This is an automatically translated article.
Frontal sinusitis is a fairly common disease. Frontal sinusitis is persistent and easy to get repeated many times, affecting the health and quality of life of the patient.
1. Frontal sinusitis
Frontal sinus consists of 2 small cavities located just above the eye socket filled with air, equivalent to the position in the eyebrow area. Normally, the frontal sinuses will secrete a little mucus that flows through the nasal passages. Frontal sinusitis occurs when mucus cannot drain and becomes blocked in the sinuses, leading to increased pressure around the eyes and forehead.
Frontal sinusitis is the most common of all types of sinusitis. This is a fairly common disease and is easy to arise when the weather is cold and dry, especially in the autumn and winter.
2. Causes of frontal sinusitis
The most common cause of frontal sinusitis is viral infection such as influenza virus, parainfluenza,... Acute frontal sinusitis can resolve on its own within 1 week if the cause is viral. Bacterial frontal sinusitis is less common, and antibiotics may be needed to treat it. There are also some other causes of frontal sinusitis such as allergies, nasal polyps, deviated nasal septum,...
Acute frontal sinusitis is when sinusitis symptoms occur for less than 4 weeks. If symptoms persist for more than 12 weeks, it will become chronic frontal sinusitis
Viêm xoang trán cấp tính là khi các triệu chứng viêm xoang diễn ra dưới 4 tuần
3. Symptoms of frontal sinusitis
The most common symptom of acute frontal sinusitis is pain around the eye or forehead area. These pains are very characteristic and have been described as pain above the orbital region, and longitudinal pain on either side of the brow bone.
May have pain on one side or both sides of the sinus and cyclical of each day. The pain will gradually increase from morning to midday and reach its maximum. At this time, the pus discharge from the nose will drain, the pressure inside the sinus will decrease and the pain will gradually subside. In the afternoon the pain recurred.
Sometimes pain is accompanied by tearing, eye movement also feels pain. The pain even spreads beyond the surface of the skin. When the patient is supine, this pain worsens.
Other signs of frontal sinusitis include:
Runny nose Cough, sore throat Congested nose Decreased sense of smell Bad breath Bad breath Low fever or high fever >38.5 degrees C Fatigue and pain all over. Depending on the cause, the symptoms of frontal sinusitis can be different. If the patient has symptoms of fatigue, fever, body aches and is accompanied by a sore throat, it is more likely to be caused by a viral infection.
Bacterial sinusitis when the patient's symptoms do not improve and get worse after 10 days. If symptoms persist for more than a few months, frontal sinusitis may be the result of an anatomical abnormality such as a deviated nasal septum or nasal polyps.
4. Is frontal sinusitis dangerous?
Among the types of sinusitis, frontal sinusitis is the most common type of sinusitis leading to intracranial complications. Such intracranial complications include: encephalitis, meningitis, brain abscess, epidural inflammation, and cavernous vein thrombosis.
When patients experience these intracranial complications, they may present with disturbances of consciousness or focal neurological signs. If the patient is not treated in time, the possibility of neurological sequelae, even death.
5. Treatment of frontal sinusitis
Rửa xoang mũi cũng là một trong những biện pháp rất cần thiết để quá trình điều trị viêm xoang mau đạt hiệu quả
The goals of treatment for frontal sinusitis are to reduce swelling or inflammation in the nasopharynx, increase sinus drainage, and keep the sinuses open. In combination with limiting infection status and treating infection if present.
Commonly used decongestants such as phenylephrine, alconefrin and inhaled corticosteroids such as fluticasone, flonase,... However, this measure is only temporary, moreover, if used in excess, it can cause symptoms such as dizziness. , headache, restlessness, increased heart rate, insomnia. Prolonged abuse of decongestants can also lead to drug dependence.
Sinus washing is also one of the very necessary measures for the treatment of sinusitis to be effective. Proper nasal irrigation will help wash away mucus and allergens, making the patient less uncomfortable.
There are other treatments depending on the cause of the frontal sinusitis including:
Acute frontal sinusitis caused by a viral infection may clear up on its own within 7-10 days. The treatment plan includes rest and enhancement. To improve symptoms, drink plenty of fluids and use nasal sprays or decongestants. If the sinusitis is caused by bacteria, in addition to the symptomatic treatment of the disease, the doctor may prescribe the patient to use antibiotics, preferably using betalactam antibiotics or respiratory quilonone. If frontal sinusitis is caused by allergies, the patient should avoid contact with the allergen. Along with that, the patient needs to use antihistamines, immunotherapy or desensitization for treatment. When medical treatment fails to respond, frontal sinus surgery is performed to prevent life-threatening complications. Or due to abnormal anatomical causes such as nasal polyps, deviated nasal septum,... Some cases of acute and recurrent frontal sinusitis at least 3-4 times/year, or fungal frontal sinusitis are also treated. Consider surgery for treatment. In addition, the patient should drink a lot of water to help dilute the nasal secretions and drain them more easily. Some folk remedies such as steam inhalation can also improve symptoms. However, patients with severe and prolonged symptoms should be treated in appropriate specialized medical facilities.
Otolaryngology - Vinmec International General Hospital is an address specializing in the examination and treatment of sinusitis as well as common ENT diseases, head and neck tumors, congenital malformations in the ear area. nasopharynx by common surgical methods such as surgery, microscopic or endoscopic tympanic patch, fistula removal surgery, Bondy surgery, nasopharyngeal nebulizer, nasal constriction, nasal coil burning...
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