Acute frontal sinusitis or frontalitis is characterized by inflammation of the mucous membrane of the frontal sinus. Just like with sinusitis, the cause is an infection that has fallen into the sinus from the nasal cavity due to acute or untreated rhinitis. The infection can be viral, fungal or bacterial. And also with damage to the frontal bone or frontal-nasal canal, in connection with edema and mucosal obstruction, this pathology can also develop. Therefore, the treatment of the frontitis in adults is based on the elimination of the cause of inflammation.
Symptoms of the frontitis and its diagnosis
The frontite can flow sharply, and if there is insufficient drainage it goes into a chronic form and sometimes affects the paranasal sinuses and frontal walls. Symptoms of acute frontitis are more pronounced, pains are sharp, shooting, than with chronic course - pain is noted aching and pressing.
The main symptoms of acute frontal sinusitis include:
- pain in the forehead;
- when tapping in the area of the sinuses and the medial angle, pain is also felt;
- lacrimation and photophobia, pain in the eyes;
- swelling of soft tissues;
- serous or serous-purulent discharge with or without smell;
- high body temperature, sometimes subfebrile.
Frontite, especially its chronic form of flow, is dangerous in that it can cause a complication in the form of anterior frontal wall lesion, which can go into necrosis, escalation or form a fistula. The more rare cases when the disease affects the lower wall of the frontal sinus, and causes a purulent inflammatory process in the eye sockets. If the posterior sinus wall is affected, this complication results in meningitis, brain abscess, etc.
The diagnosis of the disease is quite simple. To do this, the patient needs information about the presence of symptoms and a radiological picture of the sinuses.
How to treat the frontitis in adults?
Most often, conservative treatment in a stationary ENT department is enough. But in more complex cases, if you front with a doctor, surgery may be indicated.
In drug treatment, antibiotics are first prescribed for adults in the front, for the elimination of bacterial or fungal infection, for the removal of the inflammatory process. Depending on the complexity of the course of the disease is prescribed intramuscularly:
- Augmentin ;
- SummaMed;
- Rovamycin;
- Ceftriaxone et al.
Also, together with antibiotics to relieve swelling and better outflow of accumulated pathological fluid, doctors prescribe vasoconstrictive drops:
- Naphthysine;
- Halazolin ;
- Nasol;
- Knoxprey.
Antihistamines are also recommended:
- Suprastin;
- Diazoline;
- Claritin;
- Diphenhydramine, etc.
Treatment is carried out for a week or 10 days.
If purulent fluid accumulates in the sinuses, then for its liquefaction, it is recommended to take once daily a tablet of ATSTS-long with a dosage of 600 mg.
In addition, a preparation can be prescribed on a plant-based Sinupret, it helps to reduce inflammation and swelling, as well as pain. To maintain the intestinal flora in connection with the use of antibiotics prescribed probiotics, such as:
- Linex;
- Bifidumbacterin, etc.
The complex of therapy includes the procedure for washing "cuckoo" with the help of a special device with the use of antiseptic solutions of Furacillin, Miramistine or Chlorophyllipt, etc.
In the event that conservative therapy is not effective enough in the treatment of frontal sinusitis, in this case, the frontal in adults requires surgical intervention with a puncture. To do this, the frontal sinus is punctured to establish the pathogen release if its outflow is obstructed through natural anastomosis.
Treatment of gonorrhea at home in adults and children is not desirable, since the risk of developing very serious and life-threatening complications is high. This disease requires constant medical control throughout the course of treatment.