The
simplex viral type of sinusitis occurs frequently in children, but
often difficult to diagnose, and diagnosed as nominated or Nechle, what
has not evolved to the shape of bacterial acute or subacute, or chronic.
Before we get into details, it is appropriate to take the idea of the sinuses Sinuses, where there are five pairs in the human nasal major pockets, which are:
Elchiban Moazian of the nose Paranasal sinuses: two in terms of anatomy and tissue composition Amtdadan the nasal cavity.
Elchiban Alvkian Maxillary sinuses
Elchiban Almusvujan Ethmoid sinuses
Elchiban Aljbhoaan Frontal sinuses: They are both not only in children after two years of age.
Elchiban Alocdian Sphenoid sinuses: not only are both after the age of five.
The movement of cilia Ciliae in alcoves that line the sinuses, and that push mucus and secretions formed in the pockets down to the outside through the nose, play a more important role in the prevention of inflammation of the sinuses, and every reason hindering the movement of these cilia, or leading to accumulation and retention of secretions inside the pockets exposes them to infection, such as:
Exposure to cigarette smoke. Inhalation of cold air and dry. Exposure to viral Nechle.
Allergic rhinitis. Swimming and water from entering the nose and sinuses to him.
Gastroesophageal reflux into the esophagus and nose. Disease pancreas fibrosis. Immunodeficiency.
Congenital defect in the mobility of cilia Ciliary dyskinesia. Stuffy nose for any reason, such as: foreign body F. B, Boulib Polyp, the magnitude of appendages Adenoid hypertrophy, tumor Tumor, trauma Trauma, or severe deviation in the diaphragm Nasal Septal deviation
Thus, any obstruction to the movement of mucus and secretions and recession within the sinuses, a middle ground for the growth of bacteria and inflammation of the sinuses so.
The main bacteria responsible for inflammation of the sinuses is
Pneumococcus
H. influenza
Streptococcus
Staphylococcus
Clinical picture Clinical manifestationYou should know that the symptoms of sinusitis in children differ from those in adults, clinical signs typical suffered by adults (such as headaches, pain face, with tenderness by clicking on it, and edema of the face .. etc) is not seen in children, but is (cough, cold and nasal) of the most important symptoms in young children.
Cough: occurs in daytime hours, but increased when the child lies on his back, both in the afternoon nap or sleep at night.
Nasal, cold: It may be be fine or Qyahya. You may also see Sore throat sore throat as a result of rebound nasal secretions into the throat during sleep. It marks that we see on the Child: sneezing Sniff and Snort Snort, a physiological means for cleaning the nose.
The older children: they suffer from the heat, with a sense of pain or tenderness or semi-pressure in the facial area, with foul breath odor, and decreased sense of sniff.
How to differentiate between normal Alnclh simple and sinusitis.!?Then, how do you differentiate between the different cases of sinusitis.!?
Alnclh: a viral disease that is simple, affects the respiratory tract, upper, and is associated with a fever, runny nose and cough, but it does not continue for more than a week to ten days, and all the symptoms to a more than ten days is inflammation of the pockets, not Nechle, the degree of: inflammation of the pockets of viral simple, As mentioned above, and acute inflammation but bacterial Bacterial: high fever and symptoms, may exceed 39 degrees Celsius, with Daúat purulent, with severe headache, and sometimes swelling or bulging eyes.
If symptoms persist - even if it was simple, runny nose with cough - for more than a month, then sinusitis is called subacute or chronic Sub acute Or Chronic.
On physical examination: nasal mucosa, we find red and congested, and here must Nfrgah on the status of allergic rhinitis Allergic rhinitis is characterized by the fact that the nose with Mkhrotha pale and spongy form (Pale and boggy). You may also see the physical examination, nasal Aldaúat it emerges out or bounce back to the throat, causing Tegrahh .. It marks the task according to which a physician clinical examination, tenderness Tenderness mark resulting from the light pressure over the inflamed sinuses.
