The reason for the pathology acts as an inflammatory process of the membranes sphenoidale (sphenoid) sinus infection. This may be due to the introduction of bacteria or viruses from other paranasal sinus (e.g., frontal or maxillary), and nasal. Often the infection starts from the tonsils.
The main pathogens include:
- streptococci and staphylococci;
Disease of the sphenoid sinus may also occur as a complication of flu, sore throat or even the common cold when there are concomitant factors. In the absence of the prerequisites, getting an infection is causing a little inflammation which disappears on its own without any unpleasant symptoms.
For the development of infection the prerequisites against which pathogens, once in the nasopharynx, will trigger the beginning of inflammation.
Such predisposing factors include:
- regular freezing;
- anatomical structure sphenoidale sinuses;
- a deviated septum;
- cysts, polyps and other tumors located in the nasopharynx or sphenoid sinus;
- getting into the area of the nasopharynx foreign body.
Symptoms of sphenoiditis in adults
The first and main symptom signaling about the transmission is cold. Most people are not used to pay attention to it, which leads to late diagnosis of the disease.
Steroidit is diagnosed when the patient presents with the following complaints:
- headaches, extending to the cheeks;
- the discomfort of facial expressions, touching the face and the head tilts forward;
- redness on the cheeks;
- frequent sneezing;
- hearing loss;
- the increase in body temperature to 38-39 degrees;
- pus in the nasal cavity (possibly with blood);
- dryness in the throat;
- the pain in the eyes;
- the decrease in visual acuity.
- sleep disturbance;
- unreasonable anxiety, reduced interest in life.
Symptoms in children
Some doctors believe that children under 6 years sphenoidale sinuses are not fully formed, so they can not become inflamed. Of course, the treatment of children is not carried out. In fact, this view is mistaken.
Despite the fact that in young children the sphenoid sinus are still subject to change, inflammation is possible. Symptoms of sphenoiditis in children the same as adults, except for the fact that not every child can accurately describe what was happening to him.
Parents should begin to worry when the little one:
- prolonged runny nose with pus;
- no desire to play and eat;
- shortness of breath.
Steroidit in children mainly occurs on the background of inflammation of the adenoids and redness of the tonsils.
Treatment of sphenoiditis
Treatment and diagnosis of sphenoiditis depends on the form of the disease and localization of inflammation. For example, catarrhal steroidit accompanied by a selection of content from the axils, and at the productive form of the disease this symptom is not marked.
Treatment for acute and chronic form of inflammation is aimed at :
- removal of edema;
- removal of pus from the sinuses;
- elimination of infection;
- to restore the normal functioning of the sphenoid sinuses.
At the initial stage of acute sphenoidal amenable to medical therapy, which includes:
- Antibacterial drugs. They affect different pathogens. Effective antibiotics in sphenoiditis are Amoxicillin, Augmentin, Zinnat. Pills directed action appoint after conducting of bacterial diagnostics to identify a variety of pathogenic microorganisms.
- Anti-inflammatory. To reduce inflammation and normalize the condition of patients can use Fenspirid or Protargol.
- Antihistamine. For removing the swelling used Zyrtec, Fenistil, Diazolin, Suprastin.
- Vasoconstrictor drops and sprays help to drain pus and relieve swelling. During the first 7 days of treatment should be taken Ephedrine and Dimetindene. If these drugs do not have the desired effect, it is assigned to Naphazoline or Oxymetazoline.
- Physiotherapy. ENT doctor can appoint electrophoresis with antibiotics or laser radiation.
Drug therapy will be more effective if the patient adheres to a healthy lifestyle and eats right. The diet should contain ample vegetables and fruits and menu should be balanced. When sphenoiditis it is advisable not to eat allergenic foods, because the body’s reaction to a particular product may aggravate the course of the disease.
During exacerbation of sphenoiditis desirable to use as much liquid as possible. Drinking plenty of fluids assists in the removal of toxins and improve drainage of pus from the sinuses. The best drink is a decoction of medicinal herbs, because they are not only a source of fluid, but in General have a strengthening effect on the body.
For the prevention of exacerbations, it is desirable to quench, to do active sports and strengthen the immune system. The body is strengthened with a healthy lifestyle, good nutrition and a normal mode of the day and relieved by depression, regular stress and nervous tension.
Is it possible to treat folk remedies?
Along with medication, for the treatment of sphenoiditis at home, you can apply traditional medicine. Treatment of inflammation of the mucous membrane of the sphenoid sinus with the use of folk recipes will help to quickly get rid of unpleasant symptoms and improve overall health. However, relying only on alternative medicine is not necessary.
Herbal treatment should take place after consultation with the ENT physician and only as adjuvant therapy.
- Decoction of chamomile. 1 tablespoon of chamomile flowers, pour a glass of boiling water. Allow to stand for one hour. The filtered broth should be used for rinsing the nasopharynx 3 times a day. The course is 2 weeks.
- Beets and honey. 1 tablespoon of honey must be mixed with the same amount of fresh beet juice. The resulting composition to produce the instillation of 3 drops in each nostril morning and evening. The course is 2 weeks.
- Ginger tea. You need to connect 0.5 teaspoon of grated ginger, 1 tablespoon of melted honey, 10ml of lemon juice and 300 ml of boiling water. Let stand. Take 0.5 cups of the drink 3 times a day. The course is 3 weeks.
- Sea-buckthorn oil. Sold in the drugstore. Must instill 2 drops of oil in each nostril 3-4 times a day. The course is 1 week.
Do I need surgery?
Surgery is indicated in the following situations:
- no access to the sphenoid sinus;
- conservative treatment is ineffective;
- a long course of the inflammatory process;
- the patient has the acute form of sphenoiditis occurs not for the first time;
- the development of complications;
- chronic sphenoidal.
Steroidit is a rare disease, and if it arose, it is likely there is a serious reason for stimulating the development of the inflammatory process. If the disease has passed into the chronic form or the acute sphenoidal occurs in humans regularly, it is advisable to conduct the surgical treatment of sphenoiditis.
The operation is possible in two ways:
- Endonasal. With the help of endoscopes and small surgical instruments expands ostium of the sinus and removed all the pus with subsequent disinfection of the cavity. If the disease is caused by a deviated septum, the correction of the anatomical structure. After surgery, the patient is observed in hospital for 1-2 days.
- Externally. Access to the sphenoid sinus is ensured by removing the back part of the nasal septum. This method is rarely used.
Features of acute sphenoiditis
The acute form of sphenoiditis, unlike other endocrine diseases, occurs without pronounced symptoms. This is because steroidic occurs together with etmoidit (inflammation of the ethmoid cells), and signs of this pathology more obvious.
The characteristic symptom of acute sphenoiditis is a pain in the nape and in the back of my head. Pain can occur periodically to be felt in the temples and around the eyes. The pain may be dull and very painful.
The drainage of purulent content in the walls of the throat causes discomfort. Appears bad breath, and nasal congestion. The human condition is characterized by malaise, lethargy and fever.
After removing the inflammation, the patient is recommended physiotherapy:
- massage, etc.
Features of chronic forms of sphenoiditis
Chronic sphenoidal causes an abrupt decrease of vision that ophthalmologists can’t explain. Symptoms of the disease of the nasopharynx may not be. Decreased vision is due to the transition of inflammation from the sphenoid sinus to the optic nerve.
Chronic steroidit is symptoms:
- headache, radiating to the occipital region or the eye socket;
- unpleasant smell from the nose that is noticeable only by the patient;
- runoff of unpleasant secretions in the nasopharynx;
- the feeling of “squeezing” of the eye;
- deterioration of the General condition at night or after exposure to heat.
In some cases, indigestion. This is due to the swallowing of purulent content within the pharyngeal cavity. Long-term absence of treatment dizziness and mood swings.
The diagnosis is made after a General examination, rhinoscopy and probing of the major sinuses, the nasopharynx. To confirm chronic forms of sphenoiditis MRI, CT scan and x-rays.
In chronic sphenoiditis is having surgery. Treatment with medicines is only applied in the postoperative period.
Steroidit is a serious and dangerous disease. To it to prevent should be prevented.
It is this:
- don’t be in a smoky room;
- do not consume alcohol and caffeine;
- regularly onlinenet nasal mucosa (use a humidifier and saline solutions for washing);
- time to treatment of diseases of the nasopharynx;
- to harden;
- balanced and proper diet.