fronts

Front. The reasons are the same as in inflammation of the maxillary sinus. It is much greater than other inflammation of the paranasal sinuses. Inadequate drainage of the frontal sinus due to hypertrophy of the middle shell, deviated septum, facilitates the transition of acute sinusitis in chronic form.

Symptoms within. Pain in the forehead area, especially in the morning, disturbance of nasal breath and allocation from the corresponding half of the nose. The pain is often unbearable, it becomes the neuralgic character. In severe cases - eye pain, photophobia, and reduced sense of smell. Headache subsides after draining sinuses and resumed as drainage difficulties. In acute influenza fronts body temperature increased, sometimes changing the color of the skin over the sinuses, marked swelling and edema in the forehead and upper eyelid, resulting from local circulatory disorders (collateral edema). In rare cases can develop subperiosteal abscess, cellulitis, purulent frontal sinus. Palpation and percussion of the front wall and the field angle of the orbit verhnevnutrennego painful. When rhinoscopy detected discharge under the front end of the middle shell. This shell Patriotic Front and thickened. In chronic fronts there are polyps or mucosal hypertrophy in the middle nasal passage. Sometimes the inflammatory process advances to the periosteum and bone necrosis, and with it the formation of sequesters, fistulas. At the rear wall necrosis may develop sinus extradural abscess, brain abscess or meningitis. To clarify the diagnosis, use additional methods: sensing, radiography.

Treatment for acute conservative fronts. The outflow discharge from the sinuses is provided by lubricating mucosal middle nasal passage 2-3% solution of cocaine with epinephrine or 0.1% solution naftizina, 0.2% solution galazolin. These solutions can be applied in the form of nose drops. In the early days of the disease are recommended bed rest, acetylsalicylic acid, dipyrone, inhalation of aerosols of antibiotics, physiotherapy (warming lamp blue light solljuks. UHF-therapy). In severe cases, show / m antibiotics. In chronic frontal sinusitis treatment should begin with conservative methods, and in the case of the failure to apply the surgery.