Sinusitis acute

Maxillary sinusitis often occurs during an acute cold, influenza, measles, scarlet fever and other infectious diseases, as well as due to the disease of the roots of the four posterior upper teeth.

Symptoms, course. Sensation of tension or pain in the affected sinus, violation of nasal breathing, discharge from the nose, breakdown of the sense of smell on the affected side, photophobia and lacrimation. The pain is often spilled, vague or localized in the forehead, temple area and occurs at the same time of the day. On examination: mucous or mucopurulent discharge in the middle nasal passage (the site of the sinuses with the nasal cavity), less swelling of the cheek and edema of the upper or lower eyelid, often painful during palpation of the maxillary sinus facial wall. The temperature of the thal is increased, chills often occur. During the back of the rhinoscopy, purulent discharge is often found on the back of the pharynx.

Of the auxiliary research methods, diaphanoscopy, radiography and trial puncture are used. With diaphanoscopy and radiography, the affected sinus is darkened. Treatment is usually conservative - mainly providing a good outflow of contents from the sinus. With an increase in body temperature, it is recommended that bed rest and the appointment of antipyretic and antineuropathic agents (acetylsalicylic acid, amidopyrine, analgin). With severe intoxication, antibiotics are prescribed in / m. To reduce swelling and swelling of the mucous membrane in the nose, vasoconstrictive agents are instilled. Essential role is played by physiotherapeutic methods of treatment (blue light lamp, solux, UHF currents). Before every UHF therapy session, the introduction of vasoconstrictors into the nose is recommended. Diathermy is prescribed after the subsidence of acute phenomena with a good outflow of sinus contents. A favorable effect is also provided by inhalation of aerosols of antibiotics. In persistent cases resorted to sinus puncture and washing it with solutions of antiseptic drugs followed by the administration of antibiotics.