Objective To explore the advantages and disadvantages of different surgical methods in the treatment of maxillary cysts and to provide a theoretical basis for clinical practice.Methods Forty-one cases of maxillary cysts were selected as research objects.Of these,seventeen patients underwent maxillary cyst resection through a traditional labial gingival approach,and 24 pa-tients underwent maxillary cyst resection through a nasal endoscopic approach.All patients were followed up for>12 months,with an average of 18 months.Visual analog pain score and postoperative reaction,recurrence,and swelling and numbness were observed and compared between the two groups.Results No significant differences were observed in the postoperative reaction,recurrence,swelling and numbness,and visual analog pain scores between the two groups.Conclusion Endoscopic fenestration and labial gin-gival approaches in the treatment of maxillary cysts have unique advantages.Before the operation,the position relationship between the cyst and each wall of the maxillary sinus can be determined based on imaging and nasal endoscopy to select a more appropriate surgical approach that benefits patients.