Etmoidit what it is: symptoms and treatment in adults and children
What is etmoidit: types and treatment
Etmoidit is one of the types of sinusitis which inflamed the part of the nasal mucosa, which is located in the ethmoid bone. This bone separates the nasal cavity from the skull so that its inflammation may be life-threatening. It is characterized by rapid flow and a formidable complications.
The reasons for the development of etmoidit
Causes, in consequence of which develops etmoidit, photos of people with this disease is on our website, or otherwise connected with the common diseases of ENT organs. They can be complicated even banal cold, what happens with reduced immunity. But most often, the mechanism of this disease run a different sort of dysfunction of the nasal mucosa – this allows harmful microorganisms to penetrate the nasal passages and develop in a supportive environment.
So, to trigger the development of this inflammatory disease of the nasal sinuses may:
- All types of rhinitis;
- Influenza and SARS;
- Viral, fungal and bacterial sinusitis;
- Chronic infection in the nasal cavity;
- A deviated septum;
- Injuries of the nose and facial soft tissues.
Quite often, etmoidit becomes a recurrent disease with advanced forms of sinusitis and sinusitis. Foci of purulent inflammation occupy the entire volume of okolonosovyh sinus and move on to the ethmoid bone. In this case, the exposed diagnosis haimorotomy or printoutmode depends on what the disease was primary.
Polypoid etmoidit, symptoms, treatment in adults will be discussed below, is caused by growth of polyps or adenoid tissue so that it completely covers the exit of mucus from the cells. This situation clearly requires surgical intervention, without removal of these growths to restore the function of the nose will not work.
Features for ethmoiditis in children
Unfortunately, this disease can affect babies in the first year of life.
The reason for this is physiological narrowness of the ducts that remove mucus from the ethmoid cells. In addition, to trigger the development of this disease in children is able and slight swelling of the mucous membrane, which is typical for teething.
Edema of the epithelium, which lines the cell from the inside, can completely block their exit holes, which they become stagnant detachable sinuses and as a result – an inflammatory process.
If you develop acute etmoidit, symptoms and treatment from children are from adults will not be different. To get rid of this disease immediately follows. The rapidity of the process may cause the spread of inflammation to the periosteum, which is fraught with fistula and purulent abscesses. And the proximity to the lesion of the eyes, can result in dysfunction of its fiber and the emergence of intraocular complications.
That is why, at the slightest suspicion on etmoidit, toddler urgently need to show children’s Laura.
Types of ethmoiditis and their symptoms
The form and duration of the currents, this disease is acute or chronic. The reason for their appearance may be the same factor, the symptoms of the peculiarities of these two forms are fundamentally different.
Acute etmoidit is characterized by striking symptoms, the main complaints of the patient in its development are:
- Strong rhinitis with serous discharge, in which there are impurities of pus;
- Loss of smell or strong deterioration;
- Shortness of breath because of severe nasal congestion;
- Increased body temperature;
- Severe headache localized in the nose, forehead and inner corners of the eyes.
Primary acute etmoidit pretty well treatable, but because it is rapid, he is already in a couple of days, in the absence of treatment, becoming chronic course and accordingly to get rid of it will be far from easy.
In the opinion of qualified ENT doctors for chronic etmoidit – that it is better not to know. Advanced forms of this disease almost always gives complications, affecting the intracranial areas of our body. It is a consequence of undertreated acute and it becomes a constant companion of man, periodically sharpening and returning again to a latent state.
The clinical picture in this case is mild and oiled, and in periods of exacerbation patients with the following symptoms:
- Pain and discomfort in the area of the root of the nose;
- Frequent headaches of various localization;
- The appearance of the nasal discharge of pus;
- Gross violation of smell;
- The accumulation of mucus in the nose and throat causing constant nausea.
The chronic form of this disease is dangerous because people can live with it for years, thinking that disturb his frequent colds. And insidious disease, at the same time, continues to progress in his body, destroying the ethmoid labyrinth and getting to the eye sockets and the skull.
Its the most feared complication is purulent brain abscess and meningitis.
Therefore, any abnormal signs in the body that masquerades as a common cold, require a doctor’s consultation. To diagnose etmoidit on the eye – it is impossible. Proper diagnosis of this disease requires a series of major x-ray studies and delivery of laboratory analyses that will allow not only to choose the most effective treatment.
Diagnosis and treatment of ethmoiditis
By far the most reliable method of diagnosis in this disease is magnetic resonance imaging. It allows you to examine even the children, because it has no ionizing radiation, but allows you to define any inflammatory lesions in paranasal sinuses and disease of the ethmoid bone.
In addition, to identify this disease in adults, use x-rays, rhinoscopy and endoscopic examination of the deep sinuses.
If discovered acute catarrhal etmoidit, treatment at home should be by prescription and under medical supervision. It is prescribed after the procedure sinus catheter according to the method of AMIC, which are washed from pus all the cells of the ethmoid bone, which are slowly regaining their drainage function. Further treatment will be medication, its purpose will be the elimination of edema and inflammation of the mucosa, suppression of pathogens, the return of the nose of his lost functions.
Standard therapeutic scheme will consist of the following drugs:
- The broad-spectrum antibiotics;
- Anti-inflammatory drugs;
- Traditional medicines.
Allergic etmoidit treated symptomatically, parallel to eliminating the cause of allergies. The patient is prescribed antihistamines, corticosteroids, vitamin complexes and preparations of calcium.
With regard to chronic ethmoiditis, the choice of treatment will depend on the degree of neglect, lesion and severity of symptoms. In addition to medical treatment, which is identical to purpose in the acute form of this disease, the patient can be assigned to physiotherapy:
- UHF influencing the location of the ethmoid bone;
- Electrophoresis with the use of diphenhydramine and calcium chloride;
- Phonophoresis with hydrocortisone;
- The laser treatment.
Sometimes, when you lose bone tissue and periosteum, require surgical intervention to remove the affected ethmoiditis of the ethmoid cells. Surgery is the endoscopic approach under local anesthesia.
Traditional methods of treatment of this disease consists in lavage their noses with infusions and decoctions of herbs – chamomile, sage, Bur marigold and rosemary. Well proven and flushing of saline, which are common in otolaryngology practice.
Timely begun a comprehensive treatment and compliance of all recommendation of the doctor is usually enough to stop the spread of this disease and avoid possible complications.But for complete healing, the treatment required long. The prognosis for complicated ethmoiditis be careful.
Prevention of etmoidit will be the same as many other ENT diseases, timely treatment of all types of rhinitis, a General strengthening of the immune system and a healthy lifestyle. So you can completely protect yourself from developing this dangerous disease with a huge number of unpleasant symptoms.