This is the manifestation of paranasal sinusitis and turbinate hypertrophy for many years.

Accessory sinusitis includes acute and chronic sinusitis. Sinusitis is also called paranasal sinusitis. It is estimated that 14% of Americans and about the same proportion of China people suffer from mild or severe sinusitis every year, and 1-2% of people lose their sense of smell due to sinusitis. Sinusitis has become a disease that seriously affects people's health.

The mucosa of paranasal sinuses is infected by bacteria, and pus flows into the nasal cavity, causing acute sinusitis, often caused by a cold. Repeated acute sinusitis can lead to chronic sinusitis. Virus infection is the main cause. It can lead to nasal congestion, edema, weakened ciliary movement and increased secretion of mucosal glands. The onset is often accompanied by local symptoms such as sneezing, stuffy nose, runny nose, runny nose after nostril, and systemic symptoms such as general malaise, fever and headache.

The main symptom of sinusitis is lack of ventilation. Therefore, to treat sinusitis, we should use membrane constrictor, such as 1% ephedrine or nasal drops, and cooperate with 0. 15% berberine or 0.5% chloramphenicol solution to reduce inflammation. The number of times of medication per day is subject to maintaining ventilation. If ventilation cannot be maintained after medication, surgical treatment such as turbinectomy or electrocautery is needed. Sinusitis is a purulent inflammation in the sinuses, mainly characterized by runny nose and headache. In addition to nasal tax film constriction, antibiotics should be used to eliminate bacterial infection in paranasal sinuses, or maxillary sinus puncture should be done, and radical sinus surgery should be performed if necessary. In radical sinus surgery, functional endoscopic sinus surgery can completely remove the lesions with the help of good illumination of endoscope, and preserve the normal mucosa and structure of nasal cavity and sinus as much as possible to form good ventilation and drainage. Nowadays, minimally invasive endoscopic techniques without surgery have been widely used in clinic.

First, optional western medicine.

1. Acute suppurative sinusitis: (1) Antibiotics or sulfonamides: enough to control infection and prevent it from becoming chronic. (2) 1% ephedrine saline: nasal drops, 1-2 drops each time, twice a day. (3) Sedation and analgesia: used for patients with severe headache. 2. Chronic suppurative sinusitis: local treatment is the main treatment, and vasoconstrictors can be used for nasal drops, commonly used 1% ephedrine saline and nasal drops. Dexamethasone and betamethasone can be added into nasal drops. It should be noted that nasal drops should not be used for a long time to avoid drug-induced rhinitis.

Second, optional Chinese patent medicine.

1. Wind-heat type of lung meridian: (1) Jintong Biyan water: nasal drops for external use. 2-3 drops once, 3-4 times a day. (2) Danxiang Biyan Tablets: Adults take 4-6 tablets each time, three times a day, and children take them by half. (3) Biyuan Pills: Take 12 pills each time, three times a day, with warm boiled water. (4) Xanthium capsule: Take orally according to the instructions of this product. (5) Biyan Pill: 6g each time, twice a day, taken with warm boiled water. (6) Chrysanthemum tablets: 2-4 times each time, 3 times a day, washed with warm water. (7) Xinping Granule: adults should take it with boiling water once 1 bag, three times a day, and the dosage of children should be reduced. (8) Bitong Pill: Take 1 capsule each time, twice a day, and take it with warm boiled water. (9) Biyuanshu Oral Liquid

Third, massage therapy.

Massage location: 1. The reflex zone of the foot bottom: frontal sinus, head (brain), pituitary gland, cerebellum and brain stem, nose, lung and bronchus, celiac plexus, thyroid gland, parathyroid gland, adrenal gland, kidney, ureter, bladder, insomnia point and gonad. 2. Lateral reflex zone of foot: gonad. 3. Back reflex: maxilla, mandible, tonsil, larynx and trachea, thoracic lymph nodes (thymus), upper body lymph nodes and lower body lymph nodes. Common skills: 1. Plantar reflex area: thumb tip method, finger joint point method, pressing method, finger joint scraping method, thumb pushing method, kneading method, fist face tapping method, etc. 2. Lateral foot reflex zone: scraping the lateral edge of index finger, thumb pushing, tapping, etc. 3. Reflex area of the back of hand: thumb tip method, index finger interphalangeal joint point method, index finger pushing method, thumb pushing method, etc. In addition, massage Xiang Ying point, Shangyingxiang point and Neiyingxiang point 30 times a day. You can also massage the nasal cavity with a miniature rhinitis therapeutic instrument. Both have therapeutic effects.

