Schimorite is inflammation of the maxillary sinuses of the nose. The people under the sinusite mistakenly understand the inflammation of any of the incomplete sinuses, which is actually called sinusitis. Sinusitis worried man more often than others chronic diseases, and from the pathology of ENT organs ranks first.

Like other diseases, the sinusitis has its own code in the basic regulatory medical document ICD. This edition has been released in three books, the contents of which are updated once every ten years under the control of the World Health Organization.

Classification on the ICD 10

Like other human knowledge, the health industry has classified and documented its standards that are systematically contained in the "international statistical classification of diseases and problems associated with the health" of the tenth revision (ICD 10).

With the help of the ICD 10, the relationship between diagnosis information, approaches to the diagnosis and treatment of diseases between different countries and continents is ensured.

The purpose of the ICD 10 is to create maximum conditions for analyzing and systematizing statistical information about the level of morbidity and mortality in different countries, inside one country. For this, all diseases gave a special code that consists of the letter and numbers.

For example, a sharp hymorite refers to acute respiratory diseases of the upper respiratory organs and has the code J01.0, and XP. Schimorite refers to other diseases of the respiratory system and has the J32.0 code. This facilitates accounting and storage of the necessary medical information.

Code of ICD 10 for acute sinusitis (sinusitis):

• J01.0 - Acute hymoritis (or acute sinusitis of the maxillary sinuses);
• J01.1 - acute frontititis (acute sinusitis of the frontal sinuses of the nose);
• J01.2 - acute etmoiditis (acute ethmoidal sinusitis);
• J01.3 - acute sphenoidal sinusitis (acute sphenoid);
• J01.4 - acute pansynusitis (inflammation of all sinuses at the same time);
• J01.8 - another sharp sinusitis;
• J01.9 - acute sinusitis is unspecified (rinoinusitis).

Chronic is called sinusitis (sinusitis) if there are more than 3 episodes of exacerbation per year.

Code of ICD 10 for chronic sinusitis:

• J32.0 - chronic sinusitis (xp. Sinusitis maxillary sinuses, xp. Antrit);
• J32.1 - chronic front (xp. Frontal sinusitis);
• J32.2 - Chronic etmpite (XP. Etmoidal sinusitis);
• J32.3 - chronic sfenoidal sinusitis (xp. Sphenoid);
• J32.4 - chronic pansynusitis;
• J32.8 - Other chronic sinusits. Sinusitis, exciting inflammation of more than one sinus, but not pansynusitis. Rinosinusitis;
• J32.9 - Chronic sinusitis is unspecified (xp. Sinusitis).

The name of the sinusitis depends on the place of inflammation. More often it is localized in the gaymorovy sinuses and is called sinusitis. It happens because the outlet of the hymic melor is very narrow and is in a disadvantage, therefore, combined with the rejection of the nasal partition, the complex shape of the nasal roller, is inflamed more often than other sinuses. With the simultaneous inflammation of the nasal strokes, the disease is called sharp / xp. Rinoinusitis, which has more distribution than isolated sinusitis.

Clarification

If there is a need to specify the causative agent XP. Schimorite, then auxiliary code is added:

• B95 is the causative agent of streptococcus infection or staphylococcus;
• B96 - bacteria, but not staphylococcus and not streptococcus;
• B97 - disease provoked by viruses.

The auxiliary code is displayed only if the presence of one or another pathogen is proved by special laboratory analyzes (sowing) in a particular patient.

Streptococcus

The reasons

Sinusitis (sinusitis) may appear for the following reasons:

1. After injury.
2. After transferred cold, influenza.
3. Bacterial infection.
4. Fungal infection (more often enjoyed inflammation caused by bacteria). She plays a major role in persistent protracted purulent processes.
5. Mixed causes.
6. Allergic inflammation. It is rare.

The main cause of the development of a hymorite is bacterial infection. Among the various bacteria, streptococci and staphylococci are often detected (in particular St. Pneumoniae, beta hemolytic streptococci and S. pyogenes).

In second place is a hemophilic stick, a little less often meets Moraxella. The viruses often evinted, recently the spread of mushrooms, mycoplasma and chlamydia. Basically, the infection falls through the nasal cavity or from the upper carious teeth, less often with blood.

