Sinusitis without fever and headache. Sinusitis without fever - causes and treatment

Sinusitis without runny nose and nasal congestion requires early diagnosis and timely treatment to reduce the risk of developing life-threatening complications.

Violation of the outflow of contents from the maxillary sinus against the background of inflammatory processes leads to a destructive change in the bones of the facial skull.

The erased form of the disease without specific treatment becomes chronic inflammatory process with a predominance of proliferative changes that provoke the growth of polyps in the maxillary sinus and nasal passages. The accumulation of pus in the chronic form of the disease leads to the gradual destruction of the mucous membrane, sinus plates and the lower wall of the orbit.

Sinusitis or maxillary sinusitis is an acute or chronic disease resulting from a bacterial, viral or fungal invasion. Inflammation is accompanied by edema, swelling of the sinus mucosa, increased formation of initially serous, and then purulent exudate.

Forms of the disease are classified according to etiology, pathogenesis, course.

According to the etiology, the forms are distinguished:

• bacterial;
• fungal;
• viral;
• odontogenic;
• post-traumatic;
• allergic.

According to the pathogenesis and clinical symptoms, sinusitis is:

• subacute(edematous-catarrhal, vasomotor, allergic);
• spicy(serous-purulent, purulent);
• chronic(granular, papillomatous, polypous, hypertrophic, trophic).

The causes of sinusitis without a runny nose and nasal congestion in children and adults are due to the following changes:

• excessive swelling of the fistula of the maxillary sinus with the nasal concha;
• curvature of the nasal septum;
• severe deformity of the nasal passages;
• postoperative scars, synechia;
• polyps;
• cysts;
• tumors.

Important

Violation of the secretion of mucus with complete or partial obturation of the lumen and blockage maxillary cavity leads to rapid growth bacterial flora with the formation of pus, which, due to lack of drainage, destroys bone structures and soft tissues.

Sinusitis without a runny nose and nasal congestion develops with influenza and SARS against the background of rapid swelling of the mucous membrane, when the patient only a few days after the onset of general intoxication shows symptoms of sinusitis (impaired nasal breathing due to low air permeability, discharge of pus, mucus).

Symptoms of sinusitis without runny nose and nasal congestion:

• head, toothache;
• puffiness of the face;
• weakness;
• lethargy;
• swelling of the lower eyelids and cheeks;
• heat;
• decreased sense of smell;
• conjunctivitis;
• dilatation of small blood vessels below the orbit.

Diagnosis of sinusitis without runny nose and nasal congestion:

• X-ray reflects a violation of sinus pneumatization, fluid level, is the most informative method of examination;
• diaphanoscopy of the maxillary sinus with a purulent lesion will reveal a violation of light transmission, areas of blackout;
• computed tomography in layered sections will display changes in the mucosa, bones of the facial skeleton; sinus contents.

The doctor chooses a diagnostic method depending on a number of factors - the severity of the disease, the age of the child, the patient's condition. Reviews of doctors on the forums about the use of diaphanoscopy note the low diagnostic significance of this study.

Is there sinusitis without a runny nose: signs, course of the disease and treatment with prevention

Is there sinusitis without a runny nose? Signs of the maxillary sinus in violation of the outflow of mucus are characterized by the predominance of common cold symptoms at the onset of the disease.

As purulent contents form, local symptoms begin to appear.

Sinusitis most often develops against the background of colds. viral diseases, it is possible to suspect the onset of inflammation by the characteristic local manifestations of inflammation.

At the first sign of sinusitis, you need to urgently seek help from a doctor. general practice or otolaryngologist.

Common symptoms include:

• weakness;
• lethargy;
• headache;
• chills;
• temperature above 37.8;
• decrease in working capacity;
• muscle pain.

Local symptoms of sinusitis without a runny nose include:

• a feeling of fullness in the projection of the sinus;
• pain in the paranasal region when the head is tilted forward;
• redness of the cheek from the eye socket to the wings of the nose;
• inflammation of the mucous membrane of the eyes;
• nasal voice;
• swelling of the face;
• photophobia;
• impaired sense of smell;
• toothache.

Local symptoms develop against the background of increasing inflammatory changes and infiltration of soft tissues with leukocytes. Carrying out rhinoscopy at a doctor's appointment allows you to accurately determine the presence of the disease and begin specific therapy.

The course of sinusitis without a runny nose differs from classic inflammation paranasal sinuses formation of high pressure in the maxillary sinus. Timely X-ray examination and rhinoscopy will allow to suspect the presence of obturation of the lumen of the maxillary orifice.

Late diagnosis increases the risk of abscess breakthrough into the soft tissues of the face, damage to the outer meninges with the development of meningitis, rhinogenic sepsis. With an erased clinical picture, a long-term inflammation passes into an atrophic stage, at which destructive-degenerative changes in the mucous membrane and bone tissue develop.

Treatment of sinusitis without a runny nose includes surgical method, conservative therapy and traditional medicine.

The surgical method is a puncture of the maxillary sinus, which is a diagnostic and treatment procedure that provides high-quality drainage with discharge of pus. The puncture is carried out in a medical institution, performed in the office of an otolaryngologist or operating room.

After the puncture, drainage is established, the sinus is washed with solutions of antiseptics and antibiotics. Puncture is the most effective method treatment by emptying the sinus and inhibiting the growth of pathogenic flora.

Conservative therapy is carried out immediately after diagnosis, is a complex effect on the lesion. In acute sinusitis without a runny nose, treatment is aimed at quickly suppressing the growth of bacterial flora, removing edema, and restoring the patency of the nasal passages.

Antihistamines are used to eliminate swelling of the mucous membrane. Rinsing the nose with saline or seawater spray increases the rate of mucus discharge, pus release, and swelling relief. The doctor prescribes anti-inflammatory drugs to prevent proliferative processes, often the use of nasal glucocorticosteroids is required so that the inflammation does not become chronic.

Systemic antibiotics are prescribed, are selected depending on the class of the drug and the sensitivity of the pathogenic flora. In the presence of viral and fungal invasion, preparations based on interferon and antimycotic agents are used.

Traditional medicine is aimed at increasing general immunity, strengthening human health. It is categorically contraindicated to warm the maxillary sinus during, as this stimulates the growth of bacteria.

Prevention of sinusitis with a runny nose consists in the early start of treatment, the use of vasoconstrictor drops and nasal lavage. Sinusitis develops as a result of the reflux of turbulent mucus flows through the maxillary fistula into the maxillary sinus.

Blowing your nose when you have a stuffy nose is not recommended., it is preferable to rinse the nose with sea water spray after using xylometazoline-based drops. Preventive washings under pressure are carried out in medical institutions by moving along the Proetz (cuckoo), high-quality drainage prevents the accumulation of mucus, pus, and gently cleanses the sinus from pathological secretions.

Very often, people, having discovered the first signs of rhinitis, accompanied by weakness and loss of efficiency, do not pay due attention to this, believing that it is mild form colds will go away on their own. Sometimes behind such seemingly frivolous symptoms, a very dangerous disease can be hidden, which, if not properly treated, has various side effects and complications.

What is sinusitis?

Sinusitis is an inflammation of the paranasal sinuses. Almost always it appears due to repeated deep or colds that have been badly and dishonestly cured. But, in addition to colds and runny nose, neglected teeth, especially the upper ones, are another reason. The nose is blocked and mucus begins to accumulate inside. After that, pus begins to stand out.

The usual symptoms of sinusitis are loss of smell, heaviness in the head, pain in the temples and bridge of the nose, enough - within 37-38 ° C. But, besides all this, a person's memory worsens, working capacity decreases and fatigue increases.

It should be noted that if you do not start treating sinusitis at the initial stage, then it will develop into the next, purulent stage. As a result, you will develop other serious diseases.

In the acute course of the disease, a thin mucous membrane becomes inflamed, covering maxillary sinuses. A negative effect is also exerted on the blood vessels located in this area, as well as on the connective tissue. During the transition of sinusitis to chronic stage, there is damage to the bone walls of the maxillary sinuses and submucosa. Sinusitis affects people of any age group. This disease develops regardless of the gender of patients. According to statistics, which can be found on specialized Internet resources, as well as in the media, the peak of sinusitis occurs in the autumn and winter seasons. Exacerbations also occur in early spring this disease.

Causes of sinusitis

As a rule, the cause of sinusitis is an infection that enters the nasal cavity through blood or inhalation. There are several underlying conditions that interfere with nasal breathing. This is a curvature of the nasal septum, vasomotor rhinitis, hypertrophic rhinitis (enlarged turbinates), in children - adenoids, allergic diseases of the nose.

