/ / Frontal sinuses: location, structure, possible problems

Frontal sinuses: location, structure, possible problems

Frontal sinusitis, or frontal sinusitis, representsis an inflammation of the frontal sinuses. According to statistics, over the past decade, this type of pathology is considered one of the most common in the world. Currently, more than ten percent of the population suffers from sinusitis, and about one percent of people suffer from the pathology of the frontal sinuses.

Frontal sinuses

Anatomical structure of the frontal sinuses

The following sinuses are attached to the nasal passage:

  • sphenoid;
  • frontal;
  • lattice;
  • maxillary.

These cavities look like small voids,located in the skeleton of the skull and opening in the nasal passages. In the normal state, the sinuses are empty; there is no content in them except air. The cavities themselves perform a number of specific functions:

  • warm and humidify the air;
  • perform a protective role in injuries;
  • perform the function of a voice resonator;
  • protect eyes, teeth from temperature extremes.

In the frontal lobe there are two frontal sinuses. In shape, they resemble a pyramid, located down the base. In the center it is divided into two parts by a bony septum.

The frontal sinuses have four walls:front, back, partition or internal, lower. The size of the sinus in humans is different. On average, it is four centimeters long. In some people, this sinus is completely absent. Usually such an anomaly occurs due to heredity.

Inside the frontal sinuses are lined with mucousshell. It is a continuation of the nasal mucosa, but more thin and without cavernous tissue. The sinus itself is connected to the nasal cavity by a narrow channel open in front of the nasal passage.

Inflammation of the frontal sinuses

Causes of inflammation

With inflammation of the mucous membrane, there is a pathology, called the front. It may have different causes, which determine the severity of the disease, its shape.

Infection

In more than half of cases of frontal sinusitisbecome inflamed due to infection penetrating the cavity through the tubules. The inflammatory process can occur in several sinuses at once, for example, the maxillary sinus and the frontal sinus can be affected. The cause of inflammation can be SARS, diphtheria, angina and other infections.

The most common pathogens of inflammation are:

  • rhinoviruses;
  • adenoviruses;
  • coronaviruses;
  • different types of bacteria;
  • fungi.

Allergy

Inflammation of the frontal sinuses, swelling of the mucous canoccur as a complication of an allergic reaction. This can be observed in bronchial asthma, allergic rhinitis. When edema occurs, the channel overlaps, through which the contents of the frontal sinus exit.

Maxillary sinus

Polyps

Polyps may occur in the nose.These are benign formations with a round shape. Polyps are formed as a result of degeneration of the mucous membrane. During this process, swelling of the mucous membrane may occur, breathing becomes difficult, the outflow from the cavities is blocked.

Injuries

Inflamed maxillary sinus and frontal may due to injury. Even small tissue injuries can cause serious circulatory disorders in the mucous membrane and sinuses.

Anomalies of the nasal septum

With the curvature of the nasal septum mayinflammation of the sinuses. Such an abnormality of the structure can be congenital or acquired as a result of injuries and pathologies. Curvature of the septum can interfere with the free flow of contents from the sinuses, which contributes to the creation of favorable conditions for the reproduction of microbes.

Foreign bodies

Sometimes there are situations when a foreign body enters the nasal passages. As a result, inflammation occurs that extends to the nasal cavity and the adjacent sinuses.

Clinical manifestations

Inflammation of the frontal sinuses is very serious.a disease that is much more serious than other ailments. By the nature of it can be divided into two forms: chronic and acute. Each of them has specific clinical symptoms for which the doctor can make a preliminary diagnosis.

Treatment of the frontal sinuses

Acute form

The structure of the frontal sinuses characterizes the symptoms.diseases. Thus, during frontal pain, there is a sharp pain in the forehead area, which may increase with pressure on the anterior wall of the sinus. You can check this by pushing yourself on the area above the bridge of the nose. With increasing pain, you can assume frontal sinusitis. Also, when the pathology occurs, the following symptoms occur:

  • Pain in the eyes;
  • photophobia appears;
  • copious discharge from nose;
  • sometimes there is a discoloration of the skin over the eye;
  • symptoms of general intoxication are observed;
  • body temperature rises to 39.

During the examination, the ENT can detect swelling, hyperemia of the nasal mucosa.

During acute frontal sinusitis, in violation of the outflowmucus from the sinuses increases pain syndrome. However, as the lumen of the tubule increases and the contents can go out, the pain subsides. Periods of stagnation are usually observed in the morning. At this time, pain may radiate to the eyes, temples.

Chronic form

If the acute form of the pathology is not treated, then it becomes chronic. This may occur due to improper treatment.

Clinically chronic inflammation of the frontal sinus occurs with the following symptoms:

  • pressing pain in the frontal cavity, which increases with tapping;
  • nasal abundant purulent discharge;
  • in the morning there is abundant purulent sputum.

Все эти симптомы протекают менее выражено.Because of this, many believe that the disease has receded. In fact, it has moved from acute to chronic. If you do not cure it, then the disease can cause serious complications.

Diagnostics

To the doctor was able to prescribe the correct treatment, it is necessary to diagnose. It includes:

  1. Collecting history. The doctor collects complaints, clarifies the clinical manifestations, determines the cause of the disease.
  2. Rhinoscopy. During the examination, the ENT assesses the condition of the nasal mucosa, determines whether the contents can leave the sinus and where it will expire.
  3. Sinus ultrasound.
  4. Endoscopic examination. During the examination, the doctor determines the condition of the nasal mucosa and sinuses, looks at the structure of the cavities.
  5. Roentgenoscopy. This method is used most often. Using a diagnostic radiologist, the doctor determines the shape and condition of the frontal sinuses, sees inflammation, swelling, determines the nature of the contents.

Be sure to be appointed bacteriologicalexamination of the contents of the nose to clarify the cause of the inflammation. Only after the results of the diagnosis can a specialist select a treatment for the frontal sinuses.

Frontal sinus

Treatment

The method of treatment is determined by the form of the disease.In case of mild disease, the doctor selects a conservative treatment using several types of drugs. To reduce puffiness, the nasal passages are irrigated with preparations based on adrenaline. The following medicines are prescribed inside:

  • Antibiotics. ENT selects broad-spectrum drugs. As soon as the cause of the disease is determined, antibiotics are selected with a narrow focus.
  • Analgesics. They help reduce pain.
  • Allergy remedies that help alleviate the patient’s condition.
  • Physiotherapy.

The doctor may recommend nasal washing with various folk remedies.

The structure of the frontal sinuses

With the right treatment, the thirdday the pain subsides, breathing improves, body temperature returns to normal. You can not self-medicate, because the contents of frontal sinusitis can cause serious complications, up to meningitis.

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