Prevalence of hymorita

The dependence of the development of a hymorite from the geographical location of man is not defined. And, interestingly, the revealed bacterial flora in the sinuses of people living in different countries is very similar.

Most often, the sinusitis is registered in the winter season after the transferred influenza or the cold epidemic that the human immune system is noticeably undermined. Doctors note the dependence of the frequency of the exacerbation of the hymorite from the state of the environment, i.e. The frequency of the disease is higher where in the air contains more harmful substances: dust, gas, toxic substances from vehicles and manufacturing enterprises.

Each year about 10 million Russian population transfers inflammation of the incomplete sinuses. In adolescence, sinusitis or front is not more than 2% of children. At the age of 4 years, the incidence frequency is meager and does not exceed 0.002%, because small children have no sinuses yet. The main convenient I. simple way Mass surveys of the population is the x-ray of the sinus of the nose.

Women are twice as often, men suffer from sinusitis and rhinosinusitis, because they have closer contact with school children and preschool age - They work in kindergartens, schools, children's clinics and hospitals, women after work helps to make homework to their children.

Frontitis in adults occurs much more often than in children.

Classification

Schimorite is acute and chronic. The sharp appears for the first time in life after a cold, hypothermia. It has a bright clinic with severe symptoms. For proper treatment He is cured completely and no longer worries man. Chronic sinusitis / frontitis is the consequence of a sharp process that does not end within 6 weeks.

Chronic sinusitis happens:

1. catarrhal;
2. purulent;
3. allergic;
4. fibrous;
5. cystic;
6. hyperplastic;
7. polypose;
8. complicated.

Severity

Depending on the symptoms of the disease, three degrees of sinusitis are isolated:

1. easy degree;
2. average degree;
3. heavy severity.

In accordance with the severity of the disease, the choice of medicines. This is important, since treatment is allowed without the use of antibiotics.

Symptomatics

The main, and sometimes the only one, the complaint of the patients is nasal congestion. With a bright clinic, mucous membranes, pus appear in the morning hours. An important symptom is severity, pressure or pain in the field of canine pits, nose root.

The sinusitis is often accompanied by a high temperature, total weakness and a breakdown, head and facial pains.

Treatment

Treatment of hymorite, especially in a pregnant woman or a child, should always be carried out under the control of the doctor.

It includes vesseloring drops into the nose, hypertensive solutions for washing. In most cases, antibiotics are prescribed, which are well penetrated into all the lives of the body and are destructive for wide spectrum Bacteria, amoxicillins, cephalosporins, macrolides. In severe cases, hormones are prescribed, puncture, surgical intervention.

Treatment of acute sinusitis and rhinosinusitis lasts from 10 to 20 days, chronic from 10 to 40 days.

The information provided should be used only for review - it does not apply for reference and medical accuracy. Do not self-medicate, launching your health on samonek, - please contact the doctor. Only he will be able to inspect the nose, appoint the necessary examination and treatment.

The MKB-10 sinusitis highlights the digital and iconic designation.

The ICD is a systematization of international diseases, this is a declared document, which is used not only for the separation of diseases by classes, but also to account for statistical data on one or another agencies and control over the epidemiological state.

Each disease, according to the ICD-10, has its own number, that is, the code. Since the sinusitis refers to the forms of sinusitis, then it is worth looking for it among inflammation of the apparent sinuses of the nose.

Acute sinusitis corresponds to the ICD code J01, and then the disease is divided into types depending on the location of the inflammatory process:

• frontal sinusitis - inflammation of the mucous membranes of the frontal, that is, frontal, sinuses - J01.1;
• etmoidal sinusitis - inflammation in the lattice labyrinth - J01.2;
• sphenoidal sinusitis (sphenoiditis) - inflammatory process in a wedge-shaped sinus - code on the ICD-10 J01.3;
• pansynusitis - inflammation in all apparent nasal sinuses - J01.4.

If the mucous membranes and the incomplete sinuses were inflated, it developed rhinosinusitis, it has a different name when the inflammatory or chronic form of sinusitis is pronounced, - sinusitis.

