Cystic sinusitis: symptoms and treatment what is

How to treat cystic sinusitis?

Cystic sinusitis is characterized by the formation of rounded containers filled with liquid on the background of inflammatory process of the maxillary sinuses. Cysts are benign, transition probabilities in Oncology does not exist.

Pathological changes requires timely diagnosis and adequate therapy. Otherwise, deviations will progress in the form of new structures, disturbance of drainage of the nose, and intoxication. To prevent negative consequences it is necessary to know the course and symptoms of the disease.

What is cystic sinusitis

Cyst of the maxillary sinus is a complication of classic sinusitis. The inner surface of the nose is lined with mucous membrane to the output channels. Their main function is to ensure a natural outflow of the produced secret.

In violation of the patency of the excretory secretory discharge holes accumulated in the projection of the sinuses, causing inflammation.

Under the influence of such a process, the soft tissue increase in size, the void is filled with synthesized liquid nasal glands. Atheroma (cysts) are different configuration options, localization.

For visualization and differentiation of pathologies prescribed x-ray and computed tomography.

The risk of cystic sinusitis is manifested by probability of migration pathologists in the purulent form, insufficient supply of oxygen and nutrients, the deformation of the tissue structure.

The catalysts lesions of the paranasal cavities include the following factors:

  • immunosuppression;
  • rhinitis of various etiology;
  • hormonal imbalance;
  • allergic reactions;
  • adverse domestic and industrial conditions;
  • running form acute sinusitis;
  • acute respiratory viral diseases.

To provoke breach of the transport of minerals can anatomical deformity of the nasal septum.


The difficulty in diagnosing inflammations cause identical symptoms with acute sinusitis. Tumors at the initial stage does not cause concern, and only in the process of proliferation of cysts and increase their parameters, the patient experiences severe discomfort and unpleasant feeling.

For reference! Due to lack of oxygen in the cystic sinusitis may impair mental activity, concentration, spatial coordinate.

On the development of the pathology indicates the following manifestations:

  • intense headaches, which intensified when tilting or palpation;
  • nasal congestion. Disorders characterized by systematic or periodic manifestation. Prolonged swelling of the soft tissues leads to the characteristic abnormal sound;
  • increased body temperature;
  • increase the side of the face to the mandible, the area around the eyes;
  • lacrimation. Characteristic of late periods of inflammation is redness of the eyeball, narrowing of the openings bounded by the edges of the eyelids;
  • the production is thick aconselho secret yellow color with an unpleasant odor;
  • the expiration of snot on the inside of the nasal cavity.
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The overall picture included symptoms of intoxication: fatigue, decreased performance, nausea. Attention requires the fact that the pain from the nasal projection extend to the frontal region, facial region of the skull.


The essence of conservative therapy is the relief of the inflammatory process in the maxillary sinuses, providing a natural outflow of mucus.

Drug treatment is effective in the initial stages of development with little atheroma. To achieve positive dynamics and to accelerate the healing process possible with an integrated approach.

Nasal lavage

Mechanical cleansing of the paranasal sinuses is aimed at elimination of the remnants of mucus, foreign agents, the renewal of the natural message of the nasal cavity with the environment.

The pharmacological market offers a wide variety of moisturizing products based on isotonic sea water: «Akvamaris», «Humer», «Marineros».

For reference! The use of nasal funds in the form of aerosols allows you to handle the maximum area of the inner shell with a smaller flow of medicinal fluid.

No less effective is a saline solution prepared at home.

Antibiotic therapy

When inflammation of the bacterial or viral etiology prescribed synthetic drugs of the penicillin group («Amoxiclav», «Augmentin»), cephalosporins («Ceftriaxone»), macrolides («Macroin», «Sumamed»).

The main components of effective against gram-positive and gram-negative strains, inhibit the synthesis of disease-causing agents.

Before the appointment the doctor identificeret resistance of microorganisms to the components. The dosage and course of treatment determine the physiological characteristics and nature of the flow of inflammation. The average duration of use is limited to 5-10 days.


Their acceptance is due to the formation of cysts in the projection of the maxillary sinus under the influence of antigens. The mechanism of action of antiallergic agents based on the overwhelming effect of free histamine.

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High efficiency in otolaryngology proved drugs 3 generation «Hismanal», «Trexel», «Telfast». They show protivozudnoe activity, ease the symptoms of the disease, prevent the development of new reactions. Among the advantages are the absence of anticholinergic and toxic effects.

Important! In the cystic sinusitis allergic nature it is necessary to identify the allergen, to limit contact with him.


To liquefy mucus and facilitate its removal used mucolytic agent. In combination with expectorant action possess weak anti-inflammatory effect. With the defeat of the maxillary projections contribute to a better discharge of thick nasal secretions.

On the pharmaceutical market are presented in the form of tablets or soluble powders for severe clinical cases in the form of injections. Be wary appoint patients with a tendency to disorders in the stomach and duodenum.

The first line of protection is represented by «ACC», «weeks Asset», «Fluimucil», «Mucosolvan», «Flavored».

To prevent the development of cysts in the projection of the maxillary sinuses will help to restorative therapy. The formation of local immunity begins with proper nutrition and physical activity. To increase the stability of the body prescribe mineral and vitamin complex.

Surgical treatment

Modern otolaryngology offers surgical intervention without damaging the integrity of the mucosa and soft tissue of the maxillary sinus. Endoscopic procedure does not require hospitalization and hospital.

For reference! Before the operation the patient is prescribed a course of anti-inflammatory drugs.

Deletion is carried out physiologically. Under local anesthesia, the doctor makes a puncture of the affected sinus, remove with scissors the tumor. For visualization of the cyst through the hole you enter camera.

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The advantage of this method is minimal blood loss, short period of rehabilitation (several hours), absence of contraindications, the preservation of the integrity of bone tissue.

Among the disadvantages of endoscopy is not effective for all forms of localization of atheroma.

The ineffectiveness of endoscopic treatment perform open surgery. Operation Caldwell-Luc requires General anesthesia or regional infiltration. Access to the maxillary sinus opening through the hole in the upper jaw under the lip. Special instrument the cyst is removed together with the flap of the inner shell, the wound surface is sewn up.

Subject to the timely therapy, or surgical intervention, inflammation of the maxillary sinus is not dangerous for patient’s life. Effects advanced forms of pathology is the shock surrounding tissues and organs, necrotic bone disease, abscess of the brain, sepsis, meningitis.


The symptoms and treatment of cystic sinusitis are interlinked. The nature of the pathogen, the extent of damage and the localization depends on the method of recovery.

In the initial stages will be an effective palliative therapy in the sprawling atheroma performed surgical removal.