How to distinguish chronic frontal sinusitis from acute frontal sinusitis?

summary

Frontal sinusitis can be divided into acute frontal sinusitis and chronic frontal sinusitis. Acute frontal sinusitis is acute suppurative sinusitis, which is an acute suppurative infection of the nasal mucosa. Acute frontal sinusitis is not treated in time or treated improperly, which leads to serious damage of mucous membrane and loss of normal function, and can become chronic inflammation. How to distinguish chronic frontal sinusitis from acute frontal sinusitis?

How to distinguish chronic frontal sinusitis from acute frontal sinusitis?

Nasal symptoms: persistent nasal obstruction on the affected side may be caused by swelling of nasal mucosa or accumulation of nasal secretions in the nasal cavity; Runny nose: nasal secretions are mucopurulent or purulent, often associated with head position drainage; Olfactory decline.

Headache: if frontal sinus drainage is blocked, headache may occur, and there may be reflex headache in trigeminal nerve distribution area. Frontal sinusitis headache symptoms, beginning with a total headache, and then gradually limited to the affected side of the upper orbital angle and forehead. The pain had obvious time rule, which was aggravated after getting up in the morning, heaviest at noon, relieved in the afternoon, disappeared in the evening, and repeated the next day. There was obvious tenderness in the upper inner orbital angle.

It is not suitable for operation in acute stage. When sinusitis spreads outward and causes serious complications of adjacent organs, it should be used. In the acute stage, if the standard treatment for more than one month does not improve or becomes chronic, surgery can be performed. The purpose is to improve the ventilation and drainage of nasal sinuses and promote the regression of sinusitis. Auxiliary operations include correction of high curvature of nasal septum, resection of nasal polyps and partial resection of middle turbinate. Sinus surgery: divided into traditional radical surgery and functional endoscopic sinus surgery.

matters needing attention

Detailed medical history and careful analysis of the disease. Children may have redness and swelling of the forehead and upper eyelids. The affected frontal sinus has tenderness and percussion pain, nasal examination may have swelling and polypoid changes of mucosa in the front of middle turbinate, and purulent secretions can be seen in the middle nasal meatus. Nasal endoscopy should be performed to observe the source of pus, and imaging examination should be performed. Sinus X-ray or CT examination should be performed. CT examination makes the diagnosis of sinusitis more convenient and direct.