That simple viral sinusitis occurs most frequently in children, but are often difficult to diagnose, and diagnosed as nominated or Nechle, unless it develops into a form of acute bacterial, or subacute, or chronic.
And appropriate to take the idea of the Sinuses sinus first, where there are five pairs of human nasal pockets main:
Moved forward the parallel of Paranasal sinuses, nose: two in terms of Anatomy and histological configuration extensions for nasal cavity.
Moved forward the untying Maxillary sinuses
Ethmoid sinuses moved forward almsavoian
The frontal Frontal sinuses: moved forward and are not staffed by legal professionals in children until 2 years of age.
The peg Sphenoid sinuses moved forward: not staffed by legal professionals only after the age of five.
The movement of the Cilia Ciliae in alcoves that line the pockets, the mucus and secretions found in those pockets to the outside through the nostrils, play the most important role in the prevention of inflammation of the sinuses, and all because of the movement of Cilia, obstructs or tends to collect secretions in the sinuses and exposes them to infection, such as:
* Exposure to cigarette smoke. Cool and dry air. Exposure to viral Nechle.
* Allergic rhinitis. Swimming and water entering the nose and the sinuses.
* Gastro esophageal and difficulty swallowing (dyphagia) to the nose. Pancreas incystic disease. Immune deficiency.
* Congenital defect in the mobility of Cilia Ciliary dyskinesia. Stuffy nose for any reason such as: foreign body F. B, polyps, Polyp large polyps Adenoid hypertrophy, Tumor, tumor, Trauma, disease or severe deviation of nasal Septal deviation veil
Thus, no hindrance to the movement of mucus and secretions and stagnation within the sinus, constitute fertile ground for compromise microbial growth and inflammation of the sinuses.
Most bacteria responsible for sinus infection is
1- Pneumococcus
H. influenza-2
Streptococcus-3
Staphylococcus -4
The clinical picture Clinical manifestation
You should know that the symptoms of sinusitis in children, different in adults, symptoms typical of adults (such as headaches, facial pain, and tenderness with pressure, and edema of the face..Etc) not seen in children, but (cough, rhinorrhea, nasal) is one of the most important symptoms in young children.
Cough occurs during daylight hours, but it increases when a child lies on his back, either in the back or NAP in the sleeping hours of night.
And nasal cold warlike manner or may be purulent. You may also see ulceration of throat Sore throat due to rebound nasal secretions to the throat during sleep. The signs we see the child: Alatas Sniff and Snort Snort, a physiological means for cleaning the nose.
Older children may suffer from heat, with feeling pain or grudgingly or compression in the facial area, with foul breath, and decreased sense of smell.
How can we distinguish between simple and regular alnshlh sinusitis.!?
Then, how can we distinguish between different cases of sinusitis.!?
Alnshlh: a simple viral disease, infects the upper respiratory tract, and is associated with heat and nominated my nose and cough, but it lasts for more than a week to ten days, all symptoms like that exceeded ten days is inflammation of pockets and not Nechle and degrees: a simple viral inflammation of pockets, as mentioned above, the acute inflammation but microbial Bacterial: the symptoms of high fever, may exceed 39 ° c, with 16 she is purulent, with severe headache, and sometimes swelling or bulging eyes.
If symptoms persist, even though simple, was my nose with a cough for more than a month, then called sinusitis under acute or chronic Sub acute Or Chronic.
The clinical examination: nasal mucosa is red and strained, and here the situation should we separate him allergic rhinitis Allergic rhinitis which is characterized by the fact that the nose with a du nosecone pale, spongy form (Pale and boggy). You may also see the clinical examination is decreasing nasal graduated abroad or bounce back into the throat, causing his ulceration.. The task of the doctor's clinical examination, the tenderness resulting from mild Tenderness over the inflamed sinuses.
Complications of sinusitis
Ranging from otitis O. M to inflammation of the soft tissue around the eye socket Peri orbital cellulitis to abscess abscess, Orbital eye socket to optic neuritis Optic neuritis. The most important complication is inflammation of the brain and its accessories, including meningitis Meningitis is thankfully relatively rare
Tests required
1. sinus x-ray or CT have: where one or more of the following: x-ray data
The thickness of the sinus Mucosal thickening mucosa
Douche, watery Air-fluid level
Density and inflamed sinuses Sinus opacification bleaching
2. analysis of decreasing nasal microscopy: we may find where
Purulent Pus cells, celles and remnants of dead leukocytes.
Remnants of the mucosal cells dead Cellular debris
If we found a microscopic examination of large amounts of eosinophils, the acid is closer to an allergic rhinitis Allergic form
3. laying waste the nasal does not match the sinus implants, therefore not a benefit, not our.
4. the most important examination is inflamed sinus mucosa transplantation through the direct entry benidl sterile by the face, and is the only way that we have the type of MRSA, a type of antibiotic right, but we do not resort to this method usually only in serious cases life-threatening, or cases of immunodeficiency, or disease that does not respond to normal treatment.
Treatment
Must be an effective treatment for this disease is to avoid
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