Sinusitis

sinusitis
Inflammation of the mucous membrane of the maxillary sinuses

Sinusitis is an inflammation of the mucosal and submucosal layer maxillary (maxillary sinus. Sometimes in the process also involved the periosteum and the bone. There are rinaghenua, odontogenic, hematogenous and traumatic form of sinusitis. Most often sinusitis develops as a complication of influenza.
Sinusitis is divided into acute and chronic, and catarrhal (serous), purulent and polypous. In early childhood sinusitis can cause osteomyelitis upper jaw. Acute sinusitis is marked malaise, pain in the affected sinuses and the corresponding half of the forehead, which is bottled headache, increased body temperature, sometimes watery eyes. In catarrhal sinusitis these phenomena is expressed less than in purulent. Common symptoms of sinusitis are stuffy appropriate half of the nose and obstruction of nasal breathing. Nasal discharge is usually increases when the patient lies on the healthy side. In rare cases, swelling of the lower eyelid. Palpation may be a pain in the front wall of the maxillary sinus.
Subjective symptoms of chronic sinusitis are less pronounced than in acute. Headache often in the area of corresponding half of the forehead, temple, there is a heaviness in the head, stuffy appropriate half of the nose, shortness of nasal breathing. The nature of the discharge from the nose depends on the form of sinusitis.
Innogene vasomotor and allergic sinusitis are accompanied by the same symptoms as relevant form rhinitis (see). Odontogenic sinusitis develops at a granulating pericementitis or the granuloma second small indigenous, 1 and 2 large molars in the result of infection. The cause of odontogenic sinusitis can be and suppuration of dental cysts upper jaw as a result of penetration of an infection in his bosom. In the pathogenesis of polypous form of sinusitis plays a big role Allergy (see).
Forecast in case of sinusitis, generally favorable. Complications are rare. These include: phlebitis and thrombosis cavernous sinus venous plexus in the course of the internal carotid artery, the upper longitudinal sinus, meningitis, abscess of the brain. Possible and collateral swelling content of the eye socket, cellulitis the eye, and inflammation of the inner shells of the eyeball - endophthalmitis.
Treatment. Acute sinusitis is prescribed in the nose drops containing sossoudossoujiwate funds (1-3% solution of ephedrine, 1-3% solution of cocaine, 0.1% solution of adrenaline , or a combination of these drugs), antibiotics, sulfa drugs, antipyretics; UV - irradiation of the affected sinuses, lamp Solux, lamp Minin, currents UHF.
Puncture of maxillary sinus (Fig) produces doctor under local anesthesia using a special needle (for example, needle Kulikovskii or needles a lumbar puncture). The puncture is usually made through the lower nasal passage.
After the introduction of needle produce suction using syringe content sinus. Then the bosom washed with bleach, then give it the solution of medicinal substances.
In the absence of effect from such treatment, in cases of chronic sinusitis producing operation (see Hamartoma).
Prevention: treatment of the underlying disease (flu, allergies, lesions of teeth). At a cold, you must use nasal drops with sossoudossoujiwath funds and ointments, to avoid forced the release of the nose is separated from.