Archive for the ‘Otorhinolaryngology’ Category

The Deformation of The Nasal Septum, Synechiae, and Atresia of The Nasal Cavity

The Deformation of The Nasal Septum, Synechiae, and Atresia of The Nasal Cavity

The deformation of the nasal septum, synechiae, and atresia of the nasal cavity

The deformation of the nasal septum – Elite Treatment in Europe

ENT Diseases -2005

The cause deformities of the nasal septum can be caused by physiological, traumatic and compensatory factors.

  • The physiological curvature of the discrepancy occurs when the growth of the nasal septum and the bony framework within which it is inserted. The growth outstrips the growth of multiple partitions of the facial skeleton, so there is a curvature of her.
  • Traumatic curvature of the nasal septum due to improper healing of the injury of its fragments.
  • Compensatory distortion occurs when pressure on the septum of the nose of one half of the different formations – polyps, enlarged middle and lower shells, tumors, etc.

There are three types of deformation of the nasal septum:

  • curvature
  • crest
  • Spike;

Often there are a combination of deformities of the nose.

Adults often have a greater or lesser degree curvature or deviation from the midline of the nasal septum, which normally does not violate the nasal breathing, and therefore does not require treatment.

The deformation of the nasal septum narrows the nasal passages and thus makes it difficult to breath through your nose. Sometimes, significant distortion is not difficult nasal breathing because the air passes freely above or below the bend, and vice versa – a slight curvature of the walls, often in front of the nose, can dramatically disrupt nasal breathing.

The main complaint of the patient during deformation partitioning is a violation of nasal breathing, but in some cases, marked headache, nasal discharge, recurrent pain in the ear, dry throat, etc. The appearance of headache during deformation of nasal septum due to the fact that the curved portion of the nasal septum ( Spike, a comb) in contact with the opposite lateral wall of the nose, pressing on it, irritating the mucous membrane, which causes a reflex symptoms and, in particular, headache, and occasional bouts of asthma and epilepsy, a disorder of the sexual sphere, etc.

The diagnosis of nasal septum deformation is established on the basis of the study rinoskopicheskoy picture.

Treatment of a deviated septum surgery – submucous resection of the curved part of septum. Indications for surgery: the difficulty of nasal breathing through one or both halves of the nose, caused by deformation of the nasal septum, secondary pathological changes caused by the curvature of the septum, such as chronic inflammation of the nasal mucosa, otosalpingit, headache, sinusitis, etc.

In rare cases, when the deformation is accompanied by a cosmetic defect walls outside of the nose, is produced in the early part of the submucosal resection of a curved wall, and then straighten the back of the nose.

Of adhesions in the nasal cavity are distinguished:

  • synechia – connective tissue bridge between the septum and lateral wall of nose
  • atresia – wide seam lateral and medial walls of the nose, covering a varying degree of clearance of nasal passages.

Congenital atresia may be:

  • connective
  • cartilaginous
  • bone.

Adhesions and atresia can occur at different etiology ulcerations of the nasal mucosa, scleroma, lupus, diphtheria, smallpox, typhoid.

Treatment of adhesions in the nasal cavity – surgery.

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Allergic Diseases of The Paranasal Sinuses

Allergic Diseases of The Paranasal Sinuses

Allergic diseases of the paranasal sinuses

Allergic diseases of the paranasal sinuses – Elite Treatment in Europe

ENT Diseases -2005

Allergic diseases of the paranasal sinuses are a special category of pathological conditions of the mucous membranes of the upper respiratory tract, resulting from hypersensitivity to foreign protein and as a result of neurological and endocrine disorders. Typically, the process involved the maxillary sinus and the ethmoidal labyrinth.

Sin is usually accompanied by an allergic allergic rhinitis. In allergic Sina possible secondary infection of the shell, in which case the disease is taking on the characteristics of purulent sinus lesions. Symptoms of an allergic sinuita isolated from lesions of the mucous membranes of the nose is almost absent.

