1. Physiological anatomy Features
Maxillary sinus and ethmoid sinus, with the frontal sinus and nasal sphenoid sinus near the head of the skull cavity. All around a maxillary sinus, In its orbital position at the bottom, lateral nasal, oral above the hard palate between its opening in the middle meatus nasal cavity within. The maxillary sinus is Vice part of the paranasal sinuses with other, as in lower animals, strengthen the role of olfaction. To strengthen the voice of the people, founded in nasal mucosa that can assist in the air moist nasal inhalation, the first skull of maxillary sinus can reduce the weight, easy to maintain equilibrium position. Maxillary sinus there when his head had been traumatic, it can buffer external force that can protect the head and eyes organizations.
The etiology
The maxillary sinus infection occurred more opportunities, and easily the other vice sinus infection spread.
The maxillary sinus close to the bottom and root, root easily violations of the maxillary sinus infection.
The incidence maxillary sinusitis many reasons, some general reasons such as fatigue, cold, malnutrition, such as tobacco and alcohol caused excessive body resistance weakened.
Some effects of maxillary sinus disease within the nasal cavity, such as the nasal septum deviation, turbinate hypertrophy, nasal tumors and foreign bodies, sometimes acute rhinitis, such as the common cold, influenza can also spread to the maxillary sinus, and if there are children with chronic tonsillitis and the proliferation of mast, etc., can nasal obstruction, evoked maxillary sinusitis.
Again, nasal surgery, or at the time of nasal packing too long, or in Swimming and Diving, sewage inhalation maxillary sinus, and the maxillary sinus fracture due to trauma or foreign body retention and inflammation. In addition, due to dental infections occurred maxillary sinusitis.
3. Clinical manifestations
The event maxillary sinusitis, often following types of symptoms: nasal secretions increased outflow nasal forward, backward into the nasopharynx, patients often v. for mucus secretions or purulent. Also blocked one or both sides, because of its extent and the number of middle turbinate swelling secretions level to another.
In addition, the headache is the maxillary sinusitis one of the main symptoms, it is due to sinus mucosa secretions retention swelling and nerve compression caused. Headache position in the face, forehead, etc.. There are memory may be difficult to focus on thinking, there are systemic fever and general malaise. It was a dry throat flu, and another person the sense of smell diminish, and so on. Apart from the general inspections, in order to further confirm maxillary sinusitis, can be used for X-ray film inspection and maxillary sinus puncture, and so do check.
4. Treatment and attention to the matter
The incidence of acute maxillary sinusitis, to emphasize that a good rest. Chronic, it is necessary to enhance physical fitness, avoid fatigue, eating rich nutritious food. Secondly, the treatment of partial maxillary sinus, is to promote sinus drainage and ventilation, can be used with vasoconstriction and mucous membranes swelling role of the drug, such as 1 percent ephedrine. Indomethacin also can join various intranasal anti-infection drugs, such as kanamycin, Nitrofurazone, etc.. You can also use the local heat, infrared radiation, to help promote blood circulation improved.
May, when necessary, to puncture maxillary sinus surgery, in addition to washing the maxillary sinus cavity mucous. At the same time, re-injection of antibiotics, such as penicillin, streptomycin, such as kanamycin. Repeated puncture invalid, and the maxillary sinus can do radical surgery to remove or curettage maxillary sinus cavity lesions of various organizations, improve its ventilation and drainage situation.
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