Sphenoiditis

Sphenoiditis is rare and is usually associated with a disease of the latticed labyrinth - its posterior cells.

Symptoms, course. Complaints about a headache. Most often it is localized in the region of the crown, in the depth of the head and occiput, in the orbit. With chronic lesions, pain is felt in the area of ​​the crown, and with large sinuses, it can spread to the nape of the neck. At a rhinoscopy define a congestion detachable in an olfactory crack. Often visible are strips of pus flowing down the arch of the nasopharynx and the back wall of the pharynx. With unilateral sphenoiditis, one-sided lateral pharyngitis is observed. Sometimes patients complain of a rapid decline in vision, which is associated with involvement in the process of crossing the optic nerves. Chronic sphenoiditis can also occur with mild symptoms. A significant role in the diagnosis of sphenoiditis has an x-ray study.

Treatment. Frequent lubrication of the mucous membrane of the nasal cavity with vasoconstrictor means to ensure the outflow from the sinus. With prolonged disease, it is recommended that the sinuses be probed and washed with solutions of antibiotics. Sometimes surgical intervention is indicated (for example, resection of the posterior end of the middle shell).

Prophylaxis of sinusitis should be directed to the treatment of the underlying disease (influenza, acute rhinitis, measles, scarlet fever and other infectious diseases, damage to the teeth), elimination of predisposing factors (curvature of the nasal septum, atresia and synechia in the nasal cavity, etc.). An important role is played by systematic hardening of the body.