Chronic sinusits \u200b\u200balso have a separate code - J32, and among the listed types (frontal, ethmoidal, sphenoidal, etc.) is the first to be topless, according to international Classification Having a designation J32.0.

Thus, if inflammation applies to the upper-lee region and affects the sinuses, the chronic maxillary sinusitis is diagnosed.

This disease does not apply to rare ailments, and, according to statistics, it transfers 1 person out of 10 regardless of age.

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Schimorite requires treatment on early stageOtherwise, the disease flows into more serious forms that are fraught with various complications.

Most often, the inflammation of the skimmed sinuses is developing against the background of unrealized colds and a cold. In addition, carious teeth can provoke the sinusitis, especially those in upper jaw, and malfunctions immune system - Allergic reactions, etc.

The reasons for the occurrence of the disease can be attributed to infectious pathogens. Often, when diagnosing a sinusitis, a staphylococcus bacterium is detected from the nose, which is activated with a reduced immunite.

Chronic maxillary sinusitis may appear in the following cases:

• when hitting the mucous membranes of the nose of pathogenic bacteria;
• if the body has received strong hypothermia;
• with anomalies in the structure of the nasopharynx;
• if there are pathology of the glands of the underacted character;
• after the injuries suffered, affected by the nasal partition;
• in the event of a patient with polyps and adenoids, etc.

If we talk about the factors contributing to the development of such diseases, then the main one is the excessive use of nasal means. Their use contributes to the accumulation of mucous formations in the area of \u200b\u200bthe apparent sinuses.

The first symptom is abundant discharge from the nose. First, they are colorless and have a liquid, watery consistency. After that, acute maxillary sinusitis is developing (Code of ICD-10 - J32.0), the nasal discharge becomes more dense, greenish yellow. If the disease flows into chronic formThe blood mucus can be observed in the mucus of the nose.

In addition, in case of deterioration of the patient, there are the following signs Diseases:

• memory violation;
• insomnia;
• general weakness, fatigue;
• increases body temperature, in some cases to critical marks;
• chills;
• headache;
• the patient refuses to eat;
• pain in temporal, occipital, frontal areas.

Sometimes I. exterior sign Diseases - swelling of the nose.

The disease can quickly progress enough, so at first symptoms it is necessary to seek medical attention.

If you ignore the primary signs, the sinusitis leads to very serious, and often irreversible consequences:

• the development of acute purulent inflammation of the fiber of the society (phlegmon), with the subsequent intake of tissues;
• purulent inflammation of the lower eyelid;
• inflammatory processes in the ear (otito);
• damage to the organs of the bronchopulmonary system;
• disease of the kidneys, heart muscle.

Among the most severe consequences, meningitis, purulent inflammation of brain tissues and blood infection can be noted.

On the primary reception during inspection and survey of the patient, ENT may suspect that the patient has a sinusitis in chronic form. If the mucosa is thickened, reddened, with edema, in addition, the patient is tormented by viscous and purulent flows from the nose, then these are faithful signs of the disease.

And accurately find out whether the doctor is right, the following diagnostic methods will help:

• studies of bacteria in mucus from the nasal cavity;
• rinoendoscopy is an inspection of the state of the mucous nose and the sinuses when using a special device;
• x-ray nasal sinuses.

In some cases, puncturing the affected sinus is prescribed, as well as allergotes in order to determine the immune status of the patient.

Unfortunately, there is no means that can forever heal chronic maxillary sinusitis. During exacerbation periods required comprehensive treatmentcontributing to not only the elimination of symptoms, but also to eliminate the pathogenic pathogen of the hymorite.

First of all, the treatment is to clean the nasal sinuses in which the infection accumulates.

To stop the processes of growth and reproduction of bacteria, antibacterial agents belonging to the cephalosporins group (ceftriaxone, ceftibutene, zephix) or fluorochinols (moxifloxacin, ciprofloxacin, levofloxacin, gatifloxacin, sparfloxacin) are prescribed.

At the same time, antibiotic drugs are prescribed antibiotic drugs, such as bioparox spray.

