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Acute maxillary sinusitis (rhinosinusitis)

Acute maxillary sinusitis (rhinosinusitis)

Acute inflammation of the maxillary sinus (acute sinusitis) is usually manifested by nasal congestion, mucous or purulent discharge from it, and pain in the sinus area. Subjective symptoms in acute sinusitis are often mild, and in early childhood, the disease may be asymptomatic.

In the case of acute sinusitis with severe symptoms, there is an increase in body temperature, intoxication, swelling of the cheek and eyes on the affected side, profuse purulent discharge from the nose, pain in the sinuses. Sometimes acute sinusitis at the very beginning is manifested by symptoms of a previous pathology - influenza, acute respiratory diseases. There are also prolonged forms of acute inflammation of the maxillary sinus (acute sinusitis) with a sluggish course.

The maxillary sinus communicates with the nasal cavity and is prone to inflammation - acute and chronic sinusitis.

Acute maxillary sinusitis (rhinosinusitis) symptoms

Rhinoscopic examination of a patient with acute inflammation of the maxillary sinus (acute sinusitis) reveals inflammatory changes in the nasal mucosa, especially in the middle nasal passage, but sometimes they are absent. The state of the natural openings of the sinuses has a significant effect on the course of acute sinusitis and in the presence of pathological contents in the sinuses - its consistency.

Often, even before the diagnosis of acute sinusitis is established, one or another previous disease is treated with antibiotics, which in some cases masks the clinical course of acute inflammation of the maxillary sinus.

Acute inflammation of the maxillary sinus (acute sinusitis) occurs with an increase in body temperature, intoxication, swelling of the cheek and eye on the affected side, purulent nasal discharge, pain in the sinus area.

 

Acute maxillary sinusitis (rhinosinusitis) treatment

In the treatment of acute inflammation of the maxillary sinus (acute sinusitis), the following are prescribed:

  • vasoconstrictor drugs in the form of nasal drops (ephedrine, naphthyzine, etc.)
  • anti-inflammatory and antibacterial drugs
  • physiotherapy procedures (UHF currents, microwave therapy, sollux, etc.)

Puncture of the sinuses is indicated, especially with purulent forms of inflammation of the maxillary sinus (acute sinusitis). For orbital and intracranial complications of acute inflammation of the maxillary sinus (acute sinusitis), surgical treatment is performed.

Acute ethmoiditis (inflammation of the ethmoid sinus) in young children is differentiated from acute osteomyelitis of the upper jaw (maxilla ).

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