When people take swabs from the nose during a physical examination, as a rule, a so-called person is found in a person, which lives in the human nasopharynx for a long time. The latter, if he had not been examined, would not have known that he was a carrier of bacteria. long time these bacteria may not cause serious damage to health. But even with a common cold, staphylococcus aureus can become more active and show its pathogenic properties.

modern medicine Numerous reasons for the development of sinusitis have been identified:

injury to the mucous membrane of the maxillary sinuses;

penetration into the nasopharynx of viruses and pathogenic bacteria;

poorly treated runny nose;

advanced form of a cold;

prolonged stay in a room where the air is too dry and heated to a high temperature;

being in a draft;

inhalation of chemical fumes (usually this occurs in hazardous production);

neglected teeth and poor hygiene oral cavity;

external impact of aggressive environments on the mucous membrane;

an allergic reaction of the body to various external stimuli;

dangerous diseases, such as fungal infection of the mucous membrane, etc.

Regular use of drops intended for the treatment of rhinitis is the main cause of the accumulation of a large amount of mucus in the maxillary sinuses, against which sinusitis develops.

Use of various medical preparations, in the form of drops, can cause nosebleeds. This is explained by medicines are too strong an irritant for the mucosa and tissues of the maxillary sinuses, as a result of which blood vessels can burst and nosebleeds begin.

Symptoms of sinusitis in adults

Symptoms of sinusitis is the appearance of pain in a person in the nose and near the nasal region, which gradually increase. Pain is less pronounced in the morning, increasing in the evening. Then the patient begins to lose a specific place with unpleasant sensations and his head begins to hurt. If the process is one-sided, then the pain is noted on one side.

Also, the patient is constantly tormented by a runny nose. Mucous (clear) or purulent (yellow, green) discharge from the nose is observed. This symptom may not be present if the nose is severely blocked.

Patients have a fever: sometimes it reaches 38 ° C, and sometimes higher. This temperature occurs in people who are sick with acute sinusitis. If the process is chronic, then high temperature rarely appears. Patients experience malaise, which is expressed by fatigue, weakness, patients refuse food, sleep is disturbed.

The disease of sinusitis is accompanied by certain symptoms:

the appearance of mucous discharge from the nose (over time, particles of pus may be present in them);

nasal congestion;

memory impairment;

a feeling of strong pressure in the region of the nose, which increases when the head is tilted;

sleep disturbance;

labored breathing;

loss of working capacity;

increased fatigue;

fever (often the temperature can rise to 40 ° C);

the appearance of chills;

lethargy, weakness and general malaise;

pain in the nose area, extending to other parts of the body (forehead, eye sockets, etc.);

apathy, lethargy, sleep disturbance, etc.

Bilateral sinusitis is considered a fairly rare disease that has a pronounced clinical picture and proceeding in a more severe form. The cause of the development of this disease can be any inflammatory or infectious diseases. When carrying out diagnostic measures, specialists palpate the area of ​​the maxillary sinuses, causing pain in patients. In the treatment of bilateral sinusitis, patients are prescribed complex medication and physiotherapy.

This disease is widespread among patients of different ages. Polypous sinusitis is not amenable to medical treatment. The only way to treat the disease is through surgery. Polypous sinusitis develops against the background of: an acute course of various allergic diseases; congenital or acquired anomalies of the nasal septum; inflammatory processes progressing in the sinuses.

The manifestation of this form of sinusitis begins with the occurrence of problems with nasal breathing. Patients begin to breathe through their mouths as their nasal cavities are blocked. Polypous sinusitis is often accompanied by copious secretions of mucus (clear or yellow-green) from the nose. Many patients complain of dullness of taste buds, lack of appetite, distraction, headaches, etc.

Treatment of polyposis sinusitis is carried out in a hospital. The patient is transferred to the operating room and the overgrown tissues that interfere with normal nasal breathing are surgically removed. Some specialists try to treat small polyps with medication, prescribing steroids, antibiotics, antihistamines, etc. to their patients. Such therapy only in isolated cases brings positive result, since the desired effect is achieved only with surgical treatment.

Chronic sinusitis

Chronic sinusitis is most often diagnosed in patients who have an inflammatory process in the maxillary sinuses. This disease often goes into an exacerbation stage, which, if not properly treated, can lead to the development of various complications. During the progression of this disease, many patients experience inflammation in the organs that are in the area of ​​the maxillary sinuses.

The cause of the development of chronic sinusitis can be any pathogens: viruses, fungi, bacteria, etc. This form of the disease can develop against the background of existing defects in the nasal septum, which can be either congenital or obtained as a result of mechanical impact. Often chronic sinusitis diagnosed in patients with dental problems. Even simple caries can act as a distributor of infection and provoke the appearance of this disease.

The allergic form of sinusitis can develop against the background of any external factor that aggressively affects the mucous membrane of the maxillary sinuses. The body, when exposed to an allergen, begins to show a response, which manifests itself in increased tearing, removal of mucus from the sinuses, swelling, etc. In most cases, this form of the disease progresses in spring and autumn.

With allergic sinusitis, patients experience the following symptoms:

temperature rise;

nasal congestion;

the appearance of pain in the eyeballs, cheekbones;

weakness;

headaches, etc.

With allergic sinusitis, some patients have experienced complications, which in most cases are caused by the growth of polyps in the nose. Such growths interfere with normal nasal breathing, therefore they are subject to surgical treatment. Traditional medical and physiotherapeutic treatment does not bring a positive result in this case.

Patients first need to determine the origin of the allergen that caused the development of sinusitis. If it is detected, any contacts with it should be urgently limited. It is advisable to undergo a comprehensive examination, which will reveal which allergens the patient's body reacts to. After completing a course of antiallergic therapy, patients are prescribed special drugs.

At the stage of recovery, patients need to restore nasal breathing by doing special exercises. Proper nutrition(in most cases, a special diet is prescribed) and a complete rejection of bad habits will contribute to the speedy restoration of the work of many internal organs and systems. With allergic sinusitis, patients are very useful for long walks in coniferous forests, the air of which has healing properties and is ideal for people who have problems with the bronchopulmonary system and respiratory tract.

Purulent sinusitis

Purulent sinusitis often develops against the background of infectious, viral and colds that were not treated in a timely manner. In most cases, this form of the disease is diagnosed in patients who, with the manifestation of symptoms of sinusitis, neglected quality medical care, and instead self-medicated.

The main reasons for the development of purulent sinusitis are harmful microorganisms and bacteria, the products, the vital activity of which provoke the appearance of inflammation and the accumulation of purulent deposits in the maxillary sinuses. In an advanced stage, this disease can affect bone tissue and closely located organs. In order to prevent the appearance of purulent sinusitis, it is necessary at the first manifestations of the disease to contact the local doctor, who, after the examination, will refer the patient to a highly specialized specialist.

Acute sinusitis

With the development of an acute form of sinusitis, patients often complain of general malaise, weakness, chronic fatigue and decreased performance.

In some cases, the disease can occur without pronounced symptoms, but usually it is accompanied by:

rise in temperature;

strong secretion of mucus, mixed with pus, from the nose;

the appearance of swelling;

difficult breathing;

sleep disturbance;

the appearance of pain during palpation of the maxillary sinus area, etc.

Become the cause of the development of this disease can:

congenital defects of the nasal septum;

mechanical damage to cartilage and bone tissue in the nose;

viral and infectious diseases transferred on the legs;

tendency to allergic reactions to any external irritants, etc.

Treatment of the acute form of sinusitis takes several weeks and includes constructive drug therapy.

Odontogenic sinusitis

Odontogenic sinusitis often develops against the background of an acute inflammatory process in the maxillary sinuses. The causative agents of this form of the disease are: staphylococci, mixed infection, streptococci. Poor dental health and poor daily oral hygiene can also cause odontogenic sinusitis.

With the progression of this form of the disease, immunity decreases in patients, bone tissues can be damaged, pain appears, etc. effective therapy it is very important to correctly determine the focus of the disease and identify its pathogen. After that, a group of antibiotics is selected, antihistamines and other medical preparations.

Sinusitis is a very complex disease, with proper treatment of which patients can face serious consequences:

the appearance of swelling of the maxillary sinuses;

inflammation of the mucous membrane;

violation of nasal breathing;

strong discharge of mucus from the nose;

accumulation of pus in the maxillary cavities, etc.

After treatment of sinusitis, some patients experience various complications:

very often the acute form of sinusitis passes into the chronic stage, which requires a longer constructive treatment;

inflammatory processes of the bronchopulmonary system, tonsils of the pharynx and other organs develop;

against the background of the inflammatory process, otitis media appears.

Patients who have been diagnosed with an advanced stage of sinusitis may face more serious complications, in which various diseases appear:

organs of vision;

brain, etc.

When complications go beyond the boundaries of the bronchopulmonary system and damage to other internal organs, patients may encounter. In the event that the patient, upon identifying the primary symptoms of sinusitis, immediately turns to a medical institution and undergoes medical and physiotherapeutic treatment, he will be able to avoid any consequences and complications of this disease.