Complications of sinusitis
Ranging from otitis O. M to inflammation of the soft tissue around the eye socket Peri orbital cellulitis to abscess eye socket Orbital abscess, inflammation of the optic nerve Optic neuritis. That the most important complications are inflammation of the brain and its accessories, including meningitis Meningitis is relatively rare praise of God
Tests required
Rays of the sinuses, or CT to her, where we find one or more of the following radiographic data:
Thickness in the sinus mucosa Mucosal thickening
Aqueous perfusion Air - fluid level
Bleaching intensity and inflamed sinuses Sinus opacification
Analysis of nasal Aldaúat microscopic examination may find the
Cells, pus Pus celles are remnants of dead white blood cells.
Remnants of dead cells, mucous Cellular debris
If the microscopic examination, we found large amounts of eosinophils Alhamziat situation closer to the shape allergic Allergic rhinitis
Aldaúat nasal implant does not match the implant sinus, and therefore of little interest, and we are having.
The examination most important is implant mucosa of the sinuses inflamed by direct access Penidl sterile through the face, which is the only way that we have the type of bacteria, the type of antibiotic that suits them, but we do not resort to this method is usually found only in dangerous situations that threaten life, or situations immune deficiency, or disease, which did not respond to normal treatment.
Treatment
Treatment must be effective for this disease to avoid complications above that may be dangerous and life-threatening, is achieved by three conditions:
Selection of antibiotic good, which covers the microbial causes of this disease, and the beginning Bamoksysalan Amoxicillin is a good start, and often what we choose Alamoxa paperboard (Amoxicillin Clough), and add him as one of the second or third generation of cephalosporin 2nd and 3rd generation of cephalosporin
Good dose Goad dose
Sufficient length of time: where you must continue the treatment period from 14 to 21 days, or for a week after symptoms subside completely.
What about decongestants and antihistamines deconjestant Anti histamines.!?May cause some improvement in clinical symptoms, but it does not speed up the healing, but may have the reverse effect, where more than the thickness of the nasal secretions, and thus impede the movement, and cause Anhbasha, and the worsening of the condition.
Best of all, Normal saline drops for the nose, repeat several times before feeding and before bed, they are useful, where they help to soften the Aldaúat and ease of disposal.
Before we get into details, it is appropriate to take the idea of the sinuses Sinuses, where there are five pairs in the human nasal major pockets, which are:
Elchiban Moazian of the nose Paranasal sinuses: two in terms of anatomy and tissue composition Amtdadan the nasal cavity.
Elchiban Alvkian Maxillary sinuses
Elchiban Almusvujan Ethmoid sinuses
Elchiban Aljbhoaan Frontal sinuses: They are both not only in children after two years of age.
Elchiban Alocdian Sphenoid sinuses: not only are both after the age of five.
The movement of cilia Ciliae in alcoves that line the sinuses, and that push mucus and secretions formed in the pockets down to the outside through the nose, play a more important role in the prevention of inflammation of the sinuses, and every reason hindering the movement of these cilia, or leading to accumulation and retention of secretions inside the pockets exposes them to infection, such as:
Exposure to cigarette smoke. Inhalation of cold air and dry. Exposure to viral Nechle.
Allergic rhinitis. Swimming and water from entering the nose and sinuses to him.
Gastroesophageal reflux into the esophagus and nose. Disease pancreas fibrosis. Immunodeficiency.
Congenital defect in the mobility of cilia Ciliary dyskinesia. Stuffy nose for any reason, such as: foreign body F. B, Boulib Polyp, the magnitude of appendages Adenoid hypertrophy, tumor Tumor, trauma Trauma, or severe deviation in the diaphragm Nasal Septal deviation
Thus, any obstruction to the movement of mucus and secretions and recession within the sinuses, a middle ground for the growth of bacteria and inflammation of the sinuses so.
The main bacteria responsible for inflammation of the sinuses is
Pneumococcus
H. influenza
Streptococcus
Staphylococcus
Clinical picture Clinical manifestationYou should know that the symptoms of sinusitis in children differ from those in adults, clinical signs typical suffered by adults (such as headaches, pain face, with tenderness by clicking on it, and edema of the face .. etc) is not seen in children, but is (cough, cold and nasal) of the most important symptoms in young children.
