Acute sinusitis

Sinusitis is a disease of the paranasal sinuses (PS) of an inflammatory or allergic nature. Most often, inflammation occurs in the maxillary sinus (sinusitis); inflammation of the cells of the ethmoidal labyrinth (ethmoiditis), frontal (frontal sinusitis) and sphenoid (sphenoiditis) sinuses also occurs. However, more often the process spreads not to one, but to several sinuses - polysinusitis occurs, if all paranasal sinuses are involved - pansinusitis.

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It should be remembered

  • Sinusitis is an extremely common condition, and it can be cured!
  • Treatment is possible on an outpatient basis and at home, subject to strict compliance with all doctor’s prescriptions.
  • Treatment with folk remedies can only be used for general strengthening purposes. Traditional medicine does not replace the main medical complex.
  • Warming procedures for sinusitis are contraindicated, as they can lead to worsening of the condition and the spread of inflammation with the development of complications.
  • You shouldn’t be afraid of an ENT doctor who will immediately make a “puncture”! Believe me, a puncture of the maxillary sinus is carried out STRICTLY according to indications, only after additional examination, and if you absolutely cannot do without a puncture! And in other cases, other, not at all terrible, methods are used.
It should be remembered

More about the disease

Symptoms of chronic sinusitis

Symptoms of chronic sinusitis depend on the form of the disease. Outside of an exacerbation, symptoms may be very mild or absent.

The most common concerns:

  • Nasal congestion, difficulty breathing through the nose.
  • Scanty mucous or purulent discharge from the nose, can be in the form of drying crusts; constant leakage from the nose provokes the appearance of cracks and abrasions at the entrance to the nose.
  • Draining of mucus along the back of the throat.
  • Dry throat.
  • Headache.
  • Bad breath.

When the disease worsens, symptoms characteristic of acute sinusitis may appear.

Diagnostics

  1. Otorhinolaryngological examination
  2. X-ray (or computed tomography) of the paranasal sinuses
  3. Ultrasound examination of the paranasal sinuses is a safe method with no contraindications, used to diagnose sinusitis and monitor the treatment process
  4. Laboratory diagnostics (general blood test, culture of sinus discharge or swabs for flora, etc.)
  5. Endoscopic examination of the nasal cavity for the nasal cavity and nasopharynx to identify features of the anatomical structure and definition

Complications

In the absence of adequate therapy, the following local or general life-threatening complications may develop:

  • Abscess or phlegmon of the orbit
  • Intracranial abscess
  • Meningitis
  • Sepsis

If these complications occur, urgent surgical intervention is necessary!

Treatment of sinusitis

For acute sinusitis, therapy is carried out in several directions:

  1. Removal of purulent contents from the sinuses.
    In the vast majority of cases, conservative treatment of acute sinusitis in our clinic is carried out without puncture.
    • Using the YAMIK method. The YAMIK method is performed using a device called the YAMIK sinus catheter. The bottom line is that with the help of a sinus catheter, controlled pressure is created in the nasal cavity and the purulent contents of the sinus are pumped out through the natural anastomosis (holes), and then a medicinal substance (antibiotics, mucolytics) is introduced.
    • Rinse the nose and paranasal sinuses using the moving method (“cuckoo”). It is carried out using a special suction - an aspirator; in the process, pathological contents are removed from the nasal cavity and sinuses and the drug is introduced into the sinuses.
    • However, despite the existence of effective methods of non-puncture treatment of sinusitis, in some cases, puncture of the maxillary sinus is still necessary. This procedure is carried out strictly according to indications and with mandatory anesthesia. After anesthesia, a low-impact needle is inserted into the sinus through the nose. All purulent contents are removed through a needle and the drug is administered. We perform a puncture (puncture) completely painlessly and safely. In the future, the puncture for sinusitis does not affect the condition of the nose and sinuses, and the tiny hole left by the needle heals without a trace.
  2. Elimination of swelling in the nasal cavity, ensuring normal outflow of contents from the paranasal sinuses.
    For the treatment of acute sinusitis, vasoconstrictor drugs are mandatory for self-administration, and anemization of the middle nasal passage is carried out in an ENT office. Mucolytic agents (thinning mucus), antiseptic and antibacterial drugs in the form of sprays and nasal drops are prescribed. A very good effect is achieved when using saline solutions to rinse the nasal cavity. Homeopathic remedies are widely used.
  3. Prescription of antibacterial therapy.
    General antibacterial therapy for sinusitis is prescribed for purulent inflammation, increased body temperature, and intoxication. It is very important to select the correct antibiotic, adhere to the dosage and duration of taking the drug. In any case, antibacterial therapy should only be prescribed by a specialist.
    When using combined treatment, complete recovery in case of acute sinusitis is achieved within 7-10 days.
Acute sinusitis

Acute sinusitis - the most common causes are acute respiratory diseases, viral infections (such as influenza), hypothermia, colds, general bacterial infections, and injuries.

The course of the disease can be aggravated by a curvature of the nasal septum, hypertrophy of the inferior or middle turbinates, impaired immunity, an allergic process, and enlargement of the nasopharyngeal tonsil (adenoid vegetations in children).

Symptoms of acute sinusitis:

  • Runny nose for more than 7-10 days, without signs of improvement.
  • Nasal congestion, mucous or purulent discharge from the nose.
  • Mucus running down the back of the throat, copious discharge of purulent sputum in the morning.
  • Headache, heaviness and pain in the inflamed sinus area. Sometimes there is pain in the teeth, eyes, cheekbones, cheeks.
  • Increased sensitivity of the facial skin in the projection of the affected sinus.
  • Increased body temperature (up to 380C and above). As a rule, this symptom is observed in an acute case. In a chronic process, body temperature rarely rises or remains at subfebrile levels (37-37.50C).
  • Weakness, fatigue, irritability. Photophobia, lacrimation, loss of appetite, sleep disturbance.
  • Weakened or absent sense of smell.
  • Swelling of the cheeks and eyelids.
Chronic sinusitis

Reasons:

  • Curvated nasal septum.
  • Chronic rhinitis.
  • Anomalies of the anastomosis (opening) between the sinus and the nasal cavity.
  • Allergic reactions.
  • Decreased immunity.
  • The presence of foci of chronic infection (chronic tonsillitis, dental pathology).
  • Polluted environment.
  • Fungal infection, etc.

A factor that provokes an exacerbation of sinusitis can be a viral infection or hypothermia. In the case of an odontogenic process, the triggering factor can be dental manipulation.

During the rhinogenic process, swelling of the mucous membrane of the nasal cavity and sinuses occurs, disruption of the natural cleansing (drainage) of the paranasal sinuses and stagnation of secretions (mucus). Stagnation of secretions and impaired ventilation are the starting point for the activation of the inflammatory process.

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

Our doctors

Tetzoeva
Zalina Muratovna
Head of the department of otorhinolaryngology, otorhinolaryngologist
Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Lopatin
Andrew Stanislavovich
Chief Specialist in Otorhinolaryngology
Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
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st. Lobachevskogo, 42/4

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