Warming up the nose is strictly prohibited in the acute form of sinusitis, since under the influence of a high temperature regime, a rapid spread of infection throughout the body can occur. It is possible to warm the nasal area in those cases when the maxillary sinuses are already almost completely freed from pus and the patient is at the stage of recovery.

To date, there are various methods warming up the nose with sinusitis:

heating with salt. This method is familiar to many people since childhood, when parents applied a hot bag of salt with a stuffy nose. To prepare such a hot “compress”, you need to heat a glass of rock salt in a frying pan and put it in an ordinary clean sock. Such a hot pad should be applied to the bridge of the nose and kept for 10-15 minutes;

heating with chicken eggs. For engagement this method two hard-boiled eggs are required. After the eggs are removed from the boiling water, they should be immediately wrapped in a towel. A hot towel is applied in the area of ​​​​the maxillary sinuses and is held until the moment of partial cooling;

warming up the nose with inhalation. To do this, boil the potatoes in their skins, drain the water from it. Leaning over the pan with steaming potatoes, you should cover yourself with a blanket so that the desired temperature regime is maintained inside. Within 10 - 15 minutes it is necessary to take deep breaths through the nose or mouth;

warming up the nose with a blue lamp. The action of this device is aimed at the destruction of bacteria and infections. Blue lamps are actively used to disinfect rooms in which there were sick people. In most cases, the blue lamp warm-up procedures are part of a comprehensive drug therapy.

Before using any of the existing methods of warming the nose with sinusitis, each patient should consult their doctor. The specialist will foresee any side effects and help you choose the safest method for your patient.

Is it possible to go to the bath with sinusitis?

Many patients who have been diagnosed with sinusitis are interested in the question of visiting the Russian bath and the Finnish sauna. With the progression of this disease, people need to take any water procedures with caution. Doctors recommend that their patients refrain from visiting steam rooms with acute sinusitis. At this stage of the development of the disease, patients are advised to soar their feet by adding mustard or various essential oils to the water.

To prevent the development of sinusitis, it is necessary to regularly carry out a number of preventive measures:

when visiting the street, dress according to the season;

strengthen your immune system folk remedies and special medical preparations;

take vitamin and mineral complexes;

exercise regularly (you can visit the gym, swimming pool, fitness club, etc.);

take long walks in the fresh air (preference is given to park and forest areas);

do breathing exercises that help normalize nasal breathing;

with the manifestation of the primary symptoms of rhinitis, it is necessary to take measures (massage, rinse the nasal passages, use special drops and other medications);

Go to healthy eating, review your daily diet and include only healthy foods in it;

completely abandon bad habits that cause irreparable harm human body;

timely treat any diseases against which sinusitis may develop;

take care of your health, try not to expose the body to hypothermia;

• in case of primary manifestations, you should immediately consult a doctor and take a course drug treatment;

Often, during the period of colds, people complain of nasal congestion, the presence of secretions and a slight increase in temperature. All these signs point to rhinitis. But no matter how harmless the disease may seem, there are many complications behind it. Do not think that everything will pass on its own and let everything take its course. When the first symptoms appear, you should immediately consult a doctor.

Sinusitis refers to an inflammatory process that occurs in the maxillary sinuses of the nasal cavity. It occurs as a result of a runny nose and the addition of a bacterial infection. The disease is diagnosed in every second patient, regardless of the age and gender of the patient.

It should be noted that sinusitis refers to one of the forms of sinusitis and may be accompanied by other manifestations in the form of frontal sinusitis, ethmoiditis and sphenoiditis. It can occur on one side or both at once. With untimely treatment, the process quickly becomes chronic.
Often, the treatment process includes a puncture of the sinuses, washing the nose and taking antibacterial drugs.

You can recognize sinusitis immediately, but it has many similar symptoms with other diseases. Therefore, patients, without going to the doctor, confuse the disease and delay treatment.

Reasons for the development of sinusitis

In fifty percent of cases, sinusitis is the result of a bacterial infection. It penetrates into the blood and lymph through the nasal cavity and spreads throughout the body, getting into the sinuses.

The causes of sinusitis lie in the following.

• In the weakening of the immune function.
• In the wrong treatment of colds and flu.
• In the penetration of viruses, bacteria or fungus.
• There are bad habits.
• In the presence of diseases of a chronic nature.
• In carious formations and gum disease.
• In the curvature of the nasal septum.
• In injury to the mucous membrane of the maxillary sinuses.
• In a long stay in gassed rooms.
• In hypothermia.
• In the penetration into the respiratory tract of chemicals.
• In violation of the secretory glands.
• In the abnormal structure of the nasopharynx.
• In mechanical damage to the nasal septum.
• in allergic manifestations.
• In the increase in adenoids, the growth of polyps or the presence of tumor-like formations.

The constant use of drops for the treatment of rhinitis is the main cause of the accumulation of a large amount of mucus in the maxillary sinuses. As a result, sinusitis occurs. Their use can lead to bleeding from the nasal passages. This can be explained by the fact that drugs are strong irritants, as a result of which the vessels cannot withstand the load and burst.

Therefore, before asking a question about how to get sick with sinusitis, it is necessary to understand the reasons for its manifestation. Any factor can lead to the development of the disease.

Symptoms of the appearance of sinusitis

Many patients ask how to recognize sinusitis in advance. It is quite difficult to do this, since the signs and symptoms of sinusitis are similar to many diseases. The whole process starts with an acute form. The first signs of sinusitis begin to appear with a pain sensation that occurs in the nose. In the morning, it is not so pronounced. But in the evening the pain increases and can be unbearable. Particularly severe pain occurs when the head is tilted forward.

After a few days, the symptoms of sinusitis increase and appear in the following form.

• Increase in body temperature up to 38-39 degrees.
• Nasal congestion.
• Discharge of mucus from the nasal passages. In the first days they may have a transparent tint, but after two or three days the contents become yellowish.
• Sleep disorders.
• Difficulties in breathing.
• Violent pressure on bridge of nose, forehead and eye sockets.
• The occurrence of pain in the head.
• Appearance of a feverish state.
• Attacks of dry cough, which most often occurs at night and in the morning.

Signs of sinusitis are also manifested in the general intoxication of the body in the following form.

• General weakness, lethargy, malaise.
• Nausea, vomiting, diarrhea.
• Increased fatigue.
• Loss of performance.
• Loss of appetite.

If sinusitis occurs, the symptoms may appear in another way. They are observed during the progression of the disease and are characterized as follows.

• Partial or total loss olfactory function.
• The manifestation of swelling in the nose, eyes and cheeks.
• Changing the timbre of the voice.
• Increased tearing.
• The appearance of an unpleasant odor from the oral cavity and nasal passages.
• Unpleasant aftertaste after eating.
• Increased sweating.

Symptoms in adults may not be as severe. But if pains began to appear in facial area and the ability to work has decreased, it is time to seek help.

Possible complications with sinusitis

If a patient has sinusitis, the symptoms must be recognized as quickly as possible, as the disease quickly turns into complications.
The adverse effects include the following.

• The occurrence of swelling of the maxillary sinuses.
• Inflammation of the mucous membrane.
• Nasal breathing disorder.
• Strong discharge from the nasal cavity.
• Accumulation of purulent contents in the maxillary sinuses.

After the treatment process, the following complications may also occur.

• Transition of an acute type of disease into a chronic one.
• Development of inflammatory processes in the bronchopulmonary system, tonsils and pharynx.
• manifestations of otitis.

If the emerging sinusitis was missed and the disease completely started, then complications can affect the following organs.

• Renal system.
• Cardiovascular system.
• Articular system.
• visual system.
• Meninges.

If complications go beyond the border of the bronchopulmonary system, then not only internal organs, but sepsis occurs. This condition is life-threatening and can be fatal.

As soon as the patient has the first symptoms, you need to seek help from a doctor. He will examine and listen to the patient's complaints. If there is a suspicion of sinusitis, then an examination is carried out. It includes.

1. Rhinoscopy.
2. Carrying out X-ray examination.
3. Taking a swab from the paranasal sinuses to determine the pathogen.
4. Donating blood for general analysis to determine the inflammatory process.
5. Computed or magnetic tomography.
6. Conducting diaphanoscopy.

After that, the patient is given an accurate diagnosis and prescribed treatment.

Treatment process for sinusitis

Many patients think about how to treat sinusitis at home. With mild and moderate the patient is left at home. If there is a severe course, then the patient is hospitalized in a hospital.

