Pylypiuk
Dmitry Nikolaevich

Hello.

Sergey, yes, a cyst can result in all those symptoms mentioned above.

You should know that a radicular cyst is treated either by a dentist or by a maxillofacial surgeon, but not an otolaryngologist.

We recommend that you first consult with one of the above specialists, because we are talking about a typical manifestation of odontogenic maxillary sinusitis. If that is the case, dental treatment is medically indicated and followed by CT scanning control (computer tomography), preferably in a month.

In your case, the radicular cyst of the upper jaw is nothing more than a furuncle over the root of the sixth tooth, which sticks out onto the maxillary sinus. What’s really going on? Each cold is followed by sinusitis, because a furuncle – as a source of inflammatory process – remains in place and provokes acute exacerbation.

By the way, you also mentioned «moderate ethmoiditis». It appears from your description that there are visible signs of edema in the ethmoidal labyrinth (the generic term for the air cells and cells of the ethmoid bone).

Ethmoiditis is a kind of reactive oedema in this ethmoidal labyrinth. In other words, the paranasal sinus becomes inflamed, the process of inflammation develops in the ethmoidal sinus and the ethmoidal sinus gets swollen as well.

I suggest that a chronic inflammatory process occurs in the ethmoidal labyrinth. So, a period of one month (our recommendation at the beginning of the answer: dental treatment, followed by CT scanning control, preferably in a month) will allow us to monitor how the dental treatment corrects the condition of the radicular cyst of the upper jaw on the right side.

So, if no cysts have been detected in the maxillary sinus and there is no edema in the ethmoidal labyrinth in a month, then the cyst and edema can be regarded as inter-relative issues.

Good day.

First of all, let’s explain the terms and concepts. An endoscope is the optical device for identifying (visualizing) a medical problem; in our case, this is a video camera we insert into the nose. Shaver is a tool for performing functional rhinosurgery procedures.

We are proud of using a shaver specifically designed for rhinosurgery. It has got a wide range of operating tips (attachments) that allow us to pass through the sinuses at the right angle.

You are also interested in how much it costs to remove the nasal polyps. By the way, I am often asked: «What does the cost of the procedure for removing polyps in the nose depend on: the depth of the neoplasm location or the complexity of the operation itself?» I do not hesitate to answer: these are the complexity and duration of the operation that matter.

If the neoplasm is located in the sphenoid sinus (the body of the sphenoid bone of the skull), and the overgrown «Turkish saddle» (the formation in the body of this bone) develops into the skull cavity – an experienced surgeon like me can immediately identify the mixed case.

The first stage is solving the problem by removing the nasal polyps, the second is the defect correction, resulting from solving this problem. That means the operation involves a plastic surgeon, and a patient should stay in the hospital longer.

Accordingly, the approximate cost of the nasal polyp removal surgery depends on the complexity (duration) of the operation, as well as the necessity to involve a specialized doctor. During the consultation at the VIRTUS Institute, our surgeons will figure out how much the surgery costs.

By the way, I recommend the patients from other cities to send me their MRI and CT scans by mail so that we can monitor the situation in advance.

Hello.

Nasal corticosteroids do relieve the condition of swelling of the node mucous tunic. In some cases, they can even reduce the size of nasal polyps. It is necessary to know and take into account that these drugs accumulate in the mucous membrane during the first three to five days (the so-called cumulative effect).

Having such a diagnosis, you are recommended to use long-term topical steroids (for one month or more), sometimes in combination with short courses of systemic corticosteroids. In the first week of medication intake, we advise you to add some vasoconstrictor drops.

If the polyps have become large in size and they block your nasal passages, preliminary drug preparation should be followed by medical treatment.

Hello.

In the presence of above mentioned symptoms, we usually recommend a preliminary consultation with an ENT doctor.

If you have a problem that lasts for years, it is advisable to visit the doctor having a computer tomography scan of your maxillary sinus prepared.

It is very important for the specialist to look through the CT scan and analyze the condition of your maxillary sinus. Perhaps the frequent sinusitis is caused by the presence of a fungal body; or maybe, there is a dental problem.

At the consultation with an ENT doctor, you will make it clear which specialist can help you: an otolaryngologist or a dentist.