USE OF THE BIOREGULATORY MEDICINE EUPHORBIUM COMPOSITUM® NAZENTROPFEN C IN THE TREATMENT OF ACUTE PARANASAL SINUSITIS

Acute sinusitis is an acute inflammation of the mucous membrane of the paranasal sinuses of an infectious (viral, bacterial, fungal), allergic, traumatic or mixed nature, characterized by a predominance of edematous infiltrative changes and the presence of a serous, mucous, purulent, hemorrhagic, fibrinous or mixed exudate core in the sinuses (sinus). In children, sinusitis complicates up to 5% of upper respiratory tract infections. By referring to the ENT department of medical institutions, patients with diseases of the paranasal sinuses (SNPS) are the dominant group and account for 62%. During the period from 03.04.2019 to 04.25.2019, in the clinic “21st Century», 30 (100%) patients of 10 men and 20 women aged from 23 to 40 years with acute paranasal sinusitis were treated.All patients underwent diagnostic screening in the amount of (general inspection of ENT-organs,general blood test, x-ray of the paranasal sinuses, where the total darkening of the maxillary sinuses was noted$ the pneumatisation of the remaining sinuses was not affected)All patients voluntarily refused the puncture treatment. Treatment: systemic antimicrobial therapy, detoxification therapy, decongestants, topical steroids, antihistamines According to our research, the following conclusions were formed: In the complex therapy of acute paranasal sinusitis with the use of the herbal medicine Euphorbium Compositum, recovery of pneumonization of SNPs was observed on day 7 of treatment - 6 (60%) patients, in 4 (40%) there was a decrease in pneumatization of SNPs by the type of parietal - edematous processes without signs of a fluid component in enlighten sunusa. Reduction of the symptom of nasal obstruction on the 3rd day of complex treatment - 7 (70%). Preservation of the symptoms of nasal obstruction - 3 (30%) patients on the 7th day of treatment - 10 (100%) patients.

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Design of Nasal Ultrasound

International Journal of Biomedical and Clinical Engineering ◽

10.4018/ijbce.2014010106 ◽

2014 ◽

Vol 3 (1) ◽

pp. 63-72

Author(s):

Uma Arun ◽

M.K. Namitha ◽

Ashwini Venugopal ◽

Anima Sharma

Keyword(s):

Paranasal Sinuses ◽

The Body ◽

Ultrasound Technique ◽

One Dimensional ◽

X Ray ◽

Paranasal Sinusitis ◽

Area Of Interest ◽

Ultrasound System ◽

Frontal Sinuses ◽

Maxillary Sinuses

An A-scan ultrasound gives us one dimensional information about the area of interest in the body being examined. Paranasal sinuses are empty air-filled cavities whose functions are to support the weight of the skull, introduce resonance to voice and condition the respired air. They are located in the nasal cavity -maxillary sinuses, above the eyes-frontal sinuses, between the eyes -ethmoidal sinuses and behind the ethmoids- sphenoidal sinuses. The objective of our project is to design an A-mode ultrasound system for the detection of paranasal sinusitis, primarily maxillary sinus. The existent conventionally used methods for detection of paranasal sinuses are the X-ray and CT methods. This amounts to large radiation dose every time the patient undergoes an examination and is more expensive. The reasons behind choosing to use the ultrasound method are that it is relatively inexpensive and can be made portable. It is safe as no ionizing radiation is used. Since the ultrasound technique has limited bone penetration which restricts its use to maxillary sinuses alone.