The healing process includes

1. Taking broad-spectrum antibiotics. Doctors often prescribe antibacterial drugs, which are included in penicillin group. If treatment is ineffective, then resort to macrolides or tetracyclines. A long-term treatment course is determined by a specialist, based on the severity of the disease. The average duration is five to ten days.
2. Washing the nasal passages with antiseptic solutions. If the patient is in the hospital, then a special drug is used for such purposes. One tube infuses the drug solution into the nasal passage, while the other sucks out the entire contents.
   At home, a rubber pear, saline or furatsilin solution is used. The procedure is recommended to be carried out up to six times a day.
3. The use of vasoconstrictor drugs. These manipulations should be carried out immediately before washing the nasal passages. Vasoconstrictor drops help reduce tissue swelling and relieve congestion. The duration of use should not exceed five days.
4. Taking antihistamines. Such funds can relieve swelling and eliminate the symptoms of allergic sinusitis.
5. The use of a drug that thins sputum. Rinofluimucil spray is prescribed for the nose. It should be applied within seven to ten days. And for internal use appoint Sinupret Forte. This drug has a herbal composition, therefore it is allowed for use by children over two years old, adults and women during the gestation period.
6. Use of cough medicines. If the patient has a dry and painful cough, then doctors prescribe Sinekod or Gerbion. At wet cough Abromhexal, Ambrobene, Ascoril are prescribed. For internal use, ACC tablets or powder are prescribed.

As additional treatment appoint the following physiotherapy.

• Magnetotherapy.
• ultrasonic waves.
• Electrophoresis.

At home, you can do inhalation. If there is a nebulizer, then medicinal solutions can be prepared from saline, Lazolvan, ACC or decoctions of chamomile and sage. If there is no such device, then steam inhalation can be done. In this case, it is worth monitoring the temperature. If it is above 37.5 degrees, then such procedures should not be carried out. Infusions can be added to steam inhalations medicinal herbs, potatoes, essential oils or soda with iodine.

During the treatment process it is necessary:

1. Observe bed rest for three to five days. Such a measure will avoid complications that often occur during treatment on the legs.
2. Take plenty of fluids. Such a measure will avoid dehydration at elevated temperatures and remove harmful substances.
3. Ventilate the room at least three times a day.
4. Humidify the air.
5. Follow nutrition. Food should be healthy and fortified. If the patient refuses to eat, then you should not force him. But you can make chicken broth. It will increase appetite and give the body strength.

If drug therapy does not give appropriate results, then the patient is prescribed surgery. It consists in carrying out a puncture. The patient is punctured in the inflamed sinus, the purulent contents are pumped out and the drug is infused. All manipulations are carried out under the influence of a local anesthetic. The procedure is rather unpleasant, but during the manipulation the patient does not feel anything. After completion of the procedure, after two hours, you may experience discomfort in the area of ​​the nose.

If sinusitis occurs, symptoms and treatment should be recognized as soon as possible. This will avoid unpleasant consequences and surgical intervention. In the initial stages, the disease can still be cured with the help of drug therapy, washing the nasal passages and physiotherapy.

Inflammation of the sinuses, which is medically known as sinusitis, is considered a common occurrence. The disease affects both children and adults. It can be recognized by characteristics, chief among which is a runny nose. However, there are cases when sinusitis occurs without a runny nose, which makes the diagnosis process difficult.

Many people are interested in whether there can be sinusitis without a runny nose and how, in this case, to find out about the course of the inflammatory process in the body. In fact, such cases are well known in medical practice.

Is there sinusitis without a runny nose: symptoms of the disease

The presence of purulent mucus in the sinuses is a clear sign of an inflammatory process in them. The absence of this feature is an obstacle to early diagnosis. Nevertheless, there are some specific symptoms of sinusitis without a runny nose, which allow you to detect the inflammatory process and start its treatment earlier.

The main symptoms of the disease are the following processes:

• slight increase in body temperature;
• prolonged nasal congestion;
• pain in the head and jaw, it increases during chewing and talking;
• the intensity of the headache varies depending on the position of the person's body, when he lies down, the pain and discomfort intensify.

Without a runny nose, sinusitis also occurs in children, however, their symptoms of inflammation of the sinuses may be slightly different than in adults. Noticing them, you should immediately consult a doctor, especially need health care if the baby himself began to complain of poor health.

With the development of the inflammatory process in the nasal sinuses in children, the following signs are characteristic:

• disturbed nasal breathing;
• fatigue and constant fatigue;
• pain in the gums and ears;
• sensation of bad breath.

Sometimes there is sinusitis without a runny nose and temperature, this can be with a weak form of the inflammatory process or at an early stage of its development. Nasal congestion and pain in the face and head will help to recognize the disease. You can also try to tilt your head forward, with the development of the disease there will be pain in the forehead and sinuses.

Sinusitis without a runny nose and nasal congestion is almost never detected at an early stage of its development. This leads to a neglected form of the disease and the occurrence of many complications.

Diagnosis and treatment of sinusitis without a runny nose

Regardless of whether there is a runny nose with sinusitis or not, it is required complex therapy. The inflammatory process must be cured, otherwise the infection can penetrate the brain or blood vessels.

Diagnosis of the disease with insufficient symptoms is carried out using methods such as:

1. X-ray. In the case of the development of this ENT disease, the foci of inflammation in the picture will be visible in the form of dark spots.

2. Diaphanoscopy. The otolaryngologist, using a special tube with a light bulb at the end, shines through the nasal sinuses and examines them for the presence of foci of inflammation.

3. CT scan. Using the method, you can not only detect the focus of inflammation, but also determine the stage of its course.

Treatment of sinusitis without a runny nose can be conservative and surgical. To surgical operation specialists resort as a last resort, when other methods failed to get rid of the disease.

At elevated body temperature, the patient must be given antipyretics, as well as painkillers. The entire period of treatment, the patient must comply with bed rest. The absence of mucus in the nose does not mean that it is not in the paranasal sinuses themselves, just that its outflow is impaired. To increase the outflow of accumulated mucus and open the nasal passages as much as possible, it is necessary to use special nasal drops or sprays.

With sinusitis, physiotherapy procedures give a noticeable result. Specialists can prescribe the use of blue, sollux, dynamic current, but the UHF procedure is the most effective.

If you ask specialists whether sinusitis without a runny nose is the result of a deviated septum or dental caries, they will answer that this is also common causes diseases. In such cases, in order to cure sinusitis, the root cause should initially be eliminated. To prevent the development of sinusitis, it is important to treat all diseases of the nasopharynx in a timely manner.

NasmorkuNet.ru

Features of the treatment of sinusitis and prolonged rhinitis

When treating sinusitis and a protracted runny nose, you need to show a fair amount of patience. Sinusitis is an inflammation of the paranasal sinuses (sinuses), occurring in an acute or chronic form. If a runny nose does not go away for weeks and months, then a particularly long treatment process is ahead.

What are sinuses?

The human skull consists not only of bones, but also of 7 small hollow spaces in their depth - the paranasal sinuses or sinuses. Six of them are paired, which are located on both sides of the nose, there is still a single sphenoid sinus:

• two frontal - above the brow arches;
• two maxillary (maxillary) - in the depth of the bone of the same name;
• two trellised - in the area of ​​\u200b\u200bthe base of the nose;
• wedge-shaped - in the depths of the bone of the same name at the base of the skull.

The paranasal sinuses not only form the skeleton of the face, but also warm the inhaled air before it enters the lungs, and are also resonators that amplify the sounds of speech. Their most important feature is that they do not function separately, but together. All sinuses have openings through which they are connected to the nasal passages.

The health of the paranasal sinuses directly depends on unhindered communication with the nasal cavity. The space of each sinus is lined from the inside with delicate mucous membranes.

And they, as you know, are very susceptible to attacks by pathogenic bacteria, viruses and easily become inflamed.

As soon as the nasal mucosa swells due to a runny nose (rhinitis) and the channel between one of the sinuses and the nasal cavity is blocked, the air from the “blocked” sinus is absorbed by the blood vessels, and its cavity is filled with liquid. In it, the infection begins to multiply rapidly.

Types and causes of the disease

If several pairs of sinuses are simultaneously involved in the inflammatory process, the ENT doctor deals with sinusitis. But more often 1-2 sinuses become inflamed. Diseases are classified depending on which sinuses it is:

• the sphenoid sinus is affected - this is sphenoiditis;
• the ethmoid sinuses are inflamed - ethmoiditis;
• one or both maxillary sinuses fester - sinusitis is diagnosed;
• the frontal sinuses are infected - this is frontal sinusitis.

Since all sinuses communicate with each other, an infection in one of them can easily penetrate into adjacent cavities. If the inflammatory process covers all paranasal sinuses, it is pansinusitis (or polysinusitis). Depending on the symptoms and nature of the course of the disease, two forms of sinusitis are diagnosed: acute and chronic. In relapses, chronic sinusitis usually proceeds as acute sinusitis.