Fourth, surgical treatment.

Acute sinusitis is mainly treated with drugs (cefazolin sodium), supplemented by surgical treatment. Chronic sinusitis is supplemented by drug treatment and mainly treated by surgery. Functional minimally invasive surgery under nasal endoscope has become the most important surgical method for chronic sinusitis and a brand-new technology developed in recent years. It can accurately remove the pathological tissue in the sinus, open or expand the natural opening of the sinus and restore the normal physiological function of the sinus. Compared with traditional sinus surgery, endoscopic sinus surgery is minimally invasive. Known as functional endoscopic sinus surgery, it is to re-establish good ventilation and drainage of nasal cavity and paranasal sinuses on the basis of thoroughly removing inflammatory lesions in paranasal sinuses, so as to completely treat various sinusitis, paranasal sinuses cysts and nasal polyps. This technique has the characteristics of meticulous operation, one-time thoroughness, shortening the postoperative recovery time of patients, little trauma, basically no pain and no hospitalization. (1) nasal drops and oral drugs: vasoconstrictors can contract the swollen mucosa of the nasal cavity, which is beneficial to drainage. Commonly used 1% ephedrine solution or furacilin ephedrine solution, chloramphenicol ephedrine solution nasal drops. For commonly used drugs, please refer to commonly used drugs for treating sinusitis (2) Maxillary sinus puncture and irrigation: it is suitable for chronic maxillary sinusitis, 1~2 times a week, and repeated puncture and irrigation is ineffective; Or rush out of the stench, a large number of water-soluble pus, you can consider surgical treatment. (3) Sinus replacement: mainly suitable for chronic ethmoiditis, frontal sinusitis, sphenoid sinusitis, total sinusitis and children. (4) Physiotherapy: Generally, ultrashort wave diathermy therapy is used as adjuvant therapy. (5) Traditional Chinese medicine: it is mainly fragrant for resuscitation, clearing away heat and toxic materials, eliminating dampness and expelling pus, and is often flavored with Xanthium powder. (6) Surgical treatment: Surgical methods include radical maxillary sinus surgery and various types of endoscopic sinus surgery. Among them, endoscopic sinus surgery is favored by more and more doctors and patients because it conforms to human physiology, has little pain and good effect.

Edit this section of danger

Accessory sinus is an organ of human head. After the child got acute upper respiratory tract infection, the nasal mucosa was congested and swollen, and the secretion increased. It is worth noting that children's sinuses are rich in blood vessels and closely related to nearby tissues, so pediatric sinusitis's infection is easy to cause osteomyelitis. Acute paranasal sinusitis may include fever, cough, listlessness and restlessness, accompanied by otitis media, nosebleeds and joint pain, while older children may have headaches or pain in one cheek. After the formation of chronic sinusitis, obstructive nasal congestion and mouth breathing occur, and nasal discharge is endless. It can be accompanied by adenoid lesions, chronic otitis media, anemia, rheumatism, joint pain, cold, asthma, gastrointestinal or renal diseases and other systemic diseases. Long-term nasal congestion and mouth breathing will affect the development of face and chest, and chronic maxillary sinusitis will also cause tooth development deformity.

Edit this paragraph to prevent

1, pay attention to regular exercise to enhance physical fitness. 2. Wash your face with cold water every morning to enhance the adaptability and disease resistance of nasal mucosa. 3. Pay attention to improving the living and working environment and reducing environmental pollution. 4. Prevent the attack of acute rhinitis, pay attention to climate change, and increase or decrease clothes in time. 5, prevent the formation of paranasal sinusitis, use the correct method of blowing your nose, don't blow your nose by mistake, so as not to push purulent nose into the paranasal sinuses and cause acute and chronic paranasal sinusitis. 6, don't dig your nose by hand, so as not to cause inflammation such as nasal furuncle. 7, often keep a happy mood, physical and mental health, reduce the occurrence of various diseases. 8. excrete toxins from the body and keep the stool unobstructed. 9. It is not advisable to use nasal drops with vasoconstrictive effect for a long time, such as ephedrine and nasal drops. [