De-roofing of Nasal Cyst
De-roofing of a nasal cyst is a surgical procedure used to remove the upper portion of a cyst located within the nasal cavity. Nasal cysts can develop due to congenital defects, chronic infections, or obstruction of mucous glands. These cysts may cause nasal obstruction, recurrent infections, facial pain, and cosmetic concerns, necessitating surgical intervention.
Indications for De-roofing
De-roofing is often recommended when the cyst is symptomatic, enlarging, or interfering with breathing. Patients with recurrent infections, sinus pressure, or visible swelling may benefit from this minimally invasive approach. Unlike complete excision, de-roofing focuses on opening the cyst to allow continuous drainage and prevent recurrence.
Surgical Procedure
The procedure is typically performed under local or general anesthesia, depending on the cyst’s size and location. An endoscopic approach is commonly used to minimize trauma and improve visualization. The surgeon carefully removes the cyst’s roof, ensuring that its contents drain freely into the nasal passage. Any residual tissue lining may be cauterized or left to heal naturally. This method preserves surrounding structures and reduces the risk of complications.
Postoperative Care and Recovery
Patients are usually discharged the same day with instructions for nasal irrigation and pain management. Antibiotics may be prescribed to prevent secondary infections. Mild swelling and nasal congestion are common but resolve within a few weeks. Regular follow-up is necessary to monitor healing and detect potential recurrence.
Conclusion
De-roofing of a nasal cyst is a safe and effective treatment for symptomatic cysts. It provides relief with minimal recovery time and reduces the risk of complications associated with more extensive surgeries. However, long-term monitoring is essential to ensure complete healing and prevent regrowth.