The most common causative agents of all types of diseases are pathogenic bacteria or viruses, less often fungi or mycoplasmal organisms. Sometimes pathology develops as a result allergic reactions. Sinusitis can worsen due to polyps in the nasal cavity, deviated nasal septum, adenoids, chronic rhinitis, tonsillitis and even caries.

Symptoms of the disease

A typical picture of the development of sinusitis is as follows: the disease begins with hypothermia, colds, SARS or flu. First, rhinitis develops with a profuse runny nose, and then the infection passes to the mucous membranes of the sinuses.

And then, to the traditional symptoms of a cold: general malaise, muscle weakness, possible fluctuations in body temperature, signs of sinusitis are added. For acute and chronic forms of this disease of all kinds, the following symptoms are characteristic:

• stuffy nose, often one-sided, and nasal breathing is difficult;
• mucus is discharged from the nose, at first clear, and then greenish-yellow due to pus; if the capillaries burst, an admixture of blood appears;
• the sense of smell weakens or completely disappears;
• with inflammation of the maxillary sinus, the skin on both sides of the nose may turn red;
• the patient is tormented by a dry cough, especially strong at night;
• pain syndrome occurs.

In acute frontal sinusitis, the forehead hurts above the superciliary arches. Due to acute ethmoiditis, pain is usually localized near the bridge of the nose, in the region of the eye sockets, but may also radiate to the back of the head. In acute sinusitis, strong unilateral or bilateral pain sensations are concentrated mainly below the eyes. In acute sphenoiditis, they are localized in the back of the head, less often in the temples, crown. Chronic sinusitis presents with milder but longer-lasting symptoms. Pain, cough, discharge with pus may suddenly disappear, then reappear after a while. At the same time, the chronic patient has a constantly stuffy nose, breathing is difficult. He often catches a cold, suffers from respiratory infections.

Treatment of the disease

Making a diagnosis for an ENT doctor is not particularly difficult. Inspection of the nasal mucosa (rhinoscopy) and maxillofacial x-ray allow you to accurately determine the localization of inflamed areas. Treatment of acute sinusitis takes about 3 weeks, chronic - much longer (up to 2-3 months). The first thing to start with healing procedures, this is the restoration of free communication between the nasal cavities and the affected sinuses.

To do this, it is necessary to remove the swelling of the mucous membranes of the nasal canals, which will allow for an effective outflow of mucus from the inflamed sinuses and normalize their ventilation.

Puffiness is removed with vasoconstrictor drops. Children are advised to bury nose drops with xylometazoline: they are more harmless. But any drugs against the common cold that constrict blood vessels should be used no longer than 3-5 days, otherwise they can be harmful instead of good. There is a risk of drying and atrophy of the mucous membranes, as well as the formation of more mucus.

At the same time, it is necessary to eliminate the multiplied infection. If the disease is prolonged, it is difficult, a course of penicillin or cephalosporin antibiotics is prescribed. Azithromycin is a powerful drug, especially effective in mycoplasmal sinusitis. The more local antibiotic Bioparox is also effective. In milder cases, preparations based on medicinal plants are preferable.

With sinusitis of an allergic nature, antihistamines are prescribed. If the temperature rises above 38.5 ° C, antipyretics should be taken. Rinsing the nasal passages with sprays with sea water, inhalation helps to free nasal breathing. If a conservative treatment does not give an effect, a protracted, progressive disease will have to be treated surgically. The patient is given punctures (punctures) into the affected sinuses in order to pump out the purulent contents and remove part of the overgrown mucous membrane, which also prevents the ventilation of the cavities.

Treatment of chronic rhinitis

It is not uncommon for a cold to go away quickly, but the rhinitis it causes lasts for weeks or even months, especially in young children. It indicates an ongoing inflammatory process in the nasal cavity. How to cure a chronic runny nose?

It is important to choose the right medicines. If the mucus released from the nose is transparent, Vibrocil, Otrivin or Nazivin, which narrow the vessels, will help. But it is useless to use these drops if the mucus is small and thick. Here you can not do without frequent rinsing of the nasal cavity with sprays with sea water and the use of antibacterial drugs.

A protracted runny nose caused by an allergy should be treated not by an ENT doctor, but by an allergist. Temporary relief will bring reception antihistamine drug. But then it is necessary to determine the type of allergen and eliminate contact with it.

If there is no pus in the mucus, it is useful to do inhalations. Calendula flowers are poured with water, brought to a boil, let it brew for 4-5 minutes. Then the head and the container with hot infusion are covered with a terry towel and the steam is inhaled through the nose. It is good to alternate calendula with chamomile flowers, eucalyptus leaves or essential oils tea tree, cedar, arborvitae.

A runny nose responds well to physiotherapy procedures (primarily the famous "cuckoo"), UV heating, and laser devices.

Treatment of a protracted runny nose is a process in which the body itself must take an active part. Therefore, it is important to strengthen the immune system of children from an early age by taking them to the sea in the summer. Sunbathing, sea air, water rich in salts and iodine give a wonderful hardening effect.

lor03.ru

Frontitis: causes and symptoms of the disease

• Forms of manifestation
• Diagnosis and treatment
• Complications
• Symptoms

Inflammatory processes occurring in the frontal paranasal sinus are called frontal sinusitis. This is the most dangerous view sinusitis, which requires mandatory diagnosis and timely treatment.

Frontal sinusitis has acute and chronic forms. Often accompanied by ethmoiditis, localized in the ethmoid bones. If the acute form of frontitis is not treated, then it becomes chronic, which is dangerous with severe consequences and sometimes requires surgical intervention.

To understand how sinusitis occurs, you need to know the structure of the nose and the process of air exchange in it. How does this happen?

Inhaled air circulates freely throughout the nasal cavity. Due to swelling of the mucous membrane, the lumen leading to the frontal sinus narrows and blocks the access of air. As a result, the secretion is difficult to withdraw from the sinus and an acidic environment is formed in which bacteria actively multiply.

The main causes of frontal sinusitis are similar to sinusitis, inflammation of the maxillary sinus. But this type of sinusitis is especially poorly tolerated and can threaten the life of the patient.

Important

If you do not ensure the outflow of mucus and pathogenic microbes from the frontal paranasal sinus, then the disease will progress every day. This will cause severe painful conditions of the patient and various complications. Therefore, at the first signs of frontal sinusitis, treatment should be started immediately.

Most often, the disease develops as a result of acute respiratory diseases or the flu. But there are other causes of frontitis:

• allergy;
• getting into the sinuses of foreign bodies;
• deviated septum of the nose;
• previous diseases (scarlet fever, diphtheria);
• untreated runny nose;
• incorrect blowing;
• reduced immunity;
• the presence of polyps and adenoids in the nose.

The causative agents of frontitis are most often staphylococci. In addition to them, frontal sinusitis can also be caused by such pathogenic microorganisms as: streptococcus, Haemophilus influenzae, catal marcellus. With reduced immunity in the frontal sinuses, the reproduction of various fungi and other microorganisms is possible.

The initial manifestations of frontitis are difficult to distinguish from common cold caused by a cold. In addition to mucous discharge from the nose, there is a slight increase in temperature, as well as pain in the nose. The symptoms of acute and chronic frontal sinusitis can be different.

Symptoms characteristic of acute frontal sinusitis:

1. Significant increase in body temperature. This figure can reach 38 - 39 degrees Celsius.
2. Strong headache. It is especially disturbing in the frontal part of the head, but it can also manifest itself in the temporal and occipital regions. The pain grows and dissipates. Strongly manifested at night or in the morning, when the patient is in a horizontal position for a long time. After the release of the paranasal sinuses from the secret - subsides. Increased pain can be with pressure on the area where the infection is localized. Turning, tilting the head forward or moving the eyes leads to sharp pinpoint pain. The pain may spread to the eyes, ears, and teeth, especially in the upper jaw.
3. Swelling of the mucous membrane makes breathing difficult. It is harder to breathe when the patient is in the supine position.
4. There is a cough at night due to runoff of mucous membranes or purulent discharge along the wall of the throat.
5. In severe cases, the patient may decreased sense of smell and taste.
6. Mucous discharge from the nose can be either transparent or yellow or green with purulent inflammation. When the patient is in an upright position, there is more discharge. If the lumen in the nasal sinus is completely closed by mucosal edema and no outflow of secretion occurs, then there are none at all.
7. General symptoms are manifested in weakness, apathy, loss of appetite, rapid fatigue and loss of strength. The patient may experience symptoms such as: cerebral circulation, dizziness.

Symptoms characteristic of chronic sinusitis:

1. Swelling of eyelids and brow ridges, especially after sleep.
2. conjunctivitis and others inflammatory diseases organs of vision.
3. Frequent headaches.
4. Decreased sense of smell, up to total absence this function.
5. The development of a cough into a chronic form that is not amenable to standard treatment.
6. Constant weakness and fatigue.

