Analysis of effect of three under nasal endoscope surgery in the treatment of maxillary sinus cyst

Abstract

Objective To explore three under nasal endoscope surgery treatment the clinical curative effect of maxillary sinus cyst. Methods 95 cases of maxillary sinus cyst patients were chosen, the maxillary sinus were used respectively to open to expand, the nasal passages of maxillary sinus fenestration and maxillary sinus anterior wall fenestration three types of surgical treatment, postoperative follow-up of 1 year, the clinical curative effect of three kinds of operation method were analyzed. Results The maxillary sinus mouth open expansion of 39 cases during operation, 37 cases were cured,2 cases of recurrence; The nasal passages under the maxillary sinus fenestration 27 cases,26 cases cured,1 case of recurrence; The maxillary sinus anterior wall fenestration 29 cases,29 cases healed; Three kinds of operation cure rate difference had no statistical significance(P>0.05). Conclusion The treatment of maxillary sinus cyst operation should be selected according to the location and size of cysts and whether the various associated withnasal sinuses diseases and other factors determine the. Maxillary sinus cyst neararound the maxillary sinus, sinus cavity lateral wall or with sinus disease can use theostium of maxillary sinus extending open surgery path;near the sinus cavity innerwall and the bottom wall can use windowing of the inferior nasal meatus approach; near the front wall of sinus cavity and large cysts or recurrence can be choice ofmaxillary sinus by fenestration operation path; the purpose is to remove the cystoccurs completely, reduce tissue injury and complications. Key words: Maxillary sinus; Cyst; Fenestration