Endoscopic endonasal removal of median palatine cyst
Karpishchenko, S.A.; Bolozneva, E.V.
B-Ent 13(1 Suppl 27: 67-72
2017
ISSN/ISBN: 1781-782X PMID: 29557566 Document Number: 693833
Endoscopic endonasal removal of median palatine cyst. A 49-year-old man presented with a median palatine cyst, as an incidental finding in a work-up of vision disturbance, due to a cyst in the sphenoid sinus. The median palatine cyst was removed with a diode laser in the contact mode under endoscopic vision; forceps were used to remove the sphenoid sinus cyst. Follow-up over 6 months showed authentic absence of left eye vision impairment, no signs of recurrence of the median palatine cyst, and no acute inflammation in the nasal cavity or paranasal sinus area. A median palatine cyst is mostly asymptomatic and painless at palpation. However, its structure, with chronic inflammation and detritus, can be regarded as a focus of chronic infection. Surgery is the only effective method of treatment, and relapse after surgery is rare.