Sinusitis

Sinusitis is inflammation of maxillary sinuses resulting as complications of hay fever, flu, scarlatina, and other infections.

Causes

  1. Bacterial infection (streptococci, staphylococci, pneumococci and fungi)
  2. Carious teeth
  3. Allergens
  4. Small hairs, blocking normal moving-out of mucus
  5.  Adenoids in children

Clinical Manifestation

Most often patients complain about throbbing pain in the upper face that may change. Pain becomes worse when pressing. Patients may have blocked nose, tear shed, purulent discharge out of nose. Temperature is high 37,5C to 38C, fever and generally not feeling well. Sinusitis calls for immediate treatment, since the chronic forms may result in different complications, including inflammatory brain changes, kidney disorders and heart attack.

Diagnostic Procedures

  1. Sinus X-ray
  2. Exploratory puncture
  3.  Nasal irrigation
  4. Computed tomography

Treatment

In Acute Sinusitis

  1. Nasal irrigation to eliminate secreted discharges, irritants that cause congestion.
  2. Vasoconstrictive medications
  3. Antibiotics, local and intramuscular
  4. Physiotherapeutic procedures
  5. If allergic causing agent are present, antihistamines
  6. If treatment proves ineffective, sinus puncture with irrigation, draining pus and giving antibiotics and anti-inflammatory injections. Puncture in children is not performed due to small sizes of sinuses and great danger of complication development
  7. Sinus irrigation with catheter (more sparing procedure)
  8. In case of complication, surgery is performed

In Chronic Sinusitis

  1. Nasal irrigation
  2. If a causing agent for allergy is present, antihistamines
  3. Vasoconstrictive medications
  4. Antibiotics
  5. Physiotherapy (UHF, HF)
  6. If carious teeth cause sinusitis, they are treated or removed
  7. Surgical approach