Hygrotomiya

The procedure is performed in various ways, depending on the objective, complexity, and the patient’s health status.

The most common types of maxillary sinus surgery (maxillary antrotomy) include:

1. Endonasal endoscopic maxillary sinus surgery: A modern and minimally invasive method in which a thin endoscope with a camera and surgical instruments is inserted through the nose to open and irrigate the sinus.
2. Caldwell-Luc procedure: A classic method where an opening is made in the anterior wall of the sinus through an incision under the upper lip to remove its contents.
3. Moore’s approach: An alternative method where an opening is made in the lateral wall of the sinus through a cheek incision to remove its contents.

Indications for maxillary sinus surgery

Surgery on the maxillary sinuses may be recommended or prescribed by an otolaryngologist (ENT specialist) in the following cases:

• Chronic sinusitis that does not respond to other treatment methods;
• Polyposis (polyp formations) on the mucous membranes of the maxillary sinus;
• Benign neoplasms;
• Presence of cysts in the upper jaw;
• Traumatic injury to the walls of the maxillary sinus;
• Foreign body in the sinus (e.g., a tooth fragment or dental filling material that entered the sinus during dental treatment);
• Suspicion of a malignant neoplasm.

Contraindications

Conditions under which maxillary sinus surgery is typically not performed include:

• Pregnancy;
• Acute infectious disease;
• Decompensated anemia;
• Blood clotting (coagulation) disorders;
• Chronic pathologies of internal organs or metabolic disorders in the stage of decompensation (diabetes mellitus, renal failure, etc.).

In some cases, contraindications to maxillary sinus surgery may be relative, meaning they depend on the severity of the patient’s condition and the necessity of immediate surgery. In such cases, the decision to perform the operation is made by the physician, weighing all risks and benefits for the patient.

The most modern and safest method used by the doctors at the “Med-Deo” clinic in Kyiv is endoscopic maxillary sinus surgery. It ensures high efficacy with minimal tissue trauma. This gentle sinus surgery is typically performed without complications under local anesthesia, allowing the patient to recover quickly.

The course of the operation is as follows:

• Insertion and inspection: The doctor inserts an endoscope into the nostril to examine the maxillary sinus and its ostium—the opening through which it connects to the nasal cavity;
• Dilation: The doctor widens the ostium using specialized instruments, which improves the drainage and ventilation of the maxillary sinus;
• Removal: The doctor removes pus, cysts, polyps, or other lesions from the maxillary sinus using forceps, an aspirator, or a laser;
• Hemostasis: The doctor checks for any bleeding and controls it using nasal packing (tamponade), coagulation, or hemostatic materials;
• Completion: The doctor extracts the endoscope and other instruments from the nose, completing the surgery.

The price of endoscopic maxillary sinus surgery is determined after a consultation with the physician and takes several factors into account, including the complexity of the intervention, the type of anesthesia, and the need for additional materials and medications.