Treatment - the volume of medical care

Sinusitis, which develops as a result of infection of the pathological focus in the area of ​​the upper jaw, often initially takes the form of primary chronic process that requires surgical treatment. Treatment of odontogenic sinusitis are encouraged to nominate together with dentists and otolaryngologists, which will contribute to a more rapid onset of clinical recovery.

Efficiency conservative measures

Selecting the scope of remedial measures depends primarily on the nature of the clinical picture of the disease and the condition of the mucous membrane in the sinus. Only in the early stages of the disease, when the inflammatory process is at the stage of exudative changes can assign complex of conservative measures. The first step is to choose the right antibiotic therapy, which largely determines the efficiency of the treatment. In order to inhibit the growth of pathogens in odontogenic maxillary sinusitis Sinusitis - when a puncture is required   recommended to prescribe antibacterial agents from the group of penicillins, aminoglycosides and fluoroquinolones. For right choice of drugs should conduct microbiological research and determine which group of antibiotics sensitive pathogen sinusitis. The conducted research proved that with adequate choice of antibiotic therapy can reduce treatment time, to avoid the development of chronic inflammation. If the selection of drug is made based on the determination of its sensitivity, it will prevent the development of bacterial strains resistant to antibiotics Antibiotics - whether they will help you in the foreseeable future? .

The complex of conservative treatment measures include anti-inflammatory, pain relievers. They can only complement those measures which are used for the effective treatment of sinusitis Effective treatment of sinusitis - modern medical advances . Key measures are aimed at the removal of the pathological center, located in the upper jaw.

The need for surgical intervention

To reorganize in the maxillary sinus cavity odontogenic sinusitis is possible by surgical treatment. Sinus cavity should be washed and remove the pus, which supports the inflammatory process. Access to the sinus is possible in several ways:

• through the anterior wall of the maxillary sinus
• through the nasal passage
• formed through the perforated hole or fistula in the upper jaw

Modern endoscopic techniques allow for access to the sinus most physiological way without the express traumatic impact. The most common is considered to be accessed through the nasal passage, as a natural extension of the anastomosis is performed between the sinuses and nasal cavity. All manipulations are carried out by means of endoscopic techniques, which can be inserted into the sinus cavity. Acceptable simultaneously combine several approaches, such as a puncture and endonasal sinus wall.

Endoscopic technology can achieve good results in the treatment of odontogenic sinusitis as not violated the physiological condition of the sinus. Surgery removes the changed portion of mucous, foreign bodies and pathological impurities that are the source of inflammation. A positive aspect of application of endoscopic surgery is the lack of postoperative complications, especially when involved in the inflammatory process of the bone tissue.

Marina Solovyov

How does our nose

External nose formed osteochondral structures and soft tissues. The bony part is represented by nasal bones, which are joined in the midline, forming the back of the nose. Outwards from the nasal bones are arranged processes of the upper jaw, which form the basis of the side surfaces of the external nose. To bone the basis of the adjacent cartilage. Cartilage nose wings reach to the tip of the nose and away from it in the form of legs to the nasal septum, in which there is quadrangular and its own cartilage.

The nasal cavity is the space surrounded by osteochondral formations and soft tissue which front communicates with the external environment, and back to the nasopharynx. On the side wall of the nasal turbinates, there are three: the lower, middle and upper, which delimit the respective nasal passages, which open in the nasolacrimal duct, fistula sinus and so on. The bottom of the nasal cavity is formed by the bones, which simultaneously serve as the basis of the hard palate.

Nasal septum is made up of parts of bone and cartilage, and divides the nasal cavity into two parts (most unequal). The upper edge of the quadrangular cartilage forms the anterior part of the nasal bridge. Front, skin and cartilaginous part of the nasal septum, in contrast to the bone is movable.

Nasal cavity performs a variety of functions, including olfactory, respiratory, protective, speech.

Types of nasal septum deviation

Nasal septum deviation - is not just a cosmetic defect, it can cause a persistent disruption of the nasal cavity.

Nasal septum deviation may occur as a result of injury to the nose, transferred in early childhood diseases (such as rickets Rickets - all about vitamins Which promotes softening of the bones), defects of the skull (cranial bone predominance of facial), hereditary characteristics of the structure of the skull, and so on.

Nasal septum deviation is found in all departments, much less back bone is affected department. The partition can be arched, all in one direction, or S-shaped. Sometimes the top portion thereof is bent at an angle relative to the bottom (in the form of bending fracture), in relation to the upper jaw bone crest.

When a deviated septum main symptom is difficulty breathing through one or both halves of the nose. When expressed may suffer distortions and other functions of the nose: the olfactory, verbal (such patients are often told in the nose), safety (patient begins to get sick often upper respiratory tract infections). If pronounced deviated septum is prolonged, it may cause chronic upper respiratory tract diseases: otitis, sinusitis, chronic rhinitis, and so on.

Diagnosis is based on examination of the patient otolaryngologist, including using a special nasal mirror. You can specify the diagnosis using endoscopy (rhinoscopy).

How is the surgery of the nasal septum curvature

When expressed deviated septum when the patient concerned persistent dysfunction of the nasal cavity, performed surgery. It consists in partial or complete removal of the submucosal septum. The indications for surgery are those of curvature of which are accompanied by functional disorders, shortness of breath, chronic runny nose, frequent nosebleeds, sinusitis, sinusitis (inflammation of the frontal sinuses), persistent snoring.

Operation (septoplasty) is carried out under local anesthesia (anesthetic is injected into the nasal cavity with turundy or by injection in the nasal septum). Sometimes septoplasty is performed under general anesthesia.

First, an incision in the skin of the nasal septum, and then peeled off the mucosa on both sides of the nasal septum, removed and recovered curved quadrangular portion of the cartilage and the bone structure of the nasal septum. Then sutured and spend tamponade of the nasal cavity (for the prevention of bleeding).

If the bleeding after the operation was small, tamponade is removed the next day and on the nose impose a special bandage. Later held daily treatment with the removal of nasal crusts. Fully nasal breathing is restored within a few weeks.

Nasal septum deviation is not difficult to correct surgically.

Galina Romanenko