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Treatment of patients with severe chronic and recurrent forms of sinusitis, complicated by pathological stretching of the paranasal sinuses, is not a trivial task. This is especially true for those clinical cases where a pathological increase in the size of the sinus leads to widespread destruction of its walls and may be accompanied by serious complications from adjacent structures. The paper presents an analytical review of publications on the topic of pathological stretching of the paranasal sinuses. In the first part of the article, the options for classifying this category of diseases were described in detail. In the second part of the article, potential factors influencing the development of this pathology, pathogenesis options, as well as modern approaches to the surgical treatment of this pathology, which can be carried out in one or two stages, depending on the presence of secondary aesthetic defects, are considered.