To get rid of abundant mucous discharge and remove the swelling, prescribe sprays and drops of vasoconductive actions - Nazivin, Galazoline, etc. But it is necessary to follow the instructions and not to use the drugs longer. Otherwise, addiction to the components of funds can develop.

In modern medicine, the drug of rinofluumucil is actively used to treat chronic hymorite, which dilutes the mucus accumulated in the sinuses, and removes edema.

To clear the sinuses from pathogenic microorganisms, prescribe a course of disinfectants using dioxidine, furacin.

In most cases, patients with hymorite have a significant decrease in immune defense, therefore the consultation of the immunologist is obligatory. To correct the state of immunity can be assigned the following drugs: Ribomunil, Imudon, IRS-19.

If the disease is allergic, antihistamine can be spelled out - edem, telfast or drugs containing hormones, such as Nazonex.

In addition to drug therapy, physiotherapeutic procedures are used as a supplement:

• treatment with salt caves - speleotherapy;
• ultrasound to the area of \u200b\u200binfected nasal sinuses;
• electrophoresis with the addition of lidase;
• the use of high-frequency radiation (UHF) on the affected area;
• the use of magnetotherapy for a sip;
• therapy with laser use.

If a large amount of pus accumulated in the sinuses and it threatens the patient's life, then an emergency drainage of the gaymorette sinuses and the subsequent excretion of their contents is carried out. After the procedure for a stronger effect, antibacterial agents are entered locally into the affected area.

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Do not be afraid of such procedures, as it is the most fast way Help in emergency situations that does not affect the recurrence of the disease.

With the most difficult cases, the patient threatens the surgical intervention - Gaimurotomy, that is, the opening of the sinuses and their subsequent cleaning.

Back in the XVIII century, the medical sphere specialists attempted to systematize data on various diseases And the reasons leading to death. In 1893, the prototype of the modern version of the international classification of MKB-10 disease was approved. He appeared due to the efforts of Jacques Bertillon, who at that time was standing at the head of the Statistics of Paris.

Under the ICD-10, the international document is understood, which contains 3 volumes of the tenth revision, the adoption of which happened in Geneva in 1989. The first volume contains classifications of disease. One volume includes instructions for work, and the third volume represents an alphabetic indicator of diseases.

If you contact this document, you can see that the ICD stems in the existing classification in it refers to class 10. It is present in the section "Diseases of the respiratory organs". Next, this ailment is divided into acute J01.0 and chronic J32.0 maxillary sinusitis. After the nature of the pathogen, who provoked the emergence of this ailment, is accurately established, additional notation can be made into the code of this disease:

• B-95 - Strepto and staphylococci;
• B-96 - bacteria;
• B-97 - viruses.

Conducting a survey of people suffering from hymorite allowed specialists to establish that most often this female, the code of which is specified in the ICD10, are exposed to adults. In children, the nasal sinuses are rather poorly developed, so they have this disease much less frequently. In most cases, the occurrence of hymorite is a consequence of improper or insufficient treatment of colds.

Causes of disease

In order for a person to develop a sinusitis (Code on the ICD 10 may differ), one condition must be performed, which communicate with themselves, must be inflamming. When the inflammatory process of the mucous occurs occurs, the strokes of the basics occurs, and the mucous membranes of the pathogenic nature occur in the sinuses, which are gradually turning into the pussy.

The emergence of inflammatory processes in the sinuses can cause a variety of reasons:

• pathogens viruseswhich penetrated the nasopharynk;
• coldslocated in the launched form;
• nearby located sources of infection. To the number of these refers to sewing almonds and purulent caries;
• impact of an irritant on the mucous membrane for a long time. Negative factors include harmful production, household chemicals, as well as contaminated air;
• moved by man supercooling of the body, as well as ORVI and ORZ;
• the presence of anomalies in the structure of the nasal partition or its injury;
• weak immune system;
• the presence of allergic reactions on external stimuli.

When runny nose arises, many people use ordinary drops to treat. If such means are used uncontrollably, this may lead to the emergence of the state of the mucus in the maxillary sinuses and provoke the appearance of a sinus.

In some cases, the reinforce use drugs strong actionwhich in the process of therapy lead to destruction blood vessels And as a result, they cause nasal bleeding.

