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Symptomatic maxillary sinus retention cysts: should they be removed?
1Department of Otolaryngology, University of Medicine and Pharmacy, Cluj-Napoca, Romania. silviualbu63@gmail.com
The Laryngoscope
|August 18, 2010
Summary
Endoscopic sinus surgery (ESS) for maxillary cysts showed similar symptomatic relief whether cysts were removed or not. Restoring sinus ventilation and drainage is key for treatment success.
Area of Science:
- Otolaryngology
- Rhinosinusology
- Surgical Innovation
Background:
- Endoscopic sinus surgery (ESS) is the preferred method for maxillary sinus retention cysts.
- The efficacy of cyst excision versus non-excision during ESS requires further investigation.
Purpose of the Study:
- To evaluate the relationship between symptomatic relief and ESS with or without endoscopic maxillary cyst excision.
- To compare surgical outcomes based on cyst removal during ESS.
Main Methods:
- Prospective, randomized study of 80 patients with symptomatic maxillary cysts.
- Group A: ESS with cyst excision; Group B: ESS without cyst detachment.
- Correlated symptomatic failure with surgery type, CT score, and cyst size.
Main Results:
- Symptomatic failure occurred in 9 patients (4 in Group A, 5 in Group B).
- No significant relationship was found between success rates and surgical technique, CT score, or cyst size.
Conclusions:
- Endoscopic ethmoidectomy and middle meatus antrostomy without cyst detachment provide comparable outcomes to cyst extirpation.
- Optimal treatment focuses on restoring ventilation and drainage of the maxillary sinus.
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