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Frontitis - symptoms, causes and principles of treatment

Image 137 Frontite is a disease that belongs to the group of sinusitis and is an inflammatory process in the frontal sinuses.The pathology is quite common, it is more often affected by it in childhood, but with prolonged rhinitis, sinusitis, the development of the frontitis is possible in an adult.

Table of contents: Classification of the frontitis Symptoms of the frontitis Methods of diagnosing the frontitis Principles of treatment of the front

Classification of the front

The disease under consideration is of a fairly wide classification. Distinguish the frontitis by the type of inflammation:

  1. The catarrhal process of the acute course is characterized by nasal congestion, a feeling of heaviness and pressure in the forehead area, can either go without complications, or go to the second stage.
  2. Purulent acute inflammation of the acute course - purulent contents are formed and accumulate in the frontal sinuses, which leads to a significant deterioration of the patient's condition, down to loss of consciousness.Regardless of which type of frontitis is diagnosed in a particular patient, it can be: one-sided -
    • - the inflammatory process only occurs in one sinus( left or right);

  • bilateral - the pathological process affects both frontal sinuses.
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    A major role in the classification of the frontins is played by the path of infection into the frontal sinuses:

    • rhinitis frontitis - the disease has developed as a consequence of a long-term progressive cold;
    • hematogenous frontitis - an infectious agent penetrates into the frontal cavity;
    • traumatic - takes place only in case of trauma of the cranial bones in the region of the frontal sinuses.

    In addition, doctors distinguish between acute and chronic gonorrhea.In the first case, the inflammatory process occurs suddenly, develops rapidly and ends with complete recovery.Chronic frontitis is always a consequence of untreated acute frontitis, it is characterized by long periods of exacerbation and short intervals of remission.

    Symptoms of the front

    Symptomatic of the frontitis is quite pronounced, but there are some differences between the acute and chronic course of the disease.

    Acute flow type that is characterized by rapid development and lasting for 3 weeks has the following symptoms:

    • Frontal-y-adult Hyperthermia - fever up to 38-39 degrees, accompanied by chills in adults and fever in children;
    • nasal obstruction against a background of general malaise;
    • the appearance of mucus in the nasal passages - in some cases it is removed by bluffing, but more often it accumulates in the nose and does not go out;
    • pain syndrome in the forehead region - most intensively manifested in the superciliary arches;
    • the sense of smell is reduced, sometimes completely disappears.

    The first signs of acute frontitis are indicated, but as the disease develops, they progress:

    • appears a runny nose - mucus of yellow or green is prominent from the nasal passages;
    • the headache becomes more intense when it tilts down;
    • pain syndrome can radiate into whiskey and ears;
    • there are swelling around the eyes.

    X3169769877939611 The chronic frontitis is characterized by attacks of exacerbations and remission.In the first case( exacerbation), the symptoms will be identical to those of the acute frontitis. When remission of the disease in some cases, there are no symptoms of pathology at all, but most often it is noted:

    • a feeling of heaviness and pressure in the frontal part of the head that increase with tilting the head down or exerting physical stress;
    • nasal discharge of thick, yellow-green mucus;
    • obstructed nasal breathing, but there is no complete nasal congestion;
    • pain in the region of pulsating temples.

    Methods for diagnosis of the frontispiece

    Frontite is characterized by pronounced and characteristic symptoms, but the diagnosis should be performed by a specialist - in some cases the clinical picture is blurred. The physician diagnoses the disease in question as follows:

    1. 813_1 Conducts an examination and a questioning of the patient - it turns out how long the first signs of pathology have appeared, how intense they are, how the patient has been sick for six months, what chronic diseases are present in the anamnesis.Upon examination, the specialist notes the presence of edema around the eyes, the condition of the mucous membrane and skin.
    2. With the help of a rhinoscope, the nasal mucosa is examined - its swelling and redness are noted, purulent discharge can be detected.
    3. When performing an X-ray study, a physician can determine the level of fluid in the frontal sinuses.
    4. Computed tomography of the frontal sinuses is being performed - in the course of this study, the presence / absence of anatomical features of the frontal sinus structure, the prevalence of the frontitis is revealed.

    Note: sometimes performs a frontal sinus examination instead of an X-ray.As part of the diagnostic measures, the biomaterial is taken from the nasal passages - the laboratory sows and determines which pathogen triggered the inflammatory process.

    Principles of treatment of the front

    Therapy aimed at getting rid of the inflammatory process in the frontal sinuses differs in relation to the acute and chronic course of the disease.

    Acute frontal ganglion

    Treatment of the acute type of the disease under consideration should be carried out in a complex way - only in this way the expected results will be obtained.

