Ear, Nose and Throat Doctor (ENT) Questions Ear, Nose and Throat (ENT)

Can surgery fix sinus cysts?

I was diagnosed with sinus cysts. Can surgery fix sinus cysts?

2 Answers

Can Surgery Fix Sinus Cysts?

Yes, surgery can often fix sinus cysts. These cysts, also known as sinus mucoceles or retention cysts, can cause symptoms such as sinus pressure, headaches, and nasal congestion. Here’s how surgery can help:

Types of Sinus Cysts

1. Mucoceles: These are mucus-filled cysts that can expand and cause pressure on surrounding structures.
2. Retention Cysts: These are fluid-filled sacs that occur when mucus glands in the sinus linings become blocked.

Surgical Options

1. Endoscopic Sinus Surgery:
• Procedure: This is the most common surgical treatment for sinus cysts. A surgeon uses an endoscope (a thin, flexible tube with a camera and light) to access the sinuses through the nostrils and remove the cyst.
• Benefits: Minimally invasive, quicker recovery, and less discomfort compared to traditional surgery.
• Indications: Effective for both mucoceles and retention cysts.
2. Caldwell-Luc Operation:
• Procedure: This is a more invasive surgery that involves making an incision above the teeth to remove the cyst.
• Benefits: Useful for larger or more complicated cysts that cannot be accessed endoscopically.
• Indications: Typically reserved for cases where endoscopic surgery is not feasible.

When to Consider Surgery

• Persistent Symptoms: If the cyst causes ongoing pain, pressure, or recurrent sinus infections.
• Size and Location: Larger cysts or those that obstruct normal sinus drainage or affect nearby structures.
• Failure of Conservative Treatments: When medications or other non-surgical treatments do not relieve symptoms.

Recovery and Risks

• Recovery: Most people recover quickly from endoscopic sinus surgery, typically within a week or two.
• Risks: As with any surgery, there are risks such as infection, bleeding, and potential damage to nearby structures, but these are generally low with modern techniques.

Conclusion

Surgery is a common and effective way to treat sinus cysts, especially when they cause significant symptoms or complications. Consult with an ENT specialist to discuss the best treatment option for your specific situation.
The short answer is yes. A cyst within the sinus can grow (enlarge) over a period of time and lead to a pressure sensation in the face. So it is something you would want to resolve.