sinusitis
Introduction
Introduction to sinusitis Paranasal sinusitis includes acute paranasal sinusitis and chronic paranasal sinusitis. Sinusitis is also known as paranasal sinusitis. It is estimated that 14% of Americans and approximately the same proportion of Chinese have had sinusitis or mild or severe sinusitis every year. 1-2% of people lose their sense of smell because of sinusitis. Sinusitis has become a disease that seriously affects people's health. basic knowledge The proportion of illness: 0.003% Susceptible people: no special people Mode of infection: non-infectious Complications: chronic rhinitis
Cause
Cause of sinusitis
Cold (70%):
The vast majority of the disease is caused by colds and colds, and the body's resistance is low. Other nasal diseases often have nasal obstruction. Improper swimming and diving methods, as well as rapid changes in air pressure (such as flying, diving, etc.) can cause this disease.
Sinusitis (20%):
The sinus is a gas-filled cavity around the nasal cavity in the skull and facial bone, including the superior sinus, frontal sinus, ethmoid sinus, and sphenoid sinus. Sinusitis refers to suppurative inflammation caused by septicus infection of the sinus mucosa, with acute and chronic points. Acute sinusitis is an acute suppurative inflammation of the nasal mucosa. It can be caused by a single sinus, or several sinuses can be inflamed at the same time. If the treatment of acute sinusitis is inappropriate or repeated, it can cause chronic sinusitis.
Root infection (5%):
The maxillary sinusitis caused by the spread of tooth root infection is called odontogenic maxillary sinusitis and is also a kind of sinusitis.
Prevention
Paranasal sinusitis prevention
1, should pay attention to regular exercise, enhance physical fitness.
2, wash your face with cold water every morning to enhance the adaptability and disease resistance of the nasal mucosa.
3. Pay attention to improving the living and working environment and reducing environmental pollution.
4, to prevent the onset of acute rhinitis, pay attention to climate change, timely increase or decrease clothes.
5, to prevent the formation of paranasal sinusitis, the correct method of blowing nose, it is not appropriate to force the incorrect nose, so as not to push the purulent nasal sin into the parasinus caused acute and chronic sinusitis.
Complication
Paranasal sinusitis complications Complications chronic rhinitis
Can cause complications of surrounding tissues and adjacent organs.
Symptom
Symptoms of sinusitis symptoms Common symptoms Fever flow yellow nose, nostrils, pus, odor, nasal congestion, proliferative gland hypertrophy
1, nasal congestion: light and heavy, mostly due to congestion and swelling of the nasal mucosa and increased secretions, nasal congestion can often cause temporary dysosmia.
2, more purulent sputum: most of the nasal discharge is purulent or purulent, yellow or yellow-green, the amount is uncertain.
3, headache: chronic suppurative sinusitis generally obvious local pain or headache.
4, other: due to purulent flow into the pharynx and long-term mouth breathing, often accompanied by chronic pharyngitis symptoms, such as phlegm, foreign body sensation or sore throat. If you affect the eustachian tube, you may also have symptoms such as tinnitus and deafness. At present, the most commonly used topical Chinese medicine for the treatment of rhinitis, 2 times a day, treatment is thorough.
Examine
Examination of sinusitis
The X-ray of acute paranasal sinusitis is characterized by reduced sinus cavity transmittance, such as less sinus cavity secretions, and the patient can see the gas-liquid surface and mucous membrane in the sinus cavity when the patient adopts the vertical (or sitting) type of nasal sputum. Thicken.
X-ray findings of chronic paranasal sinusitis: When using a vertical (or sitting) type of film, the gas-liquid surface caused by secretions can also be seen. If the polyp fills the sinus cavity, the density of the entire sinus cavity is increased, while the bone wall remains more. Normal, some patients may have osteitis in the sinus wall, which is common in the frontal sinus, which is characterized by increased bone density.
Diagnosis
Diagnosis and identification of sinusitis
CT scan of paranasal sinus: CT examination has become an important means of diagnosing sinusitis, and it is also one of the series of examinations that must be done before sinusitis surgery. CT scan is divided into coronary scan and horizontal scan. Sinusitis often coexists with nasal polyps. CT can It shows the range of nasal polyp sinusitis, clearly showing the fine structure of each sinus and its adjacent areas, providing an important basis for doctors to diagnose and treat sinusitis. It also helps sinusitis and other diseases such as sinus cancer through CT. the difference.
Identification of chronic rhinitis: Chronic rhinitis, runny nose is not greenish, no odor, so the nature of the nose is the key to identification; X-ray film examination can be accurate, chronic rhinitis lesions are confined to the nasal cavity, and chronic sinusitis There are inflammatory lesions in the sinus.
Identification with neurological headache: Some patients with neurological headache can have headaches for many years, recurrent attacks, often mistaken for sinusitis, but this patient has no nasal symptoms, so it can be identified from the performance and X-ray film. .
