimal damage to its wall. Most often, the pathological content is a cyst of the maxillary sinuses - the formation of a spherical shape with a thin wall filled with fluid.

Why do cysts occur

The most common cause of cysts of the maxillary sinuses is chronic inflammatory diseases of infectious or allergic nature. Violation of protective mechanisms leads to the growth and scarring of the mucosa, resulting in obstruction of the ducts of the glands - so a retention cyst is formed.

Sometimes the pathology develops against the background of dental diseases. The inflammatory process near the tooth root provokes the formation of an odontogenic cyst. Factors are injuries of the facial skull, congenital anomalies with asymmetry of the hard palate and nasal bones, immunodeficiency.

Symptoms of cysts of the maxillary sinuses

Symptoms that suggest the presence of a sinus cyst are:

• nasal breathing disorders (nasal congestion);
• constant or spontaneous headaches or pain in the projection of the maxillary sinus;
• a characteristic symptom of the cyst is a sharp pain in the nasal area during jumps in atmospheric pressure (when diving to depth, or in the plane);
• discomfort in the eyes, cheeks;
• frequent recurrences of sinusitis, sinusitis;
• discharge from the nose, drainage of purulent-mucous secretion on the posterior wall of the pharynx.

The presence of these symptoms is a serious reason to consult an otolaryngologist. Do not procrastinate, remember, at an early stage to cure the disease is much easier than treating complicated pathological processes.

Indications for microhymorotomy

Endoscopic removal of a cyst of the maxillary sinus is indicated in the following cases:

• the diameter of the formation is more than 6 cm;
• the rapid increase in the size of the cyst;
• the presence of pus in the cyst cavity;
• decreased vision or the appearance of diplopia;
• bright manifestations of symptoms that lead to deterioration of the patient's quality of life;
• ineffectiveness of conservative therapy.

In addition, microhymorotomy is performed in the following pathologies:

• neoplasms in the sinuses;
• foreign objects in the nasal cavity;
• polyps;
• sinusitis and subsequent complications;
• damage to the walls of the maxillary sinuses;
• Contraindications to the removal of cysts of the maxillary sinuses:
• acute infectious diseases;
• chronic diseases in the stage of decompensation;
• blood clotting disorders;
• pregnancy.

How to prepare for surgery to remove a cyst of the maxillary sinus

Preparation for microhymorotomy requires the delivery of certain tests, such as:

• general blood test;
• general analysis of urine;
• biochemical blood test;
• coagulogram;
• radiography computed tomography, or magnetic resonance imaging of the maxillary sinuses;
• chest radiography and ECG.

The specialist may additionally appoint another study, based on each case. Similarly, sometimes you need to consult related specialists, such as a dentist, anesthesiologist, therapist.

A week before the operation you should give up alcohol and smoking, eating heavy meals. You should warn a specialist if you are taking drugs that affect blood clotting. Do not eat or drink for at least 6 hours before the procedure.

The course of the operation

In most cases, surgery to remove a cyst of the maxillary sinus is performed under local anesthesia but may be under general. Access depends on the size of the cyst: the endoscope in the sinus can be endonasal or through a small puncture in the mouth under the upper lip. The duration of microhymorotomy is usually about 30-60 minutes.

If access is through the orifice of the mouth, then over 4-5 teeth, in the anterior wall of the maxillary sinus with a trocar, a small puncture is made up to 5 mm in diameter, forming a neat entrance to the sinus cavity. An endoscopic chamber and instruments for removing pathological contents are inserted through the hole. After revision and removal of the cyst, the cavity of the maxillary sinuses is washed with antiseptic solution several times, a control examination is performed and the puncture is sutured.

In the case of endonasal access to the sinuses, the otolaryngologist expands the natural or artificial connection in the middle or lower nasal passage and inserts through it the endoscope and microinstruments. Further manipulations are the same: the pathological contents are removed and the sinuses are washed with antiseptics.

The advantages of removing cysts of the maxillary sinuses by the endoscopic method are undeniable:

• minimal injuries, as everything is done through a puncture;
• painlessness;
• rapid rehabilitation;
• no visible cosmetic defect after surgery;
• low risk of complications;
• in some cases, the operation can be performed on an outpatient basis and return home the same day.

Rehabilitation

A few hours after the operation, the patient is under medical supervision. The first time there may be swelling of the cheeks, to relieve symptoms, the specialist will prescribe painkillers or vasoconstrictor drops in the nose. In the early postoperative period, it is undesirable to sneeze or choke. Until full recovery, you should give up heavy physical activity, visiting the sauna and bath, drinking fluids through a tube.

A very important condition for rapid recovery is quality care of the oral cavity and rinsing it with antiseptics, as infectious agents from the mouth can penetrate the nasal passages and maxillary sinus, causing recurrence of the disease.

You can perform a microhymorotomy operation in Kyiv in the network of Dobrobut medical centers. In our clinics, treatment is carried out in a comfortable environment, using advanced medical technology, modern equipment, and all at affordable prices. The team of the best specialists of Ukraine will do everything possible to help patients get a full recovery.

You can find out the full list of our services and their cost on the website. There is a flexible system of discounts for regular customers.

Registration for the consultation and examination is carried out 24/7, without weekends. Call our call center right now!

Bibliography

1. https://www.entnet.org/quality-practice/quality-products/clinical-practice-guidelines/
2. https://www.guidelinecentral.com/summaries/specialties/otolaryngology/
3. Мунир. Н, Кларк Р. «Наглядная отоларингология», 2016г.
4. Harrison W.Lin, Daniel S.Roberts, Jeffrey P. Harris «Review of otolaryngology», 2016.