maxillary sinusitis
Introduction
Introduction to maxillary sinusitis Maxillary sinusitis is an inflammatory lesion of the maxillary sinus. Can be single, but common in multiple sinus involvement. Divided into acute maxillary sinusitis and chronic maxillary sinusitis. Acute maxillary sinusitis has fever, sweating, fatigue, and pain in the body. Local symptoms include headache, nasal obstruction, and increased nasal secretions. Chronic maxillary sinusitis is mainly anterior nasal drip or posterior nasal drip, and sometimes nasal secretions flow out with changes in head posture. Patients complain of sputum and stink, and the secretion is mucopurulent or purulent. basic knowledge The proportion of sickness: 0.01% Susceptible people: no special people Mode of infection: non-infectious Complications: headache
Cause
Cause of maxillary sinusitis
1, systemic resistance weakened, anemia, hypoproteinemia, low immunoglobulinemia, diabetes and malnutrition.
2, local anatomical factors, sinus drainage obstruction, maxillary sinus natural opening position in the middle nasal passages vary a lot, easy to block, such as uncinate, middle turbinate hypertrophy, bubble middle turbinate, nasal septum high curvature and nasal polyps, etc., can hinder the upper jaw Sinus opening affects ventilation, drainage, and mucociliary clearance.
3, ethmoid sinus infection, the lower part of the anterior ethmoid sinus extends to the upper inner corner of the maxillary sinus, the bone wall is very thin, the infection is easy to spread to the maxillary sinus. In addition, the purulent discharge of ethmoid sinus flows into the maxillary sinus through the middle nasal passage, which is also one of the common causes.
4, nasal allergic reaction, due to maxillary sinus mucosal edema, cilia elimination dysfunction, may lead to sinus ventilation and poor drainage, and chronic inflammation, that is, allergies and inflammation mixed.
5. Tooth-borne infection.
Prevention
Maxillary sinusitis prevention
Active treatment of acute rhinitis, acute sinusitis and so on.
Complication
Complications of maxillary sinusitis Complications
Due to maxillary sinusitis, patients often have dizziness and headache, memory loss, thought can not be concentrated, but some patients forget their symptoms, therefore, for maxillary sinusitis, patients must be able to find the disease in time, choose a regular hospital as soon as possible Targeted treatment is the key.
Symptom
Symptoms of maxillary sinus common symptoms nasal congestion nasal secretions increased headache fatigue memory impairment
Acute maxillary sinusitis has fever, sweating, fatigue, and pain in the body. Local symptoms include headache, nasal obstruction, and increased nasal secretions.
Chronic maxillary sinusitis is mainly the affected side or bilateral sinus, anterior nasal drip or posterior nasal drip, and sometimes the nasal secretions flow out with the change of head posture. The patient complains of sputum and stinks, and the secretion is mucopurulent or purulent. . Patients often have dizziness and headache, memory loss, and thoughts cannot be concentrated. The pain is usually in the ipsilateral cusps. Sometimes there are paroxysmal neuralgia, ipsilateral forehead, eyebrow and post-ocular pain in the same cheek and teeth, but there is no tenderness and sniper in the bottom and anterior wall of the frontal sinus. pain. The headache is light in the morning and aggravated in the afternoon or when sitting for a long time.
Examine
Examination of maxillary sinusitis
1. Ask about the medical history.
2, the front nose examination
Note whether the middle turbinate has hypertrophy or polyps, whether there is obstruction or purulent secretion in the middle nasal passage, and there is no deviation in the nasal septum. The 1% ephedrine cotton film was used to shrink the nasal mucosa, and then the head position test was performed to make the ipsilateral maxillary sinus sit up. After a few minutes, the middle nasal passage of the affected side was observed to have pus out.
3, X-ray film and paranasal sinus CT examination.
4, chronic maxillary sinusitis can be maxillary sinus puncture, maxillary sinus angiography, maxillary sinus mucosal clearance function test, maxillary sinus resistance measurement.
5, sinus endoscopy including maxillary sinus endoscopy
This examination is the latest method for diagnosing maxillary sinus lesions. It can be taken in the sinus under the illumination of cold light source for pathological biopsy, or filming and video recording, which can overcome the blindness of examination and improve the diagnosis rate.
6, laboratory inspection
Including blood routine, nasal purulent secretion bacterial culture + drug sensitivity.
Diagnosis
Diagnosis and diagnosis of maxillary sinusitis
Diagnosis can be made based on the cause, clinical manifestations, X-ray examination and laboratory examination.
