It sounds like they're talking about doing a Caldwell-Luc procedure or
some variant of it.

Caldwell-Luc used to be the mainstay of sinus surgery throughout the
20th century, until they invented endoscopic sinus surgery.  Endoscopic
sinus surgery has eliminated most of the need for Caldwell-Luc, but when
there's a maxillary cyst that's hard to reach endoscopically,
Caldwell-Luc is still used as a last resort.  Particularly when
endoscopic sinus surgery has already been tried but has failed to cure
the sinusitis (which is certainly true in your case).

The rate of complications of Caldwell-Luc is higher than for endoscopic,
and the recovery time is longer, but serious complications are still
uncommon.

I suggest you get a second opinion from a skilled ENT at a major
teaching hospital.

Hello,
"Mega Cyst" require megasurgery.
The scariest thing about that kind of surgery
is: will they get your cheek back on straight -
that is what my son said to me when i was to
go in for my surgery.
About 35 years ago i had a surgery where the
Doc sliced open my cheeks at the gum (under
my top lip); went all the way up to my eyes;
all around, and everything - he cleaned out
all pollyps and whatever. Ater the surgery i
was able to smell things, in a manner, that i
hadnot smelled since i was a child that i
could remember. The post surgery pain was
so horrible and lasted for sooooooooooooo
many days, i can assure you i would never do
it again, plus the good effects of that awful
surgery only lasted for about six month. One
of my many recovery days in that hospital,
the Doc came into my room and said, "Every
time i come in here you have an icebag on
your face", which in fact i did 24 hours a day
along with so much percodan i think i
mayhave become allergic to it. Then my boss
came to the hospital, and in a state of
frustration wanted to know when i would be
back to work, so mumbling through my
icebag, i told him to go ahead and hire
someone else. Things may be different now
(35 years later), in that they may be able to
make a smaller hole in your face. The thing
here is you have to have the surgery, so be
brave; thank God it is only on one side; one
cyst; nothing else, and when they ask you
about your tolerance to pain as to 1 to 10,
say, "What do you mean, "1 to 10", what the
h-ll ever happened to 0 to 10; i am a zero". . .
.  Well . . . that was what i said at my last
surgery in July, and i guess it work because
iam still feeling no pain (:
One more thing there are no scars you can
see, it is all done under the cheek from the
mouth. The incision is made under your top
lip. Here are some pictures:

http://www.ghorayeb.com/CaldwellLuc.html

http://www.ghorayeb.com/files/PterygoidFoss
aSchwannomaExcision4Labeled.jpg

http://images.google.com/imgres?imgurl=http

Ltd/caldwell-luc1.jpg&imgrefurl=http://www
.angelfire.com/trek/SouthFaceGuidesLtd/fore
ignmedicine.html&h=417&w=303&sz=16&t
bnid=fVT9RoscRvgJ:&tbnh=121&tbnw=88
&start=5&prev=/images%3Fq%3DCaldwell-
Luc%26hl%3Den%26lr%3D%26sa%3DG

http://mamma64.mamma.com/Mamma_pictu
res?qtype=48&query=+Caldwell-Luc&Subm
it=Go+Mamma%21

http://www.sinus-surgery.com/Surgery_Types
/caldwell_luc_operation.html
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