    Drug therapy

    An increase in the frontal-sinus It implies the use of the following medicines during the treatment of acute frontalitis:

    • Vasoconstrictor drops in the nose - they help get rid of nasal congestion, but they can not be used for more than 7 days in a row;
    • nasal sprays with antibiotics or non-steroid hormones - they have an anti-inflammatory effect;
    • antihistamines - only if the frontal has developed against an allergic rhinitis;
    • mucolytics - drugs that promote liquefaction and rapid withdrawal of mucus from the sinuses and nasal passages;
    • injection with antibacterial drugs - only with the development of purulent process.

    Non-pharmacological treatment

    Special procedures are to be carried out:

    1. Piercing of the frontal sinus and excision of purulent contents.This is done with a special needle and only under stationary conditions.During the procedure, the purulent contents of the frontal sinuses are not only sucked off, but the cavities are washed with antiseptic or saline solutions.
    2. Rinsing of sinuses with medicinal solutions, which in medicine is called "cuckoo".The essence of the procedure: a salt or antiseptic solution is poured into one nostril, it is shut up.From the second nostril, the contents are drawn off with a syringe.When carrying out the washing procedure, the patient should periodically pronounce "ku-ku" to avoid getting the applied solution into the nasopharynx.
    3. Electrophoresis on forehead region.
    4. Reception of a complex of vitamins and minerals, conduction of general restorative therapy.

    Frontit7

    Chronic frontitis

    During periods of exacerbation of the chronic form of the disease under consideration, the treatment fully corresponds to therapeutic measures with acute front. In periods of remission, it is recommended:

    1. Rinse the nasal passages with saline solutions;
    2. Use nasal sprays with non-steroidal anti-inflammatory drugs;
    3. Complete treatment of other inflammatory / infectious diseases;
    4. Find out the reasons for the development of allergies and get rid of the irritant - only in case of the development of chronic frontalitis against the background of an allergic rhinitis.

    In cases where the cause of the development of the frontitis is the anatomical pathology of the nasal / frontal sinuses, during the remission period, an operative intervention is indicated.After this, the patient needs a long rehabilitation and constant supervision with the doctor.

    Traditional medicine

    _ВВВгЗьоХСУ Folk treatment consists of using decoctions of medicinal plants to wash the nasal passages.It is appropriate to prepare a decoction of chamomile or thyme with sage - these plants have anti-inflammatory effect.Excellent removes swelling and relieves the accumulated mucus with an infusion of aloe and calanchoe.

    It is very important during the treatment of the frontitis to support the body and strengthen / enhance its immunity.To do this, you can use a decoction of rose hips( 2 tablespoons for a glass of water, cook for 10 minutes, insist - 20 minutes), add to regular tea, viburnum juice or raspberry syrup / jam.You can make the following mixture with a fortifying effect: take 3 walnuts, hazelnut and cashew nuts on a glass of honey, insist for 24 hours and consume half a teaspoon three times a day.

    Possible complications of the

    Frontier, taking place in a chronic form, can provoke the following complications:

    • Oxygen starvation - due to the constant stuffiness of the nose, oxygen does not get enough to the body;
    • sleep apnea syndrome - the patient stops breathing for a short time;
    • photophobia, lacrimation, decreased vision - the optic nerve enters the inflammatory process;
    • meningitis and encephalitis - a purulent process spreads to the membranes of the brain and directly to the brain;
    • inflammation in the soft tissues of the face;
    • chronic tonsillitis and pharyngitis.

    In severely severe cases, sepsis may develop, resulting in a fatal outcome for the patient.

    Preventative measures

    To avoid the development of the inflammatory process in the frontal sinuses, it is recommended to treat acute respiratory viral infections, influenza and colds in a timely manner and fully.Necessarily need to seek help from doctors with too frequent colds, and with the formation and progression of tumors in the nasal passages / sinuses( polyps, cysts) to carry out their removal by surgery.

    It is very important to strengthen immunity and temper the body - the frontins too often develop against the background of viral infections.It is necessary in the off-season to take vitamin complexes, and in the hot season to swim in the water, walk barefoot on the grass and sand, eat lots of fresh vegetables and fruits, and engage in physical education.

    Front and acute and chronic form of the flow does not pose a danger to the patient - treatment of this disease is well known to physicians and does not present any difficulties.But if the symptoms of the inflammatory process in the frontal sinuses were ignored, the person removed the pain and stuffiness of the nose with some medications, and the inflammation continues to progress, then no expert will give a favorable prognosis.

    The most popular folk methods for treatment of the frontitis are described in the video review:

    Tsygankova Yana Aleksandrovna, medical reviewer, therapeutist of the highest qualification category

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