Successful Ayurvedic Treatment of a Polypoidal Mass in the Maxillary Sinus: A Single-Case Study

Abstract

Objectives: To document a case of a mucosal retention cyst with a soft tissue density polypoidal lesion in the right maxillary sinus, successfully managed using Ayurvedic treatment modalities.
Methods: A 23-year-old male patient presented with a one-month history of throat itching and severe headaches, accompanied by a two-year history of post-nasal dripping with thick, jelly-like, slightly yellowish nasal discharge. Despite receiving conventional treatment, he experienced only temporary relief. Physical examination revealed tenderness over the bilateral maxillary sinus and left-side ethmoidal sinuses. Anterior rhinoscopy showed a congested nasal mucosa, deviated septum towards the right side with a bony spur, and moderate left inferior turbinate hypertrophy. Computed Tomography of the Paranasal Sinuses (CTPNS-A) revealed pansinusitis with a polypoidal lesion in the right maxillary sinus, suggestive of a polyp or mucous retention cyst. The patient was treated with a combination of Ayurvedic medications, including Chitrakadi Vati, Dashamoola Haritaki Avaleha, Haridrakhanda, Gandharvahasthaadi taila, and Rasnadi churna.
Results: After one month of treatment, the nasal mucosa showed no congestion, and tenderness over the maxillary and ethmoidal sinuses was significantly reduced. However, left inferior turbinate hypertrophy and septum deviation remained unchanged. After six months of treatment, tenderness over the sinuses was completely resolved. Contrast-Enhanced Computed Tomography (CECT) of the Paranasal Sinuses (PNS) showed no evidence of a polypoidal or cystic lesion in the maxillary sinus. The deviated nasal septum towards the right side with a bony spur and left inferior nasal turbinate hypertrophy persisted.
Conclusions: This case demonstrates the successful resolution of a mucosal retention cyst or polyp in the right maxillary sinus after three months of Ayurvedic management, highlighting the potential efficacy of Ayurvedic treatment modalities in managing such conditions