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Allergic diseases of the paranasal sinuses
Allergic diseases of the paranasal sinuses
Allergic diseases of the paranasal sinuses are a special category of pathological conditions of the mucous membranes of the upper respiratory tract, resulting from hypersensitivity to foreign protein and as a result of neurological and endocrine disorders. As a rule, involved in the process of the maxillary sinus and the ethmoidal labyrinth.
Usually accompanies allergic Sin allergic rhinitis. With allergic secondary infection may Sina shell, in which case the disease becomes purulent lesion features sinus. Symptoms of an allergic sinuita isolated from lesions of the mucous membranes of the nose is almost absent.
Correct to talk about the symptoms of allergic rinosinuita. The disease is characterized by paroxysmal course. Such an attack can occur suddenly, accompanied by incessant sneezing, itchy nose, a sharp obstruction of nasal breathing and the appearance of abundant liquid discharge, resembling water. At rhinoscopy of the nasal mucosa becomes tsianotichesky shade. Against this background, determined by individual white spots.
Long-term course of allergic rinosinusitis often leads to the degeneration of the polypoid mucosa. At rhinoscopy in such cases, you can see the polyps of different sizes coming out of the middle nasal passage out of the middle turbinate. On radiographs of the paranasal sinuses patient allergic sinuitom defined moderate homogeneous reduction of transparency of the maxillary sinus and ethmoidal labyrinth cells (usually on one side). In contrast to the purulent sinus radiography sinuita re-produced in a few days can give a diametrically opposite result, that is, the sinus, which was not transparent, became transparent.
The diagnosis of allergic sinusitis made on the basis of patient complaints, medical history, examination data, laboratory examination. A significant role is played by the seasonality of exacerbations. In the presence of polyps in the nose or the appearance of the patient increasing pain in the forehead at the time of the attack to carry out X-ray paranasal sinuses with the introduction of contrast material into the maxillary sinus on the side, where on examination of the nasal polyps more.
Therapy of allergic rhinosinusopathy provides, firstly, the elimination of factors causing acute illness, and secondly, the use of desensitizing funds. Surgical intervention is required for polypous form. The operations should pursue a single goal - improving breathing.
