- Sphenoiditis reasons
- Sphenoiditis symptoms
- Treatment of a sphenoiditis
Sphenoiditis – rather seldom found kind of sinusitis representing an inflammation of a mucous membrane of a wedge-shaped bosom (the most back adnexal bosom of a nose located in a wedge-shaped bone). The partition divides a bosom into two parts. The wedge-shaped bone, has very irregular shape, in its deepenings important bodies and fabrics (a hypophysis, carotid arteries, optic nerves, neuroplexes) therefore inflammatory process (Sphenoiditis), poses in itself threat of heavy complications are located.
The acute sphenoiditis arises at acute rhinitis, flu and other infectious diseases, is frequent in combination with an inflammation of cells of a trellised labyrinth. Proceeds as a catarral or purulent inflammation. It is shown by allocations from a nose, the headache which is localized in occipital is more rare in frontal, parietal or temporal area, disorder of sense of smell, fervescence, weakness. The acute sphenoiditis can be complicated by distribution of inflammatory process on area of an eye-socket, in a head cavity with development of damage of an optic nerve, meningitis, brain abscess, etc.
The chronic sphenoiditis can be result of the wrong treatment of an acute sphenoiditis. Transition of an acute sphenoiditis to chronic is connected with often repeating acute inflammations, especially under unfavorable conditions for outflow of a pathological secret from a wedge-shaped bosom. Also defeat of bone walls of a wedge-shaped bosom can be the cause of a chronic sphenoiditis at a number of diseases: syphilis, high-quality and malignancies. Inflammatory process proceeds separately or with defeat of back cells of a trellised labyrinth.
The most common symptoms chronic the sfenoidita:golovny pain which is localized in parietal, and sometimes and in occipital area and feeling the patient of an unpleasant smell because the aperture of a wedge-shaped bosom opens in olfactory area of a nose. An important sign of a chronic sphenoiditis is running off of allocations along a front wall of a wedge-shaped bosom on the arch of a nasopharynx and a back wall of a throat. Inflammatory process can extend in a head cavity, other okolonosovy bosoms, in an eye-socket and also lead to development of complications.
The diagnosis of an acute or chronic sphenoiditis is established by the otolaryngologist on the basis of a clinical picture and results of a rinoskopiya. Treatment of a sphenoiditis is directed to reduction of hypostasis of a mucous membrane of a wedge-shaped bosom and improvement of outflow of allocations. At the expressed intoxication antibacterial therapy is shown (after carrying out laboratory analyses on sensitivity of infestants to antibiotics). For reduction of hypostasis and swelling of a mucous membrane recommend vasoconstrictive drops in a nose (quickly), sekretolitichesky and sekretostimuliruyushchy drugs. A part in treatment is played by physiotherapeutic methods. These procedures are carried out by the otolaryngologist in the conditions of treatment and prevention facility.
The wedge-shaped bosom is located in close proximity to departments of a brain, there pass some nerves, vessels therefore any inflammation causes a severe headache. It can cover all head, but is more often localized in a nape (at an acute Sphenoiditis) or a darkness (at a chronic Sphenoiditis).
Symptom, characteristic of all Sinusitis, – mucous and purulent discharges, come, mainly not from a nose, and flow down in a throat on a back wall of a throat and the arch of a nasopharynx.
Doubling of objects, dacryagogue, decrease in sight at the Sphenoiditis – result close located from wedge-shaped bosoms of an optic nerve (it passes in a head cavity through the visual channel formed by a small wing of a wedge-shaped bone). Perhaps, also emergence of pains of neurologic character in eye-sockets.
Decrease in sense of smell because of accumulation of pus in an olfactory crack.
Sometimes the Sphenoiditis proceeds long time asymptomatically or, at incorrectly made diagnosis, the patient is treated for headaches at the neuropathologist, and it is necessary to it to the ENT specialist. It is even more dangerous when the patient himself makes himself the diagnosis and tries "to dull" a headache reception of the anesthetizing drugs.
Treatment of a sphenoiditis:
The essence of treatment of a sphenoiditis is in reducing hypostasis of a mucous wedge-shaped bosom. Thereby outflow of allocations improves. The expressed intoxication is an indicator for antibacterial therapy. Such therapy is carried out after check of sensitivity of the activator to certain antibiotics. Also vasoconstrictive drops in a nose are applied. They reduce hypostasis and swelling of a mucous membrane. Surgical intervention is in exceptional cases applied. In treatment of a sphenoiditis a part is played by physiotherapeutic methods. Treatment of a sphenoiditis is carried out by the otolaryngologist in treatment and prevention facility. Self-treatment is contraindicated as at the wrong treatment of an acute sphenoiditis transition of a disease to a chronic form is possible.
Prevention of a sphenoiditis is in timely to treat those diseases which can provoke it. Treat such diseases: flu, measles, acute cold, scarlet fever and other infectious diseases. It is important to eliminate factors which can complicate this disease: a curvature of a nasal partition, a synechia and an atresia in a nasal cavity, etc.). An important role in prevention is played by immunity strengthening, a hardening.