Symptoms of sinusitis
Last reviewed: 23.04.2024
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The clinical course and symptoms of acute sinusitis are very similar. Usually, on the background of recovery from acute respiratory viral infection and influenza, the temperature response, weakness, the state of health worsens, the symptoms of intoxication appear, the reactive edema of the eyes and cheeks, profuse purulent discharge from the nose, and pain in the sinus area appear (especially in young children). If the outflow is difficult, one-sided toothache, a feeling of pressure in the eye area can be observed. Headache often without specific localization. At the same time, nasal congestion, mucous or purulent discharge appear and, in connection with this, respiratory hypoxia. Significant swelling of the mucous membrane of the nasal cavity leads to a violation of patency of the nasopharynx and the appearance of lacrimation. It should be noted that in the early childhood all symptoms of sinusitis can be mildly expressed. With different localization of sinusitis, some features are noted.
So, for the ethmoiditis occupying 60-70% in the structure of sinusitis in children, the symptoms associated with the involvement of the medial wall of the sinuses and orbits are characteristic. Ophthalmic symptoms appear quickly and progressively, with forward rhinoscopy, prolapse of the lateral wall of the nasal cavity is noted.
In acute maxillary sinusitis, most often combined with osteomyelitis, there is soreness with pressure in the canine fossa region, neuralgic pain with irradiation on the cheek, supraorbital area. An acute frontitis is characterized by a sharp decrease in smell, intense pain in the superciliary region, lachrymation. Acute sphenoiditis is met mainly at an older age, it is accompanied by a sharp headache in the occiput, sometimes in the eye sockets, and the sense of smell decreases. Pus usually flows down the back wall of the pharynx, often causing a cough. Thus, the clinical course of acute sinusitis is variable and depends on many factors.
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