[Pathological dilatation of the paranasal sinuses. Part II]

Area of Science:

• Otolaryngology
• Rhinology
• Surgical Pathology

Background:

• Severe chronic and recurrent sinusitis presents significant treatment challenges, particularly when complicated by pathological stretching of the paranasal sinuses.
• Pathological sinus enlargement can lead to extensive wall destruction and complications involving adjacent anatomical structures.
• Existing literature on this specific pathology requires comprehensive review and synthesis.

Purpose of the Study:

• To provide an analytical review of existing publications on pathological stretching of the paranasal sinuses.
• To detail the classification systems for this condition.
• To explore influencing factors, pathogenesis, and current surgical management strategies.

Main Methods:

• Analytical review of scientific literature.
• Synthesis of data on classification, etiology, pathogenesis, and treatment.
• Categorization of surgical approaches based on complexity and staging.

Main Results:

• Detailed classification options for pathological paranasal sinus stretching were identified.
• Potential etiological factors and pathogenetic mechanisms were analyzed.
• Modern one- or two-stage surgical treatment approaches, considering aesthetic outcomes, were outlined.

Conclusions:

• Pathological stretching of paranasal sinuses is a complex condition requiring specialized management.
• A thorough understanding of classification and pathogenesis is crucial for effective surgical planning.
• Current surgical techniques offer viable solutions, adaptable to the presence of secondary aesthetic defects.