The severity of symptoms of chronic frontal sinusitis is weaker and it is more difficult to determine the disease. To do this, the doctor conducts not only a visual examination, but also laboratory diagnostics. Therefore, only a specialist after the examination can prescribe a set of effective measures to combat the disease.

Attention

The manifestations of frontal sinusitis and sinusitis are in many ways similar, but there are still differences. The main differences between these diseases:

• different localization of the focus of infection;
• pain with sinusitis mainly affects the front of the head, and frontal frontal and occipital regions;
• sinusitis is more conducive to complications from the organs of vision;
• pain in frontal sinusitis is stronger, sometimes becomes unbearable, which leads to a nervous breakdown;
• with sinusitis, the horizontal position improves the patient's well-being, and worsens with frontal sinusitis.

Just like sinusitis, frontal sinusitis is dangerous because it can move to nearby tissues and cause serious pathological changes. As a result, diseases such as meningitis, sepsis, brain abscess may appear.

Frontitis: what is it, symptoms and treatment of frontitis

Among all varieties of sinusitis, frontal sinusitis is characterized by a particularly severe course of the disease and has a rather dangerous consequences: sore throat, tonsillitis, bronchitis and even pneumonia.

Frontit - what is it:

• refers to a variety of sinusitis;
• a special type of inflammatory disease;
• develops in the paranasal sinuses.

In the nose of a person are sinuses, which have a mucous membrane.

This shell is extremely important because it performs a protective function: it blocks the possible penetration of infections and bacteria into the body, filters the air and warms it up. With frontal sinusitis, these sinuses suffer the most, inflammation begins, which suspends the normal functioning of the sinus protection.

Separately, mention should be made of acute frontal sinusitis, when the disease can last up to three weeks. The mucosa is located next to the orbit and the anterior cranial fossa - such a neighborhood can provoke the development of complications with frontal sinusitis. It is extremely important to diagnose sinusitis in time and start treatment.

There are also two main forms of frontitis:

• Unilateral, when there is inflammation of the sinus on only one side.
• Bilateral, when the sinus becomes inflamed on both sides.

According to official statistics, frontal - characteristic disease specifically among men. The reasons explaining this phenomenon have not yet been established. The disease can occur at any age.

Frontitis can also be the result of congenital deformities of the nasal septum, the curvature of the canal in the fronto-nasal zone.

As a rule, frontal sinusitis develops against the background of a viral infection of the upper respiratory tract. It is not uncommon for frontitis to occur as a result of exposure to the body of rhinoviruses, coronaviruses, respiratory syncytial viruses or parainfluenza viruses. With polypous (cystic) frontal sinusitis, the mucosa grows in a pathological form, lining the sinus and forming a cyst. A parietal-hyperplastic frontal sinusitis may form when a bacterial-type infection develops against the background of mucosal cell division.

Source of occurrence infectious disease in the frontal sinuses may vary. The main ones are:

As a rule, the development of frontitis is provoked by staphylococci. Also, the cause of the disease can be streptococci, Haemophilus influenzae, catal marcellus. If frontitis occurs in a person with a weakened immune system, then the development of fungi and other harmful microorganisms is quite possible.

There are the following types of frontitis according to the type of pathogen:

• Allergic.
• Bacterial.
• Viral.
• Fungal.
• Mixed.

Depending on the type of causative agent of frontal sinusitis, the treatment of the disease will also vary.

The key symptoms of this disease include:

• Pain and pressure in the frontal sinuses behind the eyes.
• Pain and swelling near the eyes and nose. If a person leans forward a little, then the pain will increase (this symptom is hallmark from sinusitis: with sinusitis in a horizontal position, the patient's pain begins to subside).
• Edema in the nasal passages.
• Coryza with yellow or green mucus.
• Pain in the ears.
• Rise in temperature at night.
• Development of a severe cough.
• The appearance of toothache (pain in the upper jaw is especially pronounced).

In addition to the listed symptoms, others are possible if the frontal sinusitis is very difficult.

These symptoms include:

• Decreased taste sensations, impaired sense of smell.
• The appearance of pain in the throat.
• Bad breath.
• The development of meningitis, if you ignore the primary symptoms of frontal sinusitis and do not treat it. Meningitis is dangerous because it provokes inflammation of the meninges, and this can be a threat to the patient's life.

It should be noted

At the initial stage of the development of frontal sinusitis or in its chronic form, the disease can proceed without a runny nose and fever. If frontitis is not accompanied by discharge from the nose, then there is cause for concern - swelling of the mucous membrane completely covers the frontal sinuses, so the pain becomes unbearable.

In order to determine the frontitis, what it is and how it manifests itself, it is necessary to know the features of the symptoms different types diseases.

• catarrhal, which is characterized by nasal congestion, copious discharge from the nose, the appearance of a feeling of heaviness in the area above the eyebrows. If you do not treat catarrhal frontal sinusitis, then it will go to the next stage, when purulent inflammation begins.
• Purulent, which is characterized by the accumulation of purulent discharge in the frontal sinuses. The headache manifests itself quite intensely, the patient's condition is much worse than in the usual course of the disease.

The treatment of frontitis should be determined by the doctor after examining the patient. If the sinusitis was the result of an infection, then first of all it is necessary to treat the infection, and only after that it is taken to restore the irritated sinus cavity. If the drugs do not work, then the patient is prescribed antibiotics (usually with the development purulent processes). As a rule, antibacterial drugs help within 3-5 days. If the pain with frontal sinusitis becomes unbearable, then the doctor additionally prescribes an anesthetic.

Good support for the main treatment will be anti-edema drugs, which can be bought at any pharmacy without a doctor's prescription. Such remedies will soothe inflammation in the sinus cavities, narrowing the vessels, reduce pressure and return the ability to breathe normally. Means are taken no longer than 5-7 days, so as not to be addictive. Decongestants are vasoconstrictor drops and sprays containing antibiotic and steroid hormones.

Treatment of frontitis in pregnant women should be carried out as soon as possible: the frontal sinus becomes a focus of infection that can harm the child. In no case should you self-medicate. Frontitis is also dangerous for the baby during breastfeeding if the mother takes medication to treat this disease. If the sinusitis is detected on time, then it can be treated with non-potent drugs.

If you have sinusitis, and you smoke, you will have to forget about cigarettes (at least for the duration of the treatment of the disease).

You can additionally use folk remedies, but the treatment prescribed by your doctor should be paramount. In chronic frontal sinusitis, the treatment is exactly the same as in the acute form.

Forms of manifestation of frontal sinusitis: bilateral, unilateral, purulent, catarrhal, without runny nose and temperature

Frontit differs in the following indicators:

• type of inflammatory process;
• etiological factor;
• process localization.

According to the type of inflammatory process, frontal sinusitis is divided into two categories:

• exudative- accumulation of fluid in the frontal sinuses of the nose: serous, purulent, catarrhal frontal sinusitis;
• productive- proliferation of mucous tissue in the frontal sinuses of the nose: cystic, polyposis, parietal-hyperplastic.

The initial form of frontitis is catarrhal. It occurs as a result of inflammation and swelling of the mucous membranes of the frontal sinuses. In this case, frontal sinusitis can be without a runny nose and temperature, but have other symptoms characteristic of this disease. If the inflammation is not cured, then the disease begins to progress.

The most dangerous form of the disease is purulent frontal sinusitis. If at the initial stage the discharge from the nose is liquid, serous, then with the development of the disease, the pathological content in the sinuses becomes purulent. This is due to an increase in the number of pathogenic bacteria. In this case, there is a strong intoxication of the body and it is not worth delaying the treatment. With purulent frontal sinusitis, antibiotics are prescribed to fight the disease.

More about the front

In the treatment of polyposis or cystic frontal sinusitis, the frontal sinus of the nose is opened and the overgrown tissue is removed.

Depending on which pathogen caused inflammation of the frontal sinuses, they speak of an etiological factor.

There are the following types of frontitis according to this indicator:

• Viral. It is a consequence of influenza and SARS diseases.
• Allergic. It develops against the background of allergic reactions.
• Bacterial. It occurs as a result of getting into the frontal sinuses of the nose of various bacteria.
• Fungal. This type of inflammation occurs due to a fungal infection.
• Mixed. Such a diagnosis is made if several types of pathogen are present.

The treatment of these types of frontal sinusitis can fundamentally differ. And what medicines will be effective can be determined only after identifying the causative agent of the disease.

According to the localization of the inflammatory process, there are:

• double-sided front;
• left frontal;
• right front.

With a bilateral form of frontal pain, pain occurs symmetrically, and the release of pathological contents occurs from both nostrils. With left-sided or right-sided frontitis, symptoms appear on the left or right, respectively.