​ If a person has laid his nose after visiting a lively place or he suffered colds, purulent discharges or pains that appear when tilting the head forward, then in this case, to eliminate unpleasant symptoms, a doctor should be visited and consult about their condition.

It should be noted that the symptoms listed signs of acute hymorite are not limited. Experts also allocate others for which this ailment can be diagnosed:

• strong pressure appeared in the field of nasal sinuses;
• increased body temperature, accompanied by chills;
• the appearance of headaches that are enhanced by head turns;
• difficulties with breathing and bouts of dry cough at night;
• state appearance general weakness, light fatigue, sleep disorder;
• loss of appetite and reduced memory.

These symptoms can be bright expression in the event that the resulting disease occurs sharply. Weakly they are expressed in the presence of illness in chronic form. The last option is more dangerous, since this condition can remain unnoticed for a long time. There is a sluggish sinusitis in chronic form under the influence of external factors at any time can switch to acute and provoke the occurrence of a serious disease.

Geimorita treatment

If the maxillary sinuses were inflamed, then the treatment should distinguish between the disease of the acute and chronic form.

If acute inflammation is detected, the first actions of the specialist should be associated with immediate removal of pus sinuses. The warming of the incomplete areas at this stage of the disease cannot be carried out. If there is a chronic form of illness, then in this case it is necessary comprehensive therapy medicinal preparations.

Medical therapy

Purification from purulent discharge is the main goal in the treatment of hymorite. In order to achieve this, the best solution is the use of drugs related to the antiseptic group.

• Miramistin. This agent is used for washing the nasal sinuses and injection of the nose. People who have allergic reaction On the components of the medicine, it is contraindicated.
• Potargol.. As part of this pharmacological preparation Silver is present. The medicine is mainly used for injection into the nose and does not have contraindications.
• Dioxidin. 1% solution is applied to washing the nasal sinuses and is made by the manufacturer in ampoules. This means is forbidden to prescribe pregnant women, young mothers in the period breastfeeding And children for therapy of hymorite.
• Furacilin. A 0.2% solution for washing is used. After the course of treatment with a duration of 5-10 procedures occurs full cure Patient from the resulting disease.

Nasal drops

With XP, the swords prescribe drops from a cold. Their use allows you to get rid of a person suffering from the state of the adhesion of the mucous membrane, as well as to reduce the nasal congestion. It must be remembered that the drug with a vasoconstrictor effect is not recommended to use more than 5 days to avoid addiction. Before carrying out the orders to these medicines, it is necessary to carry out the procedure for cleansing the nasal sinuses from the mucus. To do this, it is worth using drugs such as Akwallor, Quix Spray, Dolfin. They help to remove the mucus with a hyimorite. Depending on the form of illness, as well as the patient's state, one of the following drugs are burned:

• with antibiotic - isofra, sinofort;
• medicines with a vasoconductive effect - Nazivin, Glasoline;
• antihistamine - Cetirizin, Loratadine.

Like any drug, nose drops have certain side effects, therefore, to avoid harm to health, they should be used only by appointment of a doctor.

Antibiotics

These medicinal products prescribed only after the preliminary detection of the pathogen provoked the disease. Preparations are selected taking into account their strength to certain groups of microbes.

• Penicillins - Panklav, ampikside. Drugs of this group demonstrate the greatest effectiveness in the fight against streptococci.
• Cephalosparins - Zefisim, Panzef. Data drugs are fighting well with streptococci, they can eliminate the gemophilic wand, as well as Klebsiella and Moraxella.
• Markolida - Josamamicin, Clarithromycin. The funds relating to this group demonstrate high efficiency and do not have side Effects When applied.

Even if the antibiotic, which was sick was used earlier, helped him, again use it with therapy without appointing a doctor not recommended. Various factors may appear, for example, weakened immunity, transferred diseases or changed living conditions, which will lead to the fact that the body will respond to the reception of the previous medication in an unforeseen way.

ethnoscience

The sinusitis is a serious ailment, since the nasal sinuses are located in the immediate vicinity of the hectares, and the most importantly brain. In order to eliminate this disease in a short time, the process of therapy must be carried out with direct control from the attending physician. However, sometimes under the state of health or as a result of other circumstances, drug therapy is not capable of drugs. In this case, you can contact the means folk Medicinewhich offers a lot of proven recipes, the use of which allows you to cope with inflammatory processes that have arisen in the nasal sinuses.

You can bury the sea buckthorn, hips and fuel butter 3-4 drops for 5-6 times each day.

Washing, using ragners medicinal herbal. Effective tool You can cook from chamomile, calendula and sage. Also, ragners prepared from the Hypericum, peppermint and yarrow mint are also effective.

Black radish, which is pre-rubbed and laid on the patient area. Before this, this place should be put in gauze, in advance moistened in vegetable oil. Keep compress for ten minutes. Conduct the course of treatment with this means is necessary within 10 days.

Three packs of the laurel sheet must be pouring boiling water, and after that insist. Ready infusion should be used to prepare compresses and apply within 6 days.

Prevention

Quite often, the occurrence of sinusitis occurs due to a long runny nose that was not cured. Upon cold, the chronic shape mucus can accumulate in the sinuses and in the occurrence of hypothermia or other factors that lead to a cold, switch to the sinusitis. Therefore, the most important prophylactic procedure is to bring to the end of the tripped treatment.

There are also other reasons that lead to the emergence of inflammatory processes in the nasal sinuses:

• Moisturizing air. In order to restore the nasal mucosa, you should use the humidifier;
• The execution of self-massage of the region, which is projected by the Gaimorov sinuses. Conducting this procedure helps to improve blood flow, and besides it is heating and better mucus outflows;
• Ventilation sinuses. To carry out this procedure, you must draw air through yourself for 2 seconds. Stagnant air will go out into the nose from the sinuses.

Conclusion

The ICD-10 is a document that contains the classification of currently existing diseases. In this document there is a sinusitis, which is quite common ailment. Often they are ill in the cold period of the year due to the supercooling of the body. When this disease appears, it can take an acute and chronic form. The most dangerous is precisely the sharp form. Chronic can be treated independently. There are quite a few drugs that can be used for therapy.

These are antibiotics, as well as antihistamines that provide effective treatment In cases where the occurrence of the sinusitis was associated with an allergen that fell into the body. Also applied to the nose with the help of drugs in the form of droplets. In order to prevent the occurrence of sinusitis, it is necessary to end a runny nose before the end and completely eliminate its symptoms. In this case, the risk of such a complex disease, as the sinusitis you will be excluded.

ATTENTION, only today!

The treatment of sinusitis includes a lining, anti-inflammatory. Antibacterial therapy and physiotherapy.
The sinusitis is usually not an indication for hospitalization, treatment is possible in outpatient conditions.
In the treatment of hymorite, conservative (drugs and physiotions) and surgical methods are used. Treat the sinusitis is needed under the control of a otorinolaryngologist (ENT doctor).
Conservative therapy.
Based on medical treatment The sinusitis must necessarily lie local procedures - irrigations in Vijaipel, sprays, inhalers capable of eliminating the swelling of the mucous membrane.
TO vasoconstrictor drugs Present: Nafazolin ("Naphtizin", "Sanorin"), Tetrisoline ("Tizin"), Xylometazoline ("Galazolin", "Fornas"), Oxymetazoline ("Nazol", "Nazivin"). During a hymorite, it is necessary to adhere to certain rules of injection into the nose of therapeutic liquids. Only after the use of these drops can be injected by others - having antibacterial, anti-inflammatory or painkillers.
Treatment also use antibacterial drugs (preferably cephalosporins), antihistamines (claritine, telfast and). It is washing the nose with antiseptic solutions (for example, furacilin, sodium hypochlorite). From physioprocessed, such techniques are used as the UFO of the nasal cavity, UHF on the apparent sinuses of the nose and.
Puncture of the Gaimore Odean - operational method treatment of sinusitis. The testimony for urgent surgical intervention is the attachment of complications - such as abscesses, phlegmon, meningitis, sepsis.
Puncture (puncture) is done in order to pump out the pine sinus, rinse the sinus, and then introduce antibiotics and anti-inflammatory drugs there. This procedure accompanied by unpleasant sensations, but its effectiveness is very high. Currently, after a puncture in the sinus, special tubes are installed - catheters through which you can wash the sinus daily. When applied this method The patient very quickly recovers. But everything has its own testimony, and in initial stage Schimorite is not always required to conduct puncture, you can do the nose washing.
It should be noted that the use of puncture of the sneakers as a treatment method is not widely used in other countries. For example, in the US, the puncture is recommended only as a diagnostic procedure - to carry out the sides of the sinus content with a further cultural and / or microscopic examination.
Treatment of sphenoiditispses the frequent lubrication of the mucous membrane of the nasal cavity by vesseloring agents to provide outflow of separated from the sinuses. With a protracted disease, sensing and washing the sinuses of antibiotics solutions are recommended. Sometimes shown surgical intervention (for example, resection of the rear end of the middle shell).
With sharp front shown conservative treatment. The outflow of separated from the sinuse is provided by lubricating the mucous membrane of the middle nasal stroke of 0.1% naphtizin solution, 0.2% solution of galasoline. These same solutions can be used in the form of droplets into the nose. In the first days of the disease, bedding is recommended, the reception of acetylsalicylic acid, analgin, inhalation of aerosols of antibiotics, physiotherapy (warming up the blue light lamp, Soluxux. UHF therapy). In severe cases, antibiotics introduction is shown. The surgical treatment method is shown only when fails conservative therapy. During surgical intervention, the operation is performed - the trepanation of the cranial box in the area frontal sickle (The local anesthesia of superficially arranged tissues is pre-performed - the injection of lidocaine / novocaine, then with a drill, a trepanitative hole with a diameter of about 5 mm is created, after the catheter is inserted into this hole, subsequently through which the frontal sinuse is washed).

Problems with teeth are considered a very common disease, with which an adult person at least once collided for his life. In addition to leaving the teeth, infection can develop inside the gaymorek sinuses. Not many people know about such a disease as an odontogenic hymorite. In the article, we will consider the main causes of the development of pathology, its symptoms, diagnostic methods, treatment with modern methods.

Ethiology of the disease

Odonogenic sinusitis is a bacterial, viral diseasewhich develops due to the penetration of infection inside the incomplete maxillary sinuses during the damage to the indigenous teeth (the upper jaw).

Diagnose the pathology under consideration is quite difficult. After all, modern equipment is necessary to detect the prerequisites of this disease. Also diagnose odontogenic sinusitis can specialists in carrying out surgical dental manipulations.

Because of this complexity, the detection of the disease under consideration is very important to understand the main signs of the disease, the causes of its occurrence. It is very important to contact the appropriate specialist. According to statistics, the disease has a dental origin of 5 - 12%.

Classification, Stage

Odonogenic sinusitis has a rather simple classification. If we take the course of the inflammatory process, the severity of signs of illness, doctors identify such forms of pathology:

• acute;
• chronic. This form of the disease can occasionally exacerbate, acquire the features of an acute form.

According to the ICD-10, odontogenic sinusitis has such codes:

• chronic form - J32.0;
• acute form - J01.0.

If we take into account the localization of the inflammatory process, the specialists allocate such types of hymorite:

• left-sided;
• right-hand;
• bilateral.

According to the classification there is also a bilateral type of disease, but from a sick tooth, the infection is usually applied to one half of the nose. If the treatment is not carried out, the disease is developing, it applies to the second half of the nose.

Spring, provoked by teeth disease, can develop with such pathologies:

• periodontitis;
• caries of the upper molars;
• osteomyelitis;
• removal of the top row molars;
• the growing cyst of the upper jaw.

Odontogenic sinusitis develops gradually. At the initial stage, the inflammatory process is usually acute, represented by a serous form of defeat. During this period, the patient is observed:

• swelling of vessels, mucous cells of gums, nasal cavity;
• labored breathing;
• swelling;
• the deterioration of mucus outflow due to the closure of the narrow hole of the sinuses.

In the absence of timely therapy, the patient develops the second stage (purulent). This condition is difficult to treat, therapy is delayed for weeks, month. The disease can be rooted inside the sinuses, acquire a chronic character, which is dangerous to the necrotic decay of the tissues, complete intoxication of the body.

Causes of Gaimorita

Causes and pathogenesis of odontogenic hymorite

Often, people do not even think about the relationship between and sick teeth. And this connection exists. Roots of molars (4, 5 /, 6 indigenous teeth) are localized very close to the wall of the gaimor sinus (sinus). In some people, doctors fix the rotation of the roots of the root teeth in the walls of the sinuses. The tooth struck by the caries can cause the spread of inflammation, infection from the tooth root on the maxillary sinus. This develops a sinusitis.

The development of hymorite also contributes to penetration of foreign bodies inward due to the following factors:

• sealing of teeth;
• jaw injury;
• dental removal;
• installation of pins.

The disease is more protracted when the sharp ends of the roots injure the mucous membrane. Severe, long-term flow of inflammatory process doctors are called odonogenic sinusitis.

Signs and symptoms

The beginning of an odontogenic hymorite is pain in the area of \u200b\u200bthe teeth. The gain of pain syndrome is observed when pressed on a sore tooth. An unpleasant symptom is clearly traced in the area of \u200b\u200bthe upper jaw, where the pathological process began.

Regardless of the cause of the development of the pathology under consideration, the disease has the same features:

• headaches;
• strong;
• fever;
• weakness;
• chills;
• decrease in smell;
• a feeling in the area of \u200b\u200baffected teeth, the appearance of severe pain when tapping;
• sharp character pain after pressing on face in the area of \u200b\u200bthe topless putty sickness. Also, pain syndrome appears when the head is tilted forward;
• selection from a nose of liquid food together with Moto. This symptom indicates the formation of a fistula.

These symptoms are usually clearly manifested during the exacerbation period, as well as during the purulent form of the hymorite. Pain in the teeth remains even during the period of remission. If the inflammatory process subsides, diagnose the disease is difficult due to the low intensity of the signs of odontogenic hymorite.

Symptoms of odontogenic hymorite:

Diagnostics

The treatment of hymorite specializes the otolaryngologist. If the development of the disease provoked the disease of the teeth, an experienced dentist surgeon should take part in the treatment. Patients often turn to the doctor with a complaint against strong toothaches, as well as some of the signs listed above.

To put an accurate diagnosis, the doctor conducts a dental inspection, then sends a patient to additional diagnosiswhose data is entered into the history of the disease:

• Radiological survey of the oral cavity.
• Diaphanoscopy.
• Puncture of the affected sinus.

Features of treatment

If a sinusitis is triggered by a sick tooth, the doctor selects the optimal course of therapy, given general state patient. The nature of the treatment is determined by the cause of the disease.

Treatment of odontogenic hymorite suggests:

• antibiotic therapy;
• elimination of caries (any other dental disease, pathology).

If the foreign body penetrated inside the gaimor sinus, the treatment is to remove the excess object surgically. Such operations are carried out under general anesthesia. Access to the foreign body is carried out through the gum (in the area of \u200b\u200bthe dental root). Due to this method of carrying out an operation on the patient's face, there are no scars, traces from surgical treatment pathology.

Operational intervention through the gum can also be carried out in the presence of cysts inside the gaymorovy sinuses, periostite, osteomyelitis. If the situation is very heavy, the surgeon may appoint in addition to liquidation foreign bodies And Gymevertomy.

This type of operational intervention is the absorption of the contents of sinus (aspiration), eliminate the injured areas of the mucous membrane, sewing the fistula, the closure of the stroke of the flap of the tissue, which is taken from the inner surface of the cheek, also conduct an extension of the sinus outlet.

Conducting this manipulation is possible due to the use of endoscopic equipment, which the surgeon enters through the nose. The operation is necessary for the radical elimination of the focus of infection, the prevention of the formation of disfiguration appearance Scars, scars.

After surgical treatment, the surgeon necessarily assigns to the patient:

• passing the course of antibiotic therapy by means of a wide range of action ("", "Augmentin", "Sumamed", "Clarithromycin", "", "Flexin Solutab", "Ciprofloxacin", "Panklav", "

  IN postoperative period You can use some funds of traditional medicine:

  • inhalation;
  • washing with dummies of medicinal herbs;
  • , laurel sheet.