How to treat the sequelae of nasal vestibule cyst surgery?

If a vestibule cyst is treated surgically, one must also be alert to possible sequelae, because patients with symptoms of nasal congestion or a history of recurrent infections require surgical removal. After the operation, attention must be paid to cleaning and care to keep the wound surface intact.

1. Causes

Vestibular cyst is a type of facial cleft cyst. The so-called facial cleft cyst refers to various congenital cysts that occur in the soft tissue, bone tissue or bone foramen of the nose and around the nose. There are currently two main theories about the cause of its occurrence: the glandular retention theory and the facial cleft theory, with the latter being the dominant one.

1. Glandular retention theory

Because the mucosal gland ducts at the bottom of the nasal cavity are blocked due to various reasons, the glandular secretions are retained and form cysts, so they are called retention cysts.

2. The facial cleft theory believes

During the embryonic period, there are remnants of embryonic epithelium in the clefts formed by development at the junctions of the maxillary process, the bulbous process of the medial nasal process, and the lateral nasal process, which develop into facial cleft cysts.

II. Treatment

If the cyst is large and the patient has facial deformity and nasal congestion symptoms or a history of recurrent infection, surgical removal should be performed via the labiogingival sulcus approach.

Surgical method: Make a transverse incision on the side of the cyst close to the frenulum of the upper lip, separate the soft tissue toward the piriform foramen, expose the cyst wall, and then carefully separate and completely remove it. If the cyst wall is tightly adhered to the nasal vestibule skin, the principle should still be to completely remove the cyst wall. It is inevitable to tear the skin of the nasal vestibule during the operation. The treatment method is to compress the area with Vaseline gauze after the operation and wait for the granulation tissue to repair day by day.

3. Keep oral hygiene clean after surgery. Brush your teeth inside your mouth, and pay attention to protecting the wound surface from damage to avoid tearing the wound.