• Can there be frontal sinusitis without a runny nose?
  All types and forms of frontal sinusitis have general symptoms, but there are differences. In the initial or chronic form of the disease, frontal sinusitis occurs without a runny nose and temperature. At the same time, there are such symptoms as: nasal congestion, difficulty in nasal breathing, pain in the frontal part of the head, eyes. Frontitis without discharge from the nose can also signal that the swelling of the mucous membrane completely covers the frontal sinuses. In this case, the pain becomes very severe, since the pathological contents are not excreted and put pressure on nearby tissues.

Frontitis: ICD 10, types of diagnosis and treatment

AT international classification diseases of the 10th revision (ICD 10), the following codes were assigned to frontitis:

• J31- chronic form sinusitis, J32.1 - chronic frontal sinusitis;
• J01 - acute form of sinusitis, J01.1 - acute frontal sinusitis.

In order to properly treat frontal sinusitis, diagnostics in a medical institution is necessary. The doctor determines the methods of examination depending on the form and stage of the disease.

• Collection of anamnesis. At the first stage, the doctor conducts an oral questioning of the patient. An experienced specialist can collect the lion's share of information about the disease only from the words of the patient. After the interview, a general visual examination of the patient takes place. Is there swelling on the face, is there pain on palpation of a part of the head above the frontal sinus.
• Rhinoscopy. Allows you to see the condition of the nasal mucosa: the presence of edema, polyps. The procedure is carried out using an expander with mirrors.

1. Endoscopic examination condition of the nasal mucosa. This procedure allows you to see the location of the infection, the structural features of the sinuses and septum. It is performed using a flexible tube with a camera. The image is displayed on the screen.
2. X-ray of the sinuses. Determines the state of the frontal sinuses, reveals inflammation and swelling. It is performed using an x-ray machine. Diagnostics is carried out on a picture.
3. ultrasound. It reveals the volume of inflammation, allows you to control the course of treatment. An ultrasonic linear sensor is used to diagnose frontal sinusitis. The image is displayed on the monitor.
4. thermal imaging. In this study, hotter areas of the body, that is, those that are inflamed, are established.
5. Bacteriological examination of the secret. Allows you to identify the causative agent of the disease, as well as its sensitivity to medicines. For research, a smear is taken and mucus is inoculated on nutrient media.
6. Computed tomogram. With maximum accuracy indicates the presence of inflammation and the structure of the bones of the skull. The study uses x-rays.
7. Cytological examination. It is carried out to determine the cause of the disease. Mucus is taken from the nose and examined under a microscope.

After the necessary diagnosis, the doctor prescribes treatment to the patient and gives recommendations. Among the methods of treatment of frontal sinusitis, the following are distinguished:

• medication;
• surgical;
• massage;
• physiotherapy;
• nasal lavage;
• inhalation.

Medicines are prescribed depending on the type of frontitis.

1. Nasal drops. In order to relieve swelling, vasoconstrictor drops are used. For catarrhal frontitis use combined preparations with anti-inflammatory ingredients. If the sinusitis is allergic, then you need to bury your nose with antihistamine drops. Appropriate drops are used to fight bacteria and fungi. Popular drops for the treatment of frontal sinusitis are Tizin, Nazolex, Sinupret drops, Bioparox.
2. Antibiotics. Assign for the treatment of purulent form of frontal sinusitis.
3. Nasal lavage. Such means as have proven themselves: Dolphin, Aquamaris, Aqualor. You can make your own sea salt solution.
4. Inhalations. They are used to treat an uncomplicated form of frontal sinusitis, as well as for chronic frontal sinusitis, but not during an exacerbation. Steam inhalation is strictly prohibited in the presence of elevated temperature body or purulent pathological contents in the sinuses. For a safe procedure, doctors recommend using a nebulizer. Such a device is indispensable in the treatment of young children.
5. Physiotherapy carried out on the front wall of the inflamed frontal sinus. Phonophoresis (ultrasound with hydrocortisone) or electrophoresis is recommended as a procedure.
6. Massage is done by point movements in the projection of the frontal sinuses. Not recommended in the process of exacerbation and elevated temperature.
7. Surgical intervention carried out in severe cases of frontal sinusitis. With a purulent form, a puncture (puncture) is made to pump out the pathogenic contents of the sinus, and with a polyposis, the frontal sinus is opened to remove polyps.

A popular method of dealing with the disease is the treatment of frontitis with folk remedies. Given the complexity and danger of the disease, it is necessary to consult a doctor about the advisability of using one or another alternative method of treatment.

Consequences and complication of frontal sinusitis

With improper or untimely treatment, the consequences of frontal sinusitis can be extremely negative and even lead to death. Most often, the infection spreads to neighboring sinuses, causing sinusitis, sphenoiditis and ethmoiditis.

Complications of frontitis can be diseases of the upper and lower respiratory tract, such as:

• angina;
• tonsillitis;
• bronchitis;
• pneumonia.

Among the most dangerous complications the front is as follows:

• meningitis of the brain and bone marrow;
• osteomyelitis of the frontal bone (purulent disease);
• brain abscess;
• blood poisoning;
• detachment of the retina, phlegmon of the orbit.

To prevent the consequences of frontitis, you must follow the treatment prescribed by the doctor and follow all his recommendations.

Do not stop taking medication or performing a procedure when your condition improves.

In this case, the disease will return again.

Prevention of frontitis is the most The best way avoid both the disease itself and serious complications.

Among the preventive actions dangerous disease the following:

• treat colds in time;
• with a runny nose, use drops that relieve swelling of the nasal mucosa;
• avoid hypothermia;
• carry out hardening procedures;
• do sport.

After frontal sinusitis, prevention is especially relevant. Often, the disease with a cold comes back again. Especially often after a frontal headache. “Is this normal?” people ask on the forums. Headache can occur both as a result of a complication, and due to an untreated disease. To get an accurate answer, you need to contact the doctor who prescribed the treatment.

www.gajmorit.com

What is the difference between sinusitis and common rhinitis (runny nose)

Answers:

surgical

Sinusitis (sinusitis; anat. sinus paranasalis paranasal sinus + -itis, syn. paranasal sinusitis) - inflammation of the mucous membrane of one or more paranasal sinuses.
characterized by chills, fever, poor general health, headache different intensity, often radiating to the forehead, root of the nose and teeth. Pain in the area of ​​the affected sinus increases with pressure on its front wall. By nature, the pain is intense and constant, accompanied by a feeling of fullness, aggravated by tilting the head, coughing and sneezing. Sometimes photophobia and lacrimation join. The nose is stuffed up, there is an abundant discharge of mucous, mucopurulent, purulent nature. On the side of the affected sinus, the sense of smell is reduced. When the periosteum is involved in the process, swelling of the cheek and swelling of the lower, and sometimes upper eyelid.
Rhinitis (rhinitis; Greek rhis, rhinos nose + itis; synonymous with runny nose) - inflammation of the nasal mucosa. There are acute and chronic R. As independent forms, vasomotor R. is distinguished, which in turn is divided into neurovegetative and allergic.
Acute rhinitis often occurs independently as a result of an isolated effect on the mucous membrane of the nasal cavity of pathogens of a viral or bacterial infection. It can be accompanied by acute infectious diseases, such as influenza, measles, scarlet fever, diphtheria, glanders, gonorrhea, etc. The inflammatory process can also develop secondarily with damage to the paranasal (paranasal) sinuses, pharynx, trachea.
In acute R., catarrhal inflammation of the mucous membrane develops, which is manifested by swelling of the tissues, most pronounced in the region of the turbinates. The lesion extends to both halves of the nose.
During acute R. allocate three stages. The first stage lasts from several hours to 1-2 days. ; it is manifested by a sensation of itching and dryness in the nasal cavity, sneezing, often lacrimation, headache, general malaise, fever, decreased sense of smell; the mucous membrane is dry, hyperemic. In the second stage, transparent watery (often in in large numbers) discharge from the nose, there is difficulty in nasal breathing, nasality: the mucous membrane is moist, swollen, in the nasal passages serous-mucous discharge. In the third stage, nasal breathing improves, nasal discharge becomes mucopurulent in nature, their number gradually decreases; the mucous membrane becomes less edematous, turns pale, mucopurulent discharge is determined in the nasal passages. Recovery occurs on average after 7-10 days, in some cases the process becomes chronic.

pogopo

it's sinusitis

Sweet YJAAD!

Virtually nothing.

viral origin and allergic, that's the difference

Snezhana Maiburova

I have no idea! I only distinguish between a runny nose and sinusitis (this is when the nose is stuffed up all the time and only a puncture helps)

Natalia

As far as I know - sinusitis is the same sinusitis. And with sinusitis, the head and snot terribly hurt, sorry, green.

Yakhimovich Pavel

Sinusitis is an inflammatory process accompanied by pain. In some cases, surgery is prescribed for treatment.

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Sinusitis, sinusitis, sinusitis - inflammation of the paranasal sinuses, and not just a runny nose.
Sinusitis occurs both as a complication of rhinitis and independently when inflammation spreads, for example, from the oral cavity.
Diagnosed by x-ray, the sinuses will be darkened.
Dangerous by the formation of pus and a breakthrough in the brain (meningitis, etc.).

KOT-KOT

Sinusitis is an inflammation of the paranasal sinuses (this concept includes the maxillary sinuses, and the frontal, and sphenoid, and ethmoid sinuses - hence sinusitis is divided into sinusitis, frontal sinusitis, sphenoiditis and ethmoiditis), and rhinitis is an inflammatory process in the nasal mucosa that does not affect accessory sinuses.

Pain in the sinus in the nose.

Answers:

Trojan virus

In the frontal sinuses can also give frontal sinusitis, ethmoiditis (in addition to sinusitis). but an accurate diagnosis can only be made by the ENT and after an x-ray of the sinuses.
PY. SY. for general development. sinuses are not in the nose, but in the bones of the skull.

Sergei Sukhanov

Sinusitis.

Losmy

Go see a doctor.
When you bend over in your sinuses, the pressure rises (do you feel it?).

Similar to sinusitis (sinusitis, frantitis (difference in the location of pus)

Dmitry Tukmachev

Try pouring aloe juice into your nose.

Mikhail Shevaldov

Inflammation, beginning sinusitis.

Roma Sidorov

sinusitis. urgently see a doctor before it's too late.

Raspberry

Be sure to take a picture, it looks like a sinusitis. Try to drink Sinupret!

EKATERINA SMIRNOV

Sinusitis is an inflammation of the lining of the paranasal (paranasal) sinuses (see WHAT YOU NEED TO KNOW ABOUT THE SINOS). Sinusitis can be acute, subacute, chronic, allergic and hyperplastic.

What are the causes of sinusitis?

Sinusitis is usually caused by a viral or bacterial infection. Acute sinusitis develops mainly as a consequence of the common cold; in about 10% of cases it becomes subacute. Chronic sinusitis results from a bacterial infection that is difficult to treat.

Predisposing factors:

Chronic swelling of the nose;

Curved septum;

Secretion of too thick mucus by the mucous membrane;

nasal polyps;

Allergic inflammation of the mucous membranes of the nose (allergic rhinitis);

Weakening of the body after chemotherapy, due to malnutrition, diabetes, blood disease, long-term use of steroid drugs, or depressed immunity.

Bacterial invasion of the paranasal sinuses is usually determined by the factors listed above or follows viral infection. Swimming in a pool of polluted water can also lead to the development of a bacterial infection.

Allergic sinusitis often occurs as a complication of allergic rhinitis. Hyperplastic sinusitis is a combination of purulent and allergic inflammation of the paranasal sinuses or purulent sinusitis and allergic rhinitis.

What are the symptoms of the disease?

The symptoms of sinusitis are varied and depend on the type of infection.

Acute sinusitis

The main symptom of acute sinusitis is nasal congestion, accompanied by a gradual increase in pressure in the affected paranasal sinus. A runny nose may appear 24-48 hours after the onset of the first symptoms. Later, pus appears in the discharge from the nose. The general state of health worsens, the throat and head hurt, the temperature rises (from 37.2o to 37.5o). The localization of pain depends on which sinuses are inflamed. It can hurt in the cheeks and upper teeth, above the eyes, above the eyebrows and behind the eyes.

Subacute sinusitis

With subacute inflammation of the paranasal sinuses, after the elimination of the infection, discharge from the nose with an admixture of pus is observed for another 3 weeks. Other symptoms: stuffy nose, general discomfort in the face, fatigue and cough without sputum.

What you need to know about the paranasal sinuses

Until you had sinusitis, you probably never thought about them. Now you can't think of anything else. Check out the information below to understand how the paranasal sinuses work, where they are located and why they bring you so much trouble.

What are the paranasal sinuses for?

The paranasal sinuses are air-filled cavities in the facial bones of the skull that give shape to the face and serve as vocal resonators.

Where are the paranasal sinuses located?

Four pairs of sinuses - frontal, maxillary (maxillary), sphenoid and ethmoid sinuses - are located above and along the nose on both sides of the face.

Why do sinusitis cause severe pain?

Pain occurs when the mucous membrane lining the sinuses becomes inflamed (inflammation is caused by an infection or obstruction). Normally, mucus drains into the nose through tiny openings in the bones. If inflammation sets in, these openings become blocked, resulting in increased infection, headaches, nasal congestion, and other symptoms.
Chronic sinusitis

The symptoms of chronic sinusitis are the same as those of acute sinusitis. However, when chronic sinusitis mucous discharge with an admixture of pus are observed constantly.

allergic sinusitis

The main symptoms of inflammation of this type are sneezing, headache in the frontal part of the head, watery discharge, nasal congestion, burning sensation and itching in the nose.

Hyperplastic sinusitis

This type of sinus inflammation causes chronic nasal congestion and headaches.

SELF-HELP

Operations

Olga Osipova

You may have sinusitis. And he's being treated with tetracycline hydrochloride. It's an antibiotic. But still find time to go to the doctor. Self-medication in this case is dangerous.

Vasta Mavela

sinusitis
to the doctor!

Nika16D.

To the doctor!!!

Free as a wind**

With sinusitis:

Unpleasant sensations appear in the nose and paranasal region, which gradually increase. Pain is less pronounced in the morning, increasing in the evening. Gradually, the pain "loses" a certain place and the patient begins to have a headache. If the process is one-sided, then the pain is noted on one side.
Difficulty in nasal breathing. The patient has a blocked nose. The voice becomes nasal. As a rule, both sides of the nose are blocked. Difficulty in nasal breathing is constant or with little relief. Alternate congestion of the right and left halves of the nose is possible.
Runny nose. In most cases, the patient has a mucous (clear) or purulent (yellow, green) discharge from the nose. This symptom may not be present if the nose is very stuffy, as outflow from the sinus is difficult (this was mentioned above).
Increase in body temperature to 38 and above. As a rule, this symptom is observed in acute sinusitis. In a chronic process, body temperature rarely rises.
Malaise. This is expressed by fatigue, weakness, patients refuse food, their sleep is disturbed.

FRONTITIS is much more severe than inflammation of other paranasal sinuses. With frontal sinusitis, there are: 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 - pain in the eyes, photophobia and decreased sense of smell. In acute influenza frontal sinusitis, body temperature is elevated, swelling and swelling are noted in the forehead and upper eyelid, which are the result of local circulatory disorders.

SPHENOIDITIS is quite rare. Usually there are complaints of headache. Most often it is localized in the region of the crown, in the depths of the head and occiput, the orbit. With chronic lesions, pain is felt in the crown region, and with large sinuses, it can also spread to the back of the head. A rapid decrease in vision is possible, which is associated with the involvement of the optic chiasm in the process.

ETMOIDIT usually proceeds simultaneously with the defeat of the maxillary and frontal sinuses. There is a headache, pressing pain in the root of the nose and bridge of the nose. In children, swelling of the internal parts of the upper and lower eyelids, conjunctival hyperemia on the corresponding side is often noted. Characterized by a sharply reduced sense of smell, significantly difficult nasal breathing. Body temperature is usually elevated. With difficult outflow of pus, the inflammatory process can spread to the orbit. In such cases, the eyelids swell, and eyeball deviates or protrudes outwards.

These are just the main complaints in sinusitis. The diagnosis is helped by radiography or computed tomography (a more informative method) of the paranasal sinuses. After that, a qualified otolaryngologist should easily establish a diagnosis and prescribe adequate treatment.

Olga Babkina

Yes. Gaimaritis.

GALINKA

Only a doctor can diagnose you. Urgently to the LOR. Health.

darling

sinusitis started. you can make a puncture, but ... .
better buy sea rice. he heals it. read about it online

serge kuzminykh

Try SINUFORTE - it helps without punctures, checked by my wife.
but in general to go to a good ENT
he will send a picture to take as a drink to give, and then we'll see.

Running on the waves

Sinusitis - definitely!

Zaja

it's definitely a bug!! !

It is urgent to go to the doctor ... drink antibiotics and take a picture of the nose

Purincsh♔

This is sinusitis and must be treated thoroughly!

JessyBri

If you do not want health problems, then only to the ENT. Hunting to risk health - you can start heating, dripping, drinking different drugs ...

Olesya

Buy at the pharmacy oxolinic ointment, make turundas out of the bandage, smear them with ointment and shove them into the nose as deep as possible (deep-deep), so that the ends of the bandage stick out. Do this every day and walk with them for 30 minutes. So the doctor cured my sinusitis without a puncture.
Go to laura!