Acute inflammation of the maxillary sinus

Acute inflammation of the maxillary sinusWhat are the main causes of inflammation of the maxillary sinus? Often occurs during the influenza, acute rhinitis, measles, pneumonia and other infectious diseases. Often, the disease is a result of the spread of inflammation from the region of the roots of the teeth, trauma to the walls of the sinuses, such as during removal of the respective teeth. What are the main symptoms? Local subjective symptoms are pain and tension in the region of the sinus, nasal congestion, abnormal nasal discharge, diminished acuity of smell, photophobia, and lacrimation. Depending on the severity of the inflammatory process is disturbed General condition of the patient (marked malaise, chills, decreased appetite, poor sleep). Objective symptoms are fever, severe cases up to 38.5 'C and above; hard place flu, inflammation of the sinus of dental origin are often swollen cheeks, aching with the feeling, swelling of the lower and sometimes upper eyelid. For further diagnosis produce transillumination of the sinuses (diaganol-Pius) using diaphanoscopy, x-rays; in case of doubt, do a diagnostic puncture of the sinus. How is the transillumination of the sinuses? Transillumination of the sinuses is performed in a darkened room. Tip diaphanoscopy with a special light bulb is administered to the patient in the mouth and ask him to close his lips around the tip. If the sinuses are filled with air, then both halves of the face are visible as pink spots. Upon detection of a difference in the transillumination of the sinuses should assume the presence of pathological content in a darkened bosom. Using diaphanoscopy can be examined and the condition of the frontal sinus. Another intended for examination of the frontal sinus, the tip of diaphanoscopy put to the bottom of the frontal sinuses in the inner corner of the socket then with one, then with the other hand and compare the degree of x-ray sinuses. What is the technique of puncture of the maxillary sinus? For puncture of the maxillary sinus should be prepared with the following tools and materials: injection of 5-10 ml, nasal mirror, nasal masiva-tel, the needle Kulikovskii or straight tweezers - anatomic and surgical, cotton wool, a few toround width of 1.5-2 cm, 3-5 % solution of cocaine or 2 % solution dikaina, sterile tube for content sinus liquid for rinsing the sinus. The puncture is made in the lower nasal passage under local anesthesia by lubrication of the mucous membrane of the lower nasal passage and nasal septum 2 - 3% solution dikaina or 3-5 % solution of cocaine. After puncture of the sinus trying to suck the syringe contents and, if necessary, send it to the laboratory for the study (defined by the nature of the microflora and its sensitivity to antibiotics), and then a sinus washed with isotonic sodium chloride and the nature of the leaching fluid (if you have not received the free content is judged on the condition of the sinus. What are the basic principles of treatment of patients with acute inflammation of the maxillary sinus? Treatment of acute inflammation of the maxillary sinus, usually conservative. Patients need bed rest, they prescribed antipyretics and anti-neuralgic funds (acetylsalicylic acid, amidopyrine, dipyrone). In severe intoxication shows the use of antibiotics for several days. To facilitate the outflow of secretions from the sinuses and improve nasal breathing use vasoconstrictive drops and ointments. Favorable influence on the course of inflammatory process in the bosom render the application of heat in the form of a warm compress, UHF, heating using a lamp Minin..



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