Treatment approaches for maxillary sinus cysts

Abstract

Maxillary sinus cysts are frequently asymptomatic and are often discovered accidentally on radiographs. Panoramic radiography and plain radiography of the skull can be used in routine practice to highlight these cysts, which usually appear as rounded, dome-shaped masses located on the floor of the maxillary sinus. Computed tomography (CT) should be used to determine their dimensions or relationship to neighboring anatomical structures. Treatment of maxillary sinus cysts is consistent with their size, location, pathology and potential for recurrence. Interdisciplinary treatment planning is important in its long-term success. The following surgical methods are described as treatment methods: marsupialization, enucleation or radical cure (extirpation of the cystic membrane) and radical cure by the rhinological method and as an exceptional, sometimes transient method, the drainage of the cystic content through a polyethylene tube.