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Mucosal Thickening Of Sinuses, Cysts, Deviated Septum. Cure With Surgery Or Medication ?

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Posted on Mon, 1 Oct 2012
Question: Dear Doctor, I took X XXXXXXX & CT scan and the report says Mucosal thickening in all the paranasal sinuses.Mucosal retention cysts are noted in both maxillary sinuses.Both infundibuli are occluded by mucosal secretions.No evidence of osteitis,bone sclerosis or bone erosion is visualized.The nasal septum is deviated towards right.Both middle nasal turbinatesappear normal.Both inferior nasal turbinates appear hypertrophied.The visualized nasopharynx is normal.
Impression : Pansinusitis,Bilateral Maxillary mucosal retention cysts.
Pl guide whteher i need to go for a surgery or can it be cured by medication? Thanks XXXXXXX
doctor
Answered by Dr. Puneet Maheshwari (18 minutes later)
Hi XXXXXXX ,

Thanks for your query.

You are suffering from( Your complete diagnosis is) Pansinusitis with bilateral maxillary retention cyst with deviated nasal septum with bilateral inferior turbinate hypertrophy.


There are 4 pairs of sinuses like maxillary, frontal, sphenoid, ethmoid. The purpose of there sinuses is to provide aeration, mucocillary clearance, production of mucus etc.

Retention cysts usually develop in the maxillary sinuses, because it is largest of all. These are benign cysts, which usually develops due to allergic reaction.

Treatment plan....

1- Surgery is the only mode of treatment in your condition drugs will not help.
2- Name of surgery is FESS( functional endoscopic sinus surgery). It is an endoscopic procedure, means no incision from outside.
3- Consult an ENT surgeon immediately, in the mean time put some xylometazoline nose drops daily, it will help in reducing your symptoms.

Hope it will definitely help you.

REGARDS.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Puneet Maheshwari

ENT Specialist

Practicing since :2008

Answered : 661 Questions

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Mucosal Thickening Of Sinuses, Cysts, Deviated Septum. Cure With Surgery Or Medication ?

Hi XXXXXXX ,

Thanks for your query.

You are suffering from( Your complete diagnosis is) Pansinusitis with bilateral maxillary retention cyst with deviated nasal septum with bilateral inferior turbinate hypertrophy.


There are 4 pairs of sinuses like maxillary, frontal, sphenoid, ethmoid. The purpose of there sinuses is to provide aeration, mucocillary clearance, production of mucus etc.

Retention cysts usually develop in the maxillary sinuses, because it is largest of all. These are benign cysts, which usually develops due to allergic reaction.

Treatment plan....

1- Surgery is the only mode of treatment in your condition drugs will not help.
2- Name of surgery is FESS( functional endoscopic sinus surgery). It is an endoscopic procedure, means no incision from outside.
3- Consult an ENT surgeon immediately, in the mean time put some xylometazoline nose drops daily, it will help in reducing your symptoms.

Hope it will definitely help you.

REGARDS.