OPTIMIZATION OF THE SURGICAL ACCESS METHOD FOR MAXILLARY SINUS CYSTS

Abstract

The aim of the study was to increase the efficiency of surgical treatment of maxillary sinus cysts by improving extranasal access. Under our supervision, there were 50 patients with a diagnosis of "maxillary sinus cyst" undergoing planned surgical treatment. All patients underwent a comprehensive examination, including examination of ENT organs, endoscopy and computed tomography. Patients were divided into 2 groups. The 1st group underwent traditional surgery according to Caldwell-Luc. The 2nd group of patients underwent surgery, taking into account the location of the maxillary sinus cysts. In patients of the 1st group, on the 5-6th day, its intensity according to the results of the assessment using VAC was 3.1 ± 1.0 points, in patients of the 2nd group the pain disappeared on the 3rd day, the intensity of the pain was 2.2 ± 0.6 points. The study showed that extranasal access to the maxillary sinus through the alveolar region allows you to completely remove the cyst, restore the mucous membrane of the maxillary sinus and minimize the likelihood of relapse.