Ethmoiditis

 Etiology
 The etiology of both acute and chronic

sinusitis is infectious. The most common

route is through natural fistulas that
communicate the sinus with the nasal cavity.
In acute infectious diseases, infection of the
sinuses is possible hematogenous
 Clinic
 Typical symptoms for all sinusitis are congestion of
the corresponding half of the nose (with a bilateral
process - both halves), mucous or purulent
discharge from the nose, the presence of a purulent
path in the middle or upper nasal passage, and
impaired sense of smell. Local symptoms in sinusitis
are due to the localization of the process.
 Diagnosis of sinusitis is based on the assessment
of complaints, anamnesis of the disease, the
identification of general and local symptoms,
radiation diagnostics and methods of instrumental
examination (puncture, trepanopuncture and
probing of the paranasal sinuses).
Acute ethmoiditis.
 The lattice labyrinth is the first to be exposed
to any adverse environmental factors. Narrow
excretory ducts of individual parts of the
labyrinth are easily blocked with edema of the
mucous membrane, which contributes to the
development of an inflammatory process in
the cellular structures of the ethmoid bone.
 During anterior rhinoscopy, hyperemia and edema of
the mucous membrane in the area of ​the middle
nasal passage and the middle turbinate, the
accumulation of pus in the middle nasal passage is
determined. In acute inflammation, all groups of
cells of the ethmoid labyrinth arising in the posterior
part of rhinoscopy are affected. In cases where, as a
result of edema, the membrane of the purulent path
is not detected, it is necessary to anemize it and
repeat rhinoscopy after a few minutes. In case of
violation of the appearance of pus (with closed
empyema), the appearance of eye symptoms.
Treatment
 decongestants to help drain the sinuses
 antihistamines to reduce inflammation resulting
from an allergic reaction
 nasal steroids to reduce inflammation in and
around the nose
 saline nasal sprays, which increase moisture in the
nose
 pain relievers, if a person’s sinusitis is causing a
lot of pain
 Antibiotics
 Surgery