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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Dizziness, Vertigo, Ear Clicking And Feels Pressure, Thornwaldt Cyst Found, Have Sinus Infection. Suggestion?

Hello, I am 28 years. I am suffering chronic dizziness and vertigo for 9 years already. My right ear is clicking constanly and feels pressure. I recently did Mri and they found thronwalt cyst more to the right about 6mm. Can this cyst cause so many symptoms. Can in give pressure to my vistibular system. When i have sinus infection i feel worser, I am suffering alot and i can t live normal life. I don t know what else to do. Please give me your suggestion. Thank you!
Wed, 6 Nov 2013
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General & Family Physician,  's  Response
Hi.Thanks for posting on HCM.
Thornwaldt's cyst is a relatively rare seen in nasopharynx. Most are small and asymptomatic whereas some cause nasal obstruction, postnasal drip, occipital headache or Eustachian tube dysfunction. Nasal endoscopy is the easiest way to visualize this during a routine ENT examination. If in any doubt, MRI is the most sensitive method for detecting and evaluating its size, its anatomic relationships and its content. When the lesion is large, symptomatic or close to the Eustachian tube -surgery by marsupialization is the treatment option. For small lesions advance techniques have minimal trauma and bleeding and excellent postoperative results.I suggest you to take the opinion of ENT specialist for further management.Hope this helps.Take care.
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Chronic Dizziness, Vertigo, Ear Clicking And Feels Pressure, Thornwaldt Cyst Found, Have Sinus Infection. Suggestion?

Hi.Thanks for posting on HCM. Thornwaldt s cyst is a relatively rare seen in nasopharynx. Most are small and asymptomatic whereas some cause nasal obstruction, postnasal drip, occipital headache or Eustachian tube dysfunction. Nasal endoscopy is the easiest way to visualize this during a routine ENT examination. If in any doubt, MRI is the most sensitive method for detecting and evaluating its size, its anatomic relationships and its content. When the lesion is large, symptomatic or close to the Eustachian tube -surgery by marsupialization is the treatment option. For small lesions advance techniques have minimal trauma and bleeding and excellent postoperative results.I suggest you to take the opinion of ENT specialist for further management.Hope this helps.Take care.