Our Summary

This research paper is about nasal dermoid sinus cysts (NDSCs), which are common abnormalities often found in the middle of the face, usually in children. In this study, the researchers focused on a rare case where an NDSC affected the frontal sinus (the space behind your forehead) of an adult.

They found out that NDSCs in the frontal sinus can often be mistaken for complications of sinusitis, a common condition where the sinuses become inflamed or infected.

The study suggests a minimally invasive treatment method that combines endoscopic-assisted open rhinoplasty with endoscopic sinus surgery (a method known as the Draf type 2B frontal sinus approach). This was found to be an effective method of removing the NDSC.

The findings are backed by a review of other scientific literature on the subject.

FAQs

  1. What are nasal dermoid sinus cysts (NDSCs)?
  2. What is the suggested minimally invasive treatment for NDSCs in the frontal sinus?
  3. Can NDSCs be mistaken for sinusitis complications?

Doctor’s Tip

One helpful tip a doctor might tell a patient about nasal polyp removal is to follow post-operative care instructions carefully, including keeping the nasal passages clean and avoiding activities that may increase the risk of infection. It is also important to attend follow-up appointments to monitor healing and ensure the polyps do not return.

Suitable For

Nasal polyp removal is typically recommended for patients who experience symptoms such as nasal congestion, difficulty breathing through the nose, loss of smell or taste, facial pain or pressure, and frequent sinus infections. Patients with nasal polyps that do not respond to medication or other non-invasive treatments may also be recommended for removal.

In the case of NDSCs, the need for removal may vary depending on the size, location, and symptoms caused by the cyst. In the rare case of an NDSC affecting the frontal sinus, surgical removal may be necessary to alleviate symptoms and prevent complications.

Overall, patients with persistent or severe symptoms related to nasal polyps or NDSCs may be recommended for removal to improve their quality of life and prevent further complications. It is important for patients to consult with a qualified healthcare provider to determine the best course of treatment for their specific condition.

Timeline

Before nasal polyp removal:

  1. Patient may experience symptoms such as nasal congestion, difficulty breathing through the nose, decreased sense of smell, postnasal drip, facial pain or pressure, and snoring.
  2. Patient may undergo a physical examination, nasal endoscopy, and imaging tests such as CT scans to diagnose nasal polyps.
  3. Treatment options may include nasal corticosteroid sprays, oral corticosteroids, and in some cases, surgery to remove the nasal polyps.

After nasal polyp removal:

  1. Patient may experience relief from symptoms such as nasal congestion, improved breathing through the nose, restoration of sense of smell, reduced postnasal drip, and alleviation of facial pain or pressure.
  2. Patient may require post-operative care, such as nasal irrigation, nasal corticosteroid sprays, and follow-up visits with the surgeon to monitor healing and prevent recurrence of nasal polyps.
  3. Patient may need to make lifestyle changes, such as avoiding triggers that can worsen nasal polyps (such as allergies or environmental irritants) and maintaining good nasal hygiene to prevent future nasal polyp growth.

What to Ask Your Doctor

  1. What are the symptoms of nasal polyps and how do I know if I have them?
  2. What are the risks and benefits of nasal polyp removal surgery?
  3. Are there any non-surgical treatment options available for nasal polyps?
  4. How long is the recovery process after nasal polyp removal surgery?
  5. Will I need follow-up appointments after the surgery?
  6. What are the chances of the nasal polyps coming back after they have been removed?
  7. Are there any lifestyle changes I can make to prevent nasal polyps from recurring?
  8. How will nasal polyp removal surgery affect my sense of smell and taste?
  9. Are there any potential complications or side effects associated with nasal polyp removal surgery?
  10. How experienced are you in performing nasal polyp removal surgeries, and what is your success rate with this procedure?

Reference

Authors: Waniewska-Leczycka M, Cieslik T, Popko M. Journal: Wideochir Inne Tech Maloinwazyjne. 2020 Dec;15(4):632-644. doi: 10.5114/wiitm.2020.93327. Epub 2020 Feb 26. PMID: 33294080