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Acute and Chronic Sinusitis: Diagnosis and Management

Pediatrics in Review ◽

10.1542/pir.7.5.150 ◽

1985 ◽

Vol 7 (5) ◽

pp. 150-157

Author(s):

Ellen R. Wald

Keyword(s):

Paranasal Sinuses ◽

Chronic Sinusitis ◽

Clinical Manifestations ◽

Allergic Inflammation ◽

Acute Sinusitis ◽

Upper Respiratory Tract ◽

Anatomy And Physiology ◽

Tract Infections ◽

Ethmoid Sinuses ◽

Sphenoid Sinuses

Acute (less than 30 days' duration) infections of the paranasal sinuses are seen in children, usually as complication of viral upper respiratory tract infections or allergic inflammation. Chronic (more than 30 days' duration) sinusitis may result when acute sinusitis is not recognized as such or is inadequately treated. Although there are few data on which to base an estimate of the frequency of these disorders, acute sinusitis is commonly encountered in pediatric practice, and chronic sinusitis is not rare. EMBRYOLOGY, ANATOMY, AND PHYSIOLOGY A brief review of the embryology, anatomy, and physiology of the paranasal sinuses will facilitate an understanding of the clinical manifestations of acute and chronic sinusitis. All of the sinuses develop as outpouchings of the nasal mucosa. The maxillary and ethmoid sinuses develop between the third and fifth months of gestation and are pneumatized soon after birth. Although the frontal and sphenoid sinuses also develop during gestation, they remain primitive for several years. The frontal sinuses are not distinct from the anterior ethmoid sinuses until they reach the superior orbital ridge at about 2 years of age; they assume a supraorbital position at 2 to 4 years of age and are in the frontal position at about 6 years of age. The sphenoid sinuses first become well pneumatized at 2 to 3 years of age.

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Giant Primary Schwannoma of the Left Nasal Cavity and Ethmoid Sinus

Case Reports in Otolaryngology ◽

10.1155/2016/1706915 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3

Author(s):

Eugene Wong ◽

Justin Kong ◽

Lawrence Oh ◽

Daniel Cox ◽

Martin Forer

Keyword(s):

Nasal Cavity ◽

Nasal Obstruction ◽

Squamous Cell ◽

Paranasal Sinuses ◽

Ethmoid Sinus ◽

Squamous Cell Carcinomas ◽

Left Nasal Cavity ◽

History Of ◽

Maxillary Sinuses

A unilateral tumour in the nasal cavity or paranasal sinuses is commonly caused by polyps, cysts, and mucoceles, as well as invasive tumours such as papillomas and squamous cell carcinomas. Schwannomas, in contrast, are rare lesions in this area (Minhas et al., 2013). We present a case of a 52-year-old female who presented with a 4-year progressive history of mucous hypersecretion, nasal obstruction, pain, and fullness. Imaging of the paranasal sinuses showed complete opacification of the entire left nasal cavity and sinuses by a tumour causing subsequent obstruction of the frontal and maxillary sinuses. The tumour was completely excised endoscopically. Histopathology was consistent with that of a schwannoma.

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Primary Care Evaluation of the Nose and Paranasal Sinuses

Philippine Journal of Otolaryngology Head and Neck Surgery ◽

10.32412/pjohns.v21i1-2.847 ◽

2006 ◽

Vol 21 (1-2) ◽

pp. 57-58

Author(s):

José Florencio F. Lapeña

Keyword(s):

