Sinusitis is an inflammation of the frontal sinus. The main role in the etiology of frontal sinusitis belongs to a pathogenic flora. Often sinusitis is a complication of infectious diseases. The chronic frontal sinusitis is the result of repeated and pain in acute inflammation.
There are frontal sinusitis acute catarrhal and purulent; chronic purulent, serous catarrhal (swollen-polypous) and mixed. Due abahlali mucosa impaired patency of fronto-nasal channel. Symptoms of acute sinusitis: headache, pain in the sinus walls, especially when pressure, pain in the appropriate eye slezotechenie. Possible swelling of the eyelids, high fever, General weakness. Rinoskopia determined swelling middle turbinate, pathological secret in the nasal cavity. The chronic frontal sinusitis symptoms are less pronounced. The chronic frontal sinusitis, usually combined with damage to the cells of the lattice of the maze, resulting in the formation of polyps. The diagnosis is based on complaints, clinics and additional methods of research (diaphanosoma, radiography). The prognosis is favorable.
Treatment for acute frontal sinusitis conservative: lubricating mucous membrane of the middle nasal passage 2-3% a solution of cocaine with adrenaline, vasoconstrictive drops in the nose.
Properly putting the drops in the nose (see Nursing, otorhinolaryngology). Is held simultaneously and General anti-inflammatory therapy (acetylsalicylic acid, antibiotics, analgesics).
The chronic frontal sinusitis, to free entrance in the frontal-nasal canal, produce removal of polyps, and if necessary, resection of the front end of the middle turbinate. With the defeat of bone wall of the sinus, fistula, intracranial complications or side-sockets, with the failure of conservative treatment usually resort to radical surgery. Cm. also the Accessory nasal sinuses.