Rhinitis and sinusitis

Navigation:Home > E.N.T. > Rhinitis > Rhinitis and sinusitis

In the cause of complications, sinusitis is the most easy (see), significant (heavier), allergic rhinitis than chronic rhinitis is more than


In the cause of complications, sinusitis is the most easy (see), significant (heavier), allergic rhinitis than chronic rhinitis is more than.

Please refer to: how to treat chronic suppurative sinusitis in children

How to treat chronic rhinitis in children

How to treat allergic rhinitis in children

Easy to catch a cold is what reason, how to prevent and cure

How to treat cough for a long time

How to treat chronic rhinitis (adult)

How to treat chronic suppurative sinusitis (adult)

Rhinitis and sinusitis, both acute and chronic, are likely to cause some of the complications described below, both for adults and children. However, due to the characteristics of children's physiological and pathological, rhinitis and sinusitis in children's influence is more significant, more common, so it is more important, need to attract enough attention. Although the following content is mainly about children, but for adults, can also refer to.

First, what is rhinitis, sinusitis

Children rhinitis, mainly refers to children with acute rhinitis and chronic rhinitis. Nose is part of the upper respiratory tract, acute rhinitis, in the Chinese medicine, known as the cold, in western medicine in the upper respiratory tract infection, in the otorhinolaryngology called acute rhinitis. Acute rhinitis is a part of the upper respiratory tract infection, can the lesion is associated with acute pharyngitis and acute laryngitis. Chronic rhinitis is a chronic inflammation of nasal mucosa. Whether it is acute rhinitis or chronic rhinitis, can cause nasal swelling caused by nasal obstruction; nasal secretion increased and appeared to blow your nose or runny nose.

Sinusitis in children, acute and chronic, refers to the children's sinus mucosa and submucosal tissue of purulent inflammation, often caused by or accompanied by inflammation of the nasal mucosa, also known as nasal sinusitis.

Paranasal sinus, also known as the paranasal sinuses, is the sinus of the skull. The nose as the center, the left and right sides, there are at least 8 (maxillary sinus, frontal sinus, ethmoid sinus, sphenoid sinus), named after the skull. Among them, the maxillary sinus is the largest, located on both sides of the nose, the lower part of the orbit, and the inner side of the zygomatic bone. According to the development of the children, born of maxillary sinus cavity has been formed, which is larger; 2 years old may occur after ethmoiditis symptoms, 10 years old may occur after frontal sinusitis, older children may appear sphenoid sinusitis. Therefore, the clinical maxillary sinusitis is most common in older children, multiple sinusitis or at the same time the situation is also not uncommon.

If necessary, you can refer to the post, in order to better understand the basic knowledge: pharynx, larynx, nose anatomy knowledge

Two, rhinitis and sinusitis in children what harm?

Acute rhinitis, acute sinusitis, chronic rhinitis, chronic sinusitis, especially chronic sinusitis can cause many complications: the main reason is the inflammation of adjacent to the surrounding tissues and organs directly spread, such as inflammation of the eye, nose, jaw; two is due to the nasal flow or swallowed into the stomach, causing the throat and lung and the middle and lower respiratory tract, digestive system, nervous system and mental symptoms.

Three, why rhinitis, sinusitis on children more harm?

Mainly because children with delicate, often more intense inflammation, acute rhinitis and acute sinusitis, nasal mucosa edema and easy height polyp, make the illness more adult oriented, faster development, especially acute suppurative inflammation is likely to cause eye infections around, jaw complications. Because children do not rule out the main nose, nasal flow is relatively easy to cause serious adult, otitis media, throat inflammation and lower respiratory tract disease; inflammatory secretions easily swallowed into the stomach, causing bacteria and toxins absorbed than adults are more prone to gastrointestinal symptoms (poor appetite, diarrhea, constipation, abdominal pain); if it is chronic nasal disease, easy to cause the symptoms of nervous system (night clothes, restless sleep, molar, hyperactivity, mental disorder, etc.); long-term digestive disorders and poor nutrition, easily lead to developmental disorders in children (height not long emaciation with sallow complexion, etc.). Therefore, children rhinitis, sinusitis in children more harm than adults.

Four, what are the common complications of rhinitis and sinusitis in children

1, nasal complications:

(1) allergic rhinitis and chronic rhinitis, allergic rhinitis can cause or aggravate sinusitis; nasosinusitis, decreased body resistance, some patients will appear in the nasal increased sensitivity to change, therefore cause or aggravate allergic rhinitis. The inflammation of the sinuses, purulent nasal discharge to cause rhinitis is inevitable. Therefore, chronic sinusitis, often accompanied by chronic rhinitis. Therefore, in the case of sinusitis and chronic rhinitis, sinusitis treatment.

(2): nasal polyps nasal mucosa edema due to inflammation, may cause nasal polyp or nasal polyps, nasal polyps. Nasal polyps easily blocked, so difficult to cure sinusitis, allergic rhinitis is difficult to cure, the need to give priority to the removal of nasal polyps, it is possible to better treat sinusitis, allergic rhinitis.

Please refer to: nasal polyps, sinus cyst recurrence how to treat?

(3): in children with olfactory disorders are often not complaint in older children or adults of chronic sinusitis, can lead to olfactory dysfunction. Acute sinusitis caused by the olfactory disorder does not matter, sinusitis or better after the recovery, when the normal sense of smell. Chronic sinusitis, nasal congestion can cause respiratory obstruction due to olfactory dysfunction, also may be because of no great importance; olfactory mucosa damage produced by inflammation, nerve susceptibility of olfactory disorder, need special targeted therapy.

Please refer to: how to treat olfactory disorders

2, eye and intracranial complications:

(1) can cause dacryocystitis, conjunctivitis, mainly due to inflammation through the nasolacrimal duct to eye infection. In the treatment of disease, need to cooperate with the ophthalmic treatment, or vice versa, with nasal treatment for eye disease.

(2 eyes) of optic neuritis: (spherical, known as the "eye") is located in the orbital and optic nerve entering the eye in the orbit behind the eyeball in the cracks, and the cracks behind the eyeball and sinuses ("ethmoid") closely adjacent. When the ethmoid sinus inflammation, inflammation may lead to the occurrence of violations of the optic neuritis, the patients in the short term visual acuity decreased rapidly. In the treatment of sinusitis, the need for eye treatment.

(3) intraorbital infection: orbital infection. Orbital and a few paranasal sinuses are closely adjacent, sinus inflammation may enter the orbit, causing orbital infection, resulting in serious consequences.

(4) intracranial infection: the sinus itself is located in the skull, the skull is wrapped around the soft tissue of the brain. If the inflammation puncture sinus into the skull, skull within, cause inflammation, brain soft tissue serious consequences, and even life-threatening, the incidence rate is not high, this kind of situation, but it is not impossible.

3, ear complications: easy intercurrent tympanitis, including otitis media and non suppurative otitis media. Rhinitis, sinusitis can cause otitis media, there may be three reasons. On the one hand, the nasal inflammation, frequently with a large number of bacteria (pus secretion, sticky nose outflow). If the nasal secretions flow backwards, then into the nasopharynx (nose and pharynx junction), can cause inflammation of the nasopharynx. There is a hole in the nasopharynx (called "eustachian tube") to the ear (i.e. "middle ear cavity", also known as "the attic"), because if the inflammation of nasopharyngeal mucosa caused by the congestion and swelling, congestion will lead to middle ear cavity pore opening in the nasopharynx (herein referred to as "the pharyngeal ostium of the eustachian tube, causing exudative") otitis media; if the bacteria along the pore (eustachian tube) into the middle ear cavity, may cause suppurative otitis media. Second, sinusitis, often need to blow your nose. If the right way to blow your nose, the nose will flock to the nasopharynx, further the occurrence of the above situation, caused by otitis media. Third, chronic sinusitis, body resistance tended to decline, when the nasal secretions into the nasopharynx, middle ear cavity, easy to inflammation develop, produce otitis media, the traