Maxillary sinus and sinusitis
In the bones of the skull are void
We call their sinuses.
Became a resounding voice to the last note,
Since the air from the nose to the sinuses are entered.
Sinuses four pairs: maxillary, frontal, primary (wedge) and lattice. Maxillary (maxillary) sinus very large volume of each of them about 30 cm3. They are located in the interior of the body of the maxilla. Form sinus resembles a triangular pyramid. The most important is its inner wall, which borders the nasal cavity, in this wall is a hole that opens in the middle nasal passage nasal cavity. The bottom of the maxillary sinus is very close to the roots of the upper back teeth (molars and premolars), especially the first and second large molars and sometimes their roots freely stand up in his bosom, and are covered only in the endometrium.
Sinusitis – inflammation of the maxillary sinus, occurs as a complication of acute rhinitis, influenza, measles, scarlet fever and other infectious diseases. Second most common cause of the disease are the roots of the back four upper teeth.
If the inflammatory process develops, he strikes, usually several sinuses simultaneously, that is, takes the form of polisinusita. The only exception is its unusual shape – for example, odontogenic (caused by disorders of the teeth) or fungal origin. Usually first in the process involves the ethmoidal labyrinth. Ethmoiditis (inflammation of the ethmoid sinuses) – the most common cause of sinusitis, and already it is followed by sinusitis, then – an inflammation of the frontal and sphenoid sinuses.
Thus, the symptoms of sinusitis. Symptoms of prolonged cold joins a feeling of pressure and tension in the sinus pain and then the forehead, malar, temporal areas, sometimes pain affects the entire half of the face. Broken nose breathing, there nasal discharge, photophobia, lacrimation, decreased sense of smell. The temperature in the first days of high may be chills, upset the overall condition. Sometimes swells cheek on the affected side, and even the lower eyelid eyes. Cheek with the feeling painful.
To clarify the diagnosis usually requires radiography of the paranasal sinuses. On radiographs determined blackout sinus. Also produce a test of the maxillary sinus puncture with a special needle. Puncture determine the nature of its contents. In principle, undertake such manipulation and can be washed every bosom, but to do it with the maxillary easier.
Many people think that if you make a puncture once, then repeatedly have to undergo such a procedure. In fact, this view is devoid of any scientific basis. With festering in her maxillary sinus puncture (which is done under local anesthesia) with the introduction of drugs (antibiotics, enzymes, hormones, etc.) can save the patient from the distressing symptoms and promote the healing process. But this is not the only treatment of sinusitis.
Thus, treatment. It is usually conservative. Apply sinus catheter “YAMIK” (Yaroslavl medical development). With it, the pus is removed simultaneously from multiple sinuses is almost painless.
Physiotherapy, antibiotics can prevent suppuration. Simultaneously with antibiotics prescribed antihistamines (eg, Claritin), vasoconstrictive nasal drops (Sanorin, naphazoline, glazolin) or sprays (Xymelin) to reduce the swelling of the mucous. Just do not forget that they can be used only in acute and long 5-7 days. Longer their use leads to the development of so-called cold medication when blood vessels of the nasal mucosa is not reduced after drug administration, but remain paralyzed as it were, that is extended. As a result, the nose is always laid, and often without surgery this condition persists.
Not everyone knows how to use a drop. If you spoil them in the nose, throwing his head back, they immediately stekut in the nose, had no impact on the nasal cavity. The effect is a maximum, drops must be entered in the left side of the nose, tilting her head to the right shoulder and the right – to the left.
What I want to warn you: do not take lightly to the “common” runny nose. Sinusitis is a serious threat to health and even to life in cases where a chronic form or accompanied by complications. The inflammatory process in the paranasal sinuses may contribute to diseases such as pneumonia, chronic bronchitis and asthma. By anatomical location of the paranasal sinuses and their proximity to the brain and orbit sinusitis face complications such as inflammation of the meninges, or brain abscess, thrombosis of major cerebral vessels.
Because acute sinusitis usually develops against SARS, do not carry these diseases “on the feet.” If a cold or the flu SARS is delayed by more than five days, there is pain in the area of ??the nose bridge and thick nasal discharge, it is possible that the reason – an inflammation of the paranasal sinuses.
To avoid this, I advise you to begin to treat coryza from the first day. Very effective nasal lavage with 1% sodium chloride solution, warmed to body temperature. 0.5 liters of water is taken one teaspoon of salt. You will need a syringe or an ordinary 20-gram syringe assembly in silicone or rubber tube. The tip of the syringe or the end of a rubber tube to enter the shallow vestibule of the nose and leaned over the sink, wash each half of the nose 3-4 times. The procedure should be done 2 times a day, morning and evening. After washing can spoil vasoconstrictor drops and warm rays of the nose and infraorbital area just boiled eggs in pouches or heated salt. Finally, thoroughly but gently blow your nose.
Good help for starting a cold hot foot bath, tea with honey or raspberry, burying the nose of garlic juice, breathing exercises.
Chronic odontogenic sinusitis – inflammation of the mucous membrane of the maxillary sinus, resulting from the resulting messages maxillary sinus with the oral cavity after removal of the molars and premolars of the upper jaw. These messages occur when some people the roots of the teeth penetrate the maxillary sinus, and are separated from it only by a thin mucosa or bone plate. Thus, even with a very careful the operation, violated the integrity of the skull as well as the mucous membrane, which separates from the maxillary sinus apex. Through this occurred after a tooth from the mouth fistula penetrate the bacteria, causing inflammation of the sinuses.
Attempts dentists immediately after the formation of the mucosa anastomosis to take in the gums to close the message does not always end happily. Often fistulous course remains. His symptoms very clearly. When to take solid food, some of it gets into the nasal cavity. If you exhale through the nose, after holding the nostrils with your fingers, the air will be released into the oral cavity through the fistula opening. In addition, from a fistula in the mouth sometimes identified clear or cloudy liquid – product sinus inflammation.
Only operative treatment in a hospital.