Cough: occurs in daytime hours, but increased when the child lies on his back, both in the afternoon nap or sleep at night.
Nasal, cold: It may be be fine or Qyahya. You may also see Sore throat sore throat as a result of rebound nasal secretions into the throat during sleep. It marks that we see on the Child: sneezing Sniff and Snort Snort, a physiological means for cleaning the nose.
The older children: they suffer from the heat, with a sense of pain or tenderness or semi-pressure in the facial area, with foul breath odor, and decreased sense of sniff.
How to differentiate between normal Alnclh simple and sinusitis.!?Then, how do you differentiate between the different cases of sinusitis.!?
Alnclh: a viral disease that is simple, affects the respiratory tract, upper, and is associated with a fever, runny nose and cough, but it does not continue for more than a week to ten days, and all the symptoms to a more than ten days is inflammation of the pockets, not Nechle, the degree of: inflammation of the pockets of viral simple, As mentioned above, and acute inflammation but bacterial Bacterial: high fever and symptoms, may exceed 39 degrees Celsius, with Daúat purulent, with severe headache, and sometimes swelling or bulging eyes.
If symptoms persist - even if it was simple, runny nose with cough - for more than a month, then sinusitis is called subacute or chronic Sub acute Or Chronic.
On physical examination: nasal mucosa, we find red and congested, and here must Nfrgah on the status of allergic rhinitis Allergic rhinitis is characterized by the fact that the nose with Mkhrotha pale and spongy form (Pale and boggy). You may also see the physical examination, nasal Aldaúat it emerges out or bounce back to the throat, causing Tegrahh .. It marks the task according to which a physician clinical examination, tenderness Tenderness mark resulting from the light pressure over the inflamed sinuses.
Complications of sinusitis
Ranging from otitis O. M to inflammation of the soft tissue around the eye socket Peri orbital cellulitis to abscess eye socket Orbital abscess, inflammation of the optic nerve Optic neuritis. That the most important complications are inflammation of the brain and its accessories, including meningitis Meningitis is relatively rare praise of God
Tests required
Rays of the sinuses, or CT to her, where we find one or more of the following radiographic data:
Thickness in the sinus mucosa Mucosal thickening
Aqueous perfusion Air - fluid level
Bleaching intensity and inflamed sinuses Sinus opacification
Analysis of nasal Aldaúat microscopic examination may find the
Cells, pus Pus celles are remnants of dead white blood cells.
Remnants of dead cells, mucous Cellular debris
If the microscopic examination, we found large amounts of eosinophils Alhamziat situation closer to the shape allergic Allergic rhinitis
Aldaúat nasal implant does not match the implant sinus, and therefore of little interest, and we are having.
The examination most important is implant mucosa of the sinuses inflamed by direct access Penidl sterile through the face, which is the only way that we have the type of bacteria, the type of antibiotic that suits them, but we do not resort to this method is usually found only in dangerous situations that threaten life, or situations immune deficiency, or disease, which did not respond to normal treatment.
Treatment
Treatment must be effective for this disease to avoid complications above that may be dangerous and life-threatening, is achieved by three conditions:
Selection of antibiotic good, which covers the microbial causes of this disease, and the beginning Bamoksysalan Amoxicillin is a good start, and often what we choose Alamoxa paperboard (Amoxicillin Clough), and add him as one of the second or third generation of cephalosporin 2nd and 3rd generation of cephalosporin
Good dose Goad dose
Sufficient length of time: where you must continue the treatment period from 14 to 21 days, or for a week after symptoms subside completely.
What about decongestants and antihistamines deconjestant Anti histamines.!?May cause some improvement in clinical symptoms, but it does not speed up the healing, but may have the reverse effect, where more than the thickness of the nasal secretions, and thus impede the movement, and cause Anhbasha, and the worsening of the condition.
Best of all, Normal saline drops for the nose, repeat several times before feeding and before bed, they are useful, where they help to soften the Aldaúat and ease of disposal.
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