Primary Care ◽

Light Source ◽

Nasal Obstruction ◽

Paranasal Sinuses ◽

Hard Palate ◽

Acute Sinusitis ◽

Nasal Tip ◽

Nose And Paranasal Sinuses ◽

Care Evaluation ◽

Maxillary Sinuses

Primary care evaluation of the nose and paranasal sinuses begins with inspection. The astute clinician will seldom miss the hyperemic nose and open-mouth breathing of nasal congestion, the “long-face” facies, infraorbital dark “shiners” and edema of decreased lymphatic drainage from chronic nasal obstruction, and the transverse nasal crease from repeated performance of the “allergic salute” in allergic rhinitis. Tearing may be caused by inferior obstruction of the nasolacrimal duct. Widening of the nasal bridge (Woake’s syndrome) may suggest massive nasal polyposis2. The patient with acute sinusitis may be in obvious pain and actually avoid jarring movements, and orbital complications of acute sinusitis should be apparent even to the untrained eye. A polished mirror or metal tongue depressor gently held under both nostrils can document patency of both nasal airways by observing the misting pattern even before looking inside the nose. Glatzel’s mirror test3 attempts to measure this pattern but mere observation for symmetry establishes expiratory patency. Inspiratory obstruction can be assessed by gently pulling the ipsilateral cheek laterally. If it relieves nasal obstruction (positive Cottle’s sign4), the source of obstruction is in the nasal valve area and may be surgically correctible. Anterior rhinoscopy is best done using coaxial binocular illumination such as provided by a properly focused head mirror and bright light source. Alternately, a lumiview™ (Welch Allyn Corporation, New York, USA) or hand-held otoscope with the largest available clean ear speculum can be used. In babies and young children, gently flipping up the nasal tip with a finger facilitates viewing the nasal cavities. Adult noses are best viewed by aligning the external (downward-facing) and internal (forward-facing) nares with the aid of a nasal speculum. With the thumb on the pivot and index finger resting on the nasal tip, the prongs should be pressed by the remaining digits against the palm and spread superiorly against compliant alae rather than medially toward the septum. Insertion should be restricted to the vestibular area (alae nasi); insinuation beyond the internal nares (limen nasi) is painful, as is closing the speculum before withdrawing (pinching vibrissae). Decongestion should be performed in the presence of congested or hypertrophic turbinates and to distinguish the latter from nasal polyps (which do not shrink even with decongestion). Commercially available oxymetazoline 0.05% and 0.025% (Drixine™) or tetrahydrozoline 0.1% (Sinutab NS™) nasal solutions should be gently dropped into each nostril while the head is tilted back and nasal tip upturned. The nozzle should not touch the nose at any time. Three to five drops are instilled in one nostril after which the head is turned so that the ipsilateral ear faces down. This position (after Proetz)5 facilitates the solution spreading to the lateral wall of the nose while the patient gently sniffs in. The maneuver is then replicated for the other nostril. Three to five drops solution are then instilled in both nostrils a second time and the patient is asked to lower the forehead between the knees or to assume a knee-chest (mecca) position with forehead on the floor which facilitates spreading solution to the roof of the nose6. Adequate decongestion not only facilitates examination of the nasal cavities; it affords relief from obstruction and drainage of retained discharges. Performing the Proetz and mecca maneuvers also educates the patient in the proper way to continue decongestion at home, provided dosing duration (three to five days) and regimens (twelve hourly for oxymetazoline and eight hourly for tetrahydrozoline) are not exceeded due to the danger of rebound rhinitis. The maneuvers are also useful for nasal saline douches and instilling steroid sprays. Palpation of the paranasal sinuses is performed by percussion or by pressing firmly but gently over the most accessible points of maximum tenderness for each sinus: the vertex (sphenoid), supero-medial roofs of the orbital sockets (frontal), nasal bones between medial canthi (ethmoid) and incisive fossa area of cheeks (maxillary). Upper jaw teeth (especially canines) may be tender when tapped gently in cases of acute maxillary sinusitis. Transillumination with a powerful light source in a darkened room may suggest the presence of fluid or masses in the frontal and maxillary sinuses. Normal air-filled frontal and maxillary sinuses should “light up” (transilluminate) with light applied over their respective palpation points. External maxillary transillumination also casts a red glow on the hard palate, and a “red streak” in the lateral recess of the oropharynx may predict sinusitis7. Better results are achieved for the maxillary sinus with transoral light against the hard palate on each side. Transillumination is positive (normal) for the maxillary sinuses when the cheeks turn red-orange, a red-orange crescent lights up the infraorbital rim, and a red-orange papillary reflex is observed on downward gaze; or when the scalloped margins and inter-sinus septum of the frontal sinuses stand out in relief against a red orange background. Opacification can be produced by fluid, masses or hypoplastic sinuses while air-fluid levels produce a combination of findings. Swelling, masses, infraorbital nerve hyposthesia and extraocular muscle motion limitations warrant urgent specialist referral.

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