DISEASES OF THE NOSE, THROAT AND NASOPHARYNX : INFLAMMATION OF THE MAXILLARY SINUS ACUTE (ANTRITIS MAXILLARIS ACUTA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
May develop after an acute infection (scarlet fever, measles, influenza, etc.); infect enters the cavity inflammatory diseases of the nasal cavity or from a nearby hearth (carious teeth); the inflammation may be sintered, for example, the pus from the frontal sinus may be numb to the maxillary sinus (rustep). Swelling, redness, kruglosutochny infiltration, subepithelial hemorrhages, polypoid degeneration mucous cysts, serous exudate, purulent.
Symptoms. General malaise, chilliness, fever (38 - 38,5 º) in the first days of the disease. Headache or pain of neuralgic character, radiating to the cheek, upper teeth and temple, unilateral swelling and planting of the nasal mucosa and secretions on the same side: dullness, sometimes loss of smell, cacosmia (the patient himself feels bad smell). Pressure on the region fossae caninae proper side, tapping on the teeth of the same side cause the sensation of pain. Anterior rhinoscopy: swelling, redness of the mucous membrane of the main nasal cavity, the strip of pus under the average sink.
For. Cure or transition into a chronic condition.
Confirmed by transillumination, diaphanography and radiograph indicating a diffuse darkening of the maxillary sinus. If in doubt - test puncture under the lower shell. Differential diagnosis: when periostitis no purulent discharge from the nose; transillumination when abscess may show darkening of the sinus, but the pupils in this case are equally transparent.
Prediction for the most part favorable.
Bed rest, hot compresses warm on his cheek, diaphoretic (an infusion of dry raspberries), painkillers (aspirin, salicylic sodium), sulfa drugs - streptocid 4 times per day 0.6; infusion analiziruemykh mucosa drops (3% ephedrine), followed by inhalation of menthol (menthol crystal in a glass of hot water), lamp Solux on the cheek, diathermy, UHF region of the maxillary sinus, with the failure of treatment for 2 - 3 weeks - trial puncture with subsequent washing with a solution of 1:1 000 of potassium permanganate, then remove the washing liquid is blowing in the bosom of the air and injected into her 100,000 units of penicillin dissolved in 8 to 10 ml of physiological solution, two to three times every 2 - 3 days. In the transition to a chronic condition, or when there is failure of other treatment - surgery.