The removal of the cyst in the maxillary sinus with the endoscope: video of progress
Endoscopic removal of cysts of the maxillary sinus
Headaches and discomfort from dizziness, shortness of nasal breathing and frequent recurrence of colds – an occasion to examine in detail the nasal cavity for the presence of entities. In 70 cases out of 100 will show a cyst, which is the source of the problem. Although treatment options you can find many, the removal of the cyst to the maxillary sinus with an endoscope (video presented in the gallery of the site) – the gold standard of modern surgery.
How is a cyst: risk factors
A cyst in the nasal cavity looks like a small ball of clear or cloudy contents, limited by two elastic walls. Most often it is formed in the maxillary sinuses, as they are more prone to inflammations than other sinuses.
The mechanism of formation is explained simply: in the mucous membranes that lined the entire nasal cavity, are special glands. They establish the secret needed to moisturize and protect tissues, and each gland has its own private exit passage. Frequent infections lead to the thickening of the membranes, resulting in leaking secret ducts are closed. And mucus at this time, all also produced, but now she is not able to go outside. As a result, the sinuses, the pressure increases, the walls of the shells are expanding, and the result is the formation of cysts.
- frequent colds and viral respiratory infections;
- chronic sinusitis;
- permanent complications such as inflammation of the sinuses against conventional infections;
- a deviated septum;
- problems of a dental nature, leave things to chance;
- intervention failed dental technicians;
- genetic predisposition.
Although cystic masses in the maxillary sinuses are common and well understood, often their discovery is in the nature of random «have fun». For example, the patient is sent for x-rays in connection with the forthcoming removal of wisdom teeth, and returned with an additional diagnosis of cyst of the maxillary sinus.
A transaction is required?
In most cases, surgery to remove cysts of the maxillary sinus (video posted below) is a reasonable necessity, such as education yield only the radical methods of treatment. Conservative measures are not able to cope with this problem, although they have a positive effect during therapy. It is to facilitate the patient’s condition and withdrawal symptoms of pain, congestion of the sinuses. As the inner layer of the cyst is an epithelial tissue, production of mucus that fills the «ball» that goes on constantly. Increasing in volume, the secret of the rise of education in General, and this is fraught with serious problems. Alas, this phenomenon alone does not pass, so the growing cyst are subject to immediate removal.
However, not all cases, the presence of «bulb» in the nasal cavity is an indication for immediate liquidation. If patient complaints and symptoms are absent, and the cyst is behaving «safely» professionals of the Supervisory tactics and control.
The «gold standard» of elimination of tumors from the nasal cavity
Endoscopic removal of cysts of the maxillary sinus has become the preferred option of radical treatment today.
This method is low invasive microsurgery and is used not only for elimination of entities, but also for the extraction of foreign bodies trapped in the nasal passages. First appeared in the 50s of the past century, it has been successfully and widely applied already in the beginning of the next decade.
The main tool in this procedure an endoscope. This is a flexible tube made of light transmitting material, equipped with a microscopic camera and eyepiece. Surgeon conducting manipulation has an excellent opportunity to see all your actions on the computer screen. This makes intervention much more efficient, more accurate and safer. Moreover, this equipment helps professionals explore all the features of the anatomical structure of the nasal cavity of the patient, to accurately determine the localization of the cyst and to plan tactics. Therefore, the endoscope is often used for diagnostic purposes along with the x-ray and computer tomography.
Surgery to remove cystic formation of the maxillary sinus with involvement of the endoscopic technique is performed under local anesthesia. If a local anesthesia for some reason are not suitable (in very rare cases), use of General anesthesia.
In most cases, the surgeon the cyst gets through anastomosis. This is a natural communication between the maxillary sinus and the rest of the nasal cavity. In case of difficulty, may require additional dissection of tissue or a small puncture. Special tools and under the control of the endoscope, the doctor cuts cystic formation, and then gently remove it using a fistula.
Analogue endoscopic techniques – removal of cysts of the maxillary sinus laser.
The method is effective, but extremely limited in terms of widespread use. In order to eliminate the tumor, laser equipment requires full access, which in most cases is impossible because of the localization of the cyst. And doctors have to cut open the nasal cavity as well as the classic hamartoma. The risk and complexity of such an intervention not comparable in result with endoscopic manipulation.
As for the radical approach in the form of classical hamartoma, it is applied in most medical establishments in the country today remains no less effective option for the elimination of cysts. However, the risk of trauma to healthy tissue, decreased recovery rate the nasal cavity and volume of the method is still high. Alas, endoscopic equipment is not available everywhere, and the specialists in this technique interference is not enough.
The advantages of the endoscopic technique
Recognition of endoscopy has got not only in the field of functional surgery of the sinuses, but in all other forms of radical treatment. But the removal of cysts of the maxillary division of the nasal cavity, this method is most popular because of undeniable advantages:
- the estimated operation time is 20-30 minutes;
- reduced pain syndrome during the intervention and after it;
- reduction of rehabilitation period;
- preservation of healthy tissue;
- safe resection and extraction of the cyst;
- to ensure free breathing immediately after surgery;
- rapid regeneration of mucous membranes;
- improved flow of mucus from the sinuses;
- return full of the sense of smell;
- the possibility of outpatient performance;
- no scars, scars and other appearance defects after manipulation.
Low probability of complications and obvious advantages of the method rightly did endoscopic surgery is the gold standard.
To the question about the complications
Although sudden unwanted effects after use of an endoscope – a rarity, such situations still occur. These include:
- Bleeding. They occur more frequently in patients with disorders in the coagulation system or people taking drugs that affect hematopoiesis. For the insurance and stop the blood flow using special swabs.
- Feeling unwell after the surgery is most often associated with the action of painkillers. Although this situation of danger to health is not responsible for and is a temporary circumstance, it is referred to complications.
- The allocation of cerebral liquor. In most cases, this trouble is eliminated immediately during the intervention, but complex cases may develop post-operative infection.
- Changing the timbre of the voice of the patient that is associated with the resonance in the maxillary sinuses.
- As with any intervention, there is the risk of postoperative inflammation.
- Momentary numbness of the nose, upper lip or cheeks, which is associated with damage to nerve receptors.
In fact, the risk of complication after endoscopic extraction of the cyst is very small, however, the knowledge of possible consequences that can protect the patient from unnecessary worries.
How to remove a cyst in the maxillary sinus: a laser, via an endoscope or classic method – to decide the doctor on the basis of diagnostic data, medical history and the complexity of the situation.