Antritis is an inflammation of the maxillary additional nose sinuses. Acute antritis is the result the acute rhinitis complication after the flu, measles, scarlatina and other infections illnesses. Exposure plays a major role too.
Chronicle inflammation of the maxillary nose sinuses is the consequence of the acute inflammation. It can be caused by the mucous tunic thickening, turbinate hypertrophy, nasal septum deviation and gnathoschisis.
Antritis is divided into 4 types: rhinogenous (popular among adults), hematogenic (popular among children), odontogenous and traumatic. It also has two forms: vasomotor (popular among people that suffer from vegetative diseases) and allergic.
Acute antritis is accompanied by fever, shivering, head, tooth and nose ache. The pain strengthens if pressuring the face, coughing and sneezing. According to the pain character it’s intensive and permanent. Sometimes the patient feels photophobia and epiphora.
Chronicle antritis has such symptoms as general weakness, indisposition, quick fatigability, headache (more in the evenings) and nose obstruction. Smell can disappear. Sometimes the illness can cause intracranial complications – cerebral edema, serous and purulent meningitis, encephalomeningitis, perimeningitis, etc.
What is the treatment of the antritis?
Acute and chronicle antritis is usually treated by usual pharmacotherapy which is prescribed by the doctor at the consultation. Paranasal sinus lavage (without a puncture) is done only if the illness has a pronounced symptom or pus profuse discharge. Laser therapy is applied in order to remove the inflammation consequences and to strengthen the effect of the medicine treatment. Sometimes it’s reasonable to combine the otorhinolaryngologist’s way of treatment with acupuncture and vitamins intake. The whole cure course takes from 2 weeks to 2 months.
As a rule the treatment is outpatient. It’s important to provide a good outflow of the contents from the affected sinuses. If the clinical course is hard the patient need to be hospitalized. As far as the acute antritis medicine is concerned many doctors prescribe febrifugal, sulfanilamide preparations, antibiotics and vitamins. Locally they apply vasoconstrictive remedies that can be in drops, dispersion and smearing. When the antritis is acute doctors apply ultrahigh frequencies currents; if it is chronicle they does microwave therapy, remedies electrophoresis, mud cure, paraffin applications, inhalations and sprays. When treating the allergic chronicle antritis they use nonspecific (calcium chloride, antihistaminic meds and otehrs) and specific (allergens small doses, vaccines and autovaccines) hyposensitization remedies.
