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Frontite

Frontite. The reasons are the same as with inflammation of the maxillary sinus. It is much more severe than inflammation of the other sinuses. Inadequate drainage of the frontal sinus, due to hypertrophy of the middle shell, curvature of the nasal septum, contributes to the transition of acute frontal sinusitis into a chronic form.

Symptoms, course. Pain in the forehead, especially in the morning, impaired nasal breathing and discharge from the corresponding half of the nose. The pain is often unbearable, acquires a neuralgic character. In severe cases - eye pain, photophobia and decreased sense of smell. Headache subsides after emptying of the sinus and resumes as the outflow is difficult. In acute influenza frontitis, body temperature is increased, sometimes the color of the skin over the sinuses is changed, swelling and swelling in the forehead and upper eyelid are observed, which are a consequence of local blood circulation disorder (collateral edema). In rare cases, a subperiostal abscess, phlegmon, an external purulent fistula may develop. Palpation and percussion of the front wall and the area of ​​the upper inner corner of the orbit are painful. With rhinoscopy, a discharge is detected under the front end of the middle shell. This section of the shell is swollen and thickened. In chronic frontitis, polyps or hypertrophy of the mucous membrane in the middle nasal passage are observed. Sometimes the inflammatory process goes to the periosteum and bone with its necrosis and the formation of sequesters, fistulas. With necrosis of the posterior sinus wall, an extradural abscess, brain abscess, or meningitis can develop. To clarify the diagnosis, additional research methods are used: sensing, radiography.

Treatment for acute frontitis is conservative. The outflow of the sinus is secured by lubricating the mucous membrane of the middle nasal passage with a 2-3% cocaine solution with adrenaline or 0.1% naphthyzine solution, 0.2% galazolin solution. The same solutions can be used in the form of drops in the nose. In the early days of the disease, bed rest, acetylsalicylic acid, analgin, inhalation of aerosols of antibiotics, physiotherapy (warming with a blue light lamp, sollux. UHF therapy) are recommended. In severe cases, IM administration of antibiotics is indicated. In case of chronic frontitis, treatment should begin with conservative methods and, if they are unsuccessful, apply surgical intervention.