RU2071307C1 - Method to treat exudative maxillary sinus - Google Patents

Abstract

FIELD: medicine, otorhinolaryngology. SUBSTANCE: method deals with elimination of pathologic exudative process in maxillary sinus by content evacuation by Kulikovsky needle puncture followed immediately by low frequency biovibrostimulation outside towards frontal wall surface of maxillary sinus with vibromassage device produced domestically. Treatment course lasts for 5-8 days daily once a day. The first 2-3 punctures are conducted along with biovibrostimulation of maxillary sinus. The rest - biovibrostimulation of maxillary sinus only. Biovibrostimulation time is 1.5-2 minutes. EFFECT: higher efficiency and reduced terms of therapy.

Description

 The invention relates to medicine, namely to otorhinolaryngology and, in particular, to the pathology of the paranasal sinuses.

 Exudative sinusitis continues to occupy a high percentage among the general ENT pathology. Effective treatment in the early stages of the disease prevents the transition to chronic, as well as the development of intracranial and other complications.

 The most common way to treat exudative sinusitis is conservative treatment, involving the evacuation of pathological exudate by sinus drainage.

 The prototype of our method of treatment is the widespread technique of puncture of the maxillary sinus with a Kulikovsky needle, followed by repeated punctures and rinsing of the sinus, or the establishment of permanent drainage for several days. However, the complexity of the pathogenesis of exudative sinusitis, the anatomical feature of the maxillary sinuses, in many cases does not allow to achieve sinus sanitation in a short time, requires the use of antibiotics and other various drugs to which, often, in patients with hypersensitivity.

 The purpose of the invention is to increase the efficiency and reduce the treatment time for exudative sinusitis.

 The goal is achieved by carrying out the evacuation of the pathological exudate from the maxillary sinus by draining it with simultaneous exposure to the sinus mucosa with low-frequency bio-stimulation. Acting reflexively, low-frequency bio-vibro-stimulations affect the restoration of equilibrium between the processes of excitation and inhibition of the central nervous system, improve blood and lymph circulation, restore vascular tone, improve local trophism, and stimulate physiological functions.

 The method is as follows. With a Kulikovsky needle, a typical puncture of the affected maxillary sinus is performed, and the pathological exudate is removed. Immediately after the puncture, low-frequency bio-vibration stimulation is performed. To do this, outside the projection area of the anterior maxillary sinus front wall, a semicircular nozzle (vibrator) with a diameter of 1.0-1.5 cm of a vibrating massage device (VMP-3), GOST 15150-69), domestic production, which is produced with nozzles. The device works from an alternating current main of 220 V. The vibration amplitude of the vibrator is 0.5-2 mm, the vibration frequency is 50 Hz. The time of vibrobiostimulation in the sinus is 1.5-2 minutes. the course of treatment depends on the stage of the process (acute, subacute, chronic) and is 5-8 procedures, daily, once a day. The first two or three punctures of the procedure are performed in combination with a sinus puncture and its bio-vibration stimulation. Since in most patients already during the second or third puncture, exudate is not found in the sinus, then in the following procedures only biovibrostimulation of the sinus is performed. Prescribing is strictly limited. The stopping of the pathological process in the sinus can be judged by control x-ray, or by diagnostic ultrasound ECHO location (Sinuscan), Ultrasinus-01).

Example. Patient R.V.S. 30 years old came with complaints of pain and heaviness in the region of the right maxillary sinus, purulent liquid discharge from the nose, difficulty in nasal breathing more on the right, weakness, fever. Sick 4-5 days. Not treated. On examination, the sinus is not externally altered, with palpation a slight soreness. The mucous membrane of the nasal passages is pink, swollen, more on the right. In the right middle nasal passage, mucopurulent discharge. On the roentgenogram of the sinuses, a decrease in pneumatization of the right maxillary sinus. The patient received a seven-day course of treatment. At the first puncture, about three cubic purulent liquid discharge was obtained. Sinus biovibrostimulation was performed. At the third puncture, the discharge is not received. From the fourth to the seventh day, only bio-vibration stimulation was performed. On the seventh day, the patient's condition is satisfactory, there are no complaints, nasal breathing is free, the mucous membrane is pale pink. With control radiography
slight marginal thickening of the sinus mucosa. The patient was discharged home.

 The proposed method of treatment was used in 9 patients with exudative sinusitis. The method provides effective sanitation of the maxillary sinus, is simple for use in widespread practice both in the hospital and in the clinic, is easily tolerated by patients, and reduces treatment time.

Claims (1)

 A method of treating exudative sinusitis by puncture of the maxillary sinus, characterized in that after the puncture, low-frequency bio-vibration stimulation is performed externally on the projection area of the anterior wall of the maxillary sinus, the treatment course is 5 8 procedures daily, 1 time per day, while 2 3 punctures are performed in combination with bio-vibration stimulation and the rest only with sinus bio-stimulation, bio-stimulation time 2 3 min.