Correct to speak about the symptoms of allergic rinosinuita. The disease is characterized by paroxysmal course. Such an attack can occur suddenly, accompanied by incessant sneezing, itchy nose, a sharp obstruction of nasal breathing and the appearance of heavy liquid discharge resembling water. At rhinoscopy mucosa of the nose gets tsianotichesky shade. Against this background, determined by the individual white spots.

Long duration of allergic rinosinuita often leads to polypoid degeneration of the mucous membrane. At rhinoscopy in such cases, you can see the different size polyps originating from the middle nasal passage out of the middle turbinate. On radiographs of the paranasal sinuses in patients with allergic sinuitom determined by a moderate decrease in homogenous transparency of the maxillary sinus and the ethmoidal labyrinth cells (usually on one side). In contrast to the purulent sinus radiography sinuita repeated, produced in a few days can give a diametrically opposite result, that is, the sinus, which was not transparent, became transparent.

The diagnosis of allergic sinuita made on the basis of patient complaints, medical history, examination data, laboratory examination. A significant role is played by the seasonality of exacerbations. In the presence of polyps in the nose, or when the patient increasing pain in the forehead at the time of the attack is necessary to x-ray of the paranasal sinuses with the introduction of contrast medium into the maxillary sinus on the side, which when viewed in the nasal polyps more.

Treatment of allergic rhinosinusopathy provides, firstly, the elimination of factors causing acute illness, and secondly, the use of desensitizing. Surgical intervention is required for polypous form. Operations should pursue a single goal – improving breathing.

ENT clinic in Moscow
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Examination and treatment in GERMANY – Institute "DIAGNOSTIX"


Vasomotor Rhinitis

Vasomotor Rhinitis

Vasomotor rhinitis

Vasomotor rhinitis – Elite Treatment in Europe

ENT Diseases -2005

There are two forms of vasomotor rhinitis:

  • allergic
  • neurovegetative.

In the etiology of allergic vasomotor rhinitis forms a crucial role is played by an allergen – a substance which has a high sensitivity of the organism. Contact with this substance on the mucosa of the upper airway and suction it immediately causes an attack of cold.

In the occurrence of neurovegetative form of cold matter, organic and functional changes in the nervous system, hypothalamus, disorders of endocrine function.

Among the allergic form of vasomotor rhinitis is isolated:

  • seasonal
  • permanent types.

Seasonal nasal disease is usually associated with the pollen of flowering plants, so it is often referred to as hay runny nose, or hay fever. Seasonal allergic form is repeated in a patient at the same time in the flowering period of any one, and sometimes a few plants. Increasing the number of allergens extend for seasonal allergic rhinitis, and prolonged and repeated exacerbation of vasomotor rhinitis with a violation of the mechanisms of the nasal mucosa contributes to the seasonal transition into a permanent form of the disease.

Permanent form of allergic rhinitis is usually caused by allergens to which people are constantly in contact, such as house dust, animal dander, feather pillows, etc. Sensitization occurs frequently in several allergens, which creates additional difficulties in the diagnosis and treatment of disease.

Neurovegetative vasomotor rhinitis form is based on a violation of the neural mechanisms responsible for the normal physiology of the nose, resulting in the usual stimuli cause hyperergic reaction of the nasal mucosa.

The main symptoms of vasomotor rhinitis of both forms are paroxysmal sneezing, accompanied by nasal obstruction gidroreey and nasal breathing. Sneezing is usually associated with the appearance of itching in the nose, and occasionally in the oral cavity and pharynx. Discharge from the nose is profuse, watery, or mucus, shortness of breath due to swelling of the nasal mucosa, mainly lower and middle turbinates.

Treatment of vasomotor rhinitis is usually complex: desensitization (the use of antihistamines, hormone drugs), local methods, including hirurgichekie (endonasal procaine blockade vnutrislizistoe administration of corticosteroids, an infusion of binding agents, intranasal solution of novocaine blockade, burning reflex zones), and the effects on the nervous the system.

ENT clinic in Moscow
Of an application for treatment

Examination and treatment in GERMANY – Institute "DIAGNOSTIX"