Sinus Retention Cyst Question to ENT's
Quote:
> I would like to add to this question. Why can't ENT surgeons
>make a
>straight forward "frontal approach" to the maxilary sinus? Isn't it
>under the eye, and therefore accessible through the cheek? (As you
>can
>tell, I am NOT a physician and my understanding of anatomy might be
>completely wrong).
>I am an ENT, and the answer is: you can go straight through the front
>of the sinus. In fact this IS a "Caldwell-Luc" operation. Fortuately
>nowdays there is a better way for managing most sinusitus by using
>telescopes and operation excusively through the nose. This is known
>as "Endoscopic Sinus Surgery" This approach can enlarge the openings
>of most of the sinuses (thus curing them) without making any
>incisions other than inside the nose. In fact it is a much more
>effective and less traumatic approach than the older approaches and
>is generally performed by all Up-to-Date ENTs rather than the old
>methods.
>The previous question about a mucous retention cyst raises the
>question of whether the surgery is even needed. In most cases
>retention cysts are asymptomatic and do not need to be treated at
>all. You may wish to get a second opinion or an explanation from your
I entirely agree with your view. I am not sure where the business
of a mucoous retention cysts came up. Perhaps I missed the earlier
mails but yes, if they are small and not the cause of other problems
by all means leave them alone.
I have not done a single C_L in the past four years for sinusitis,
ever since I started doing FESS. Elegant operation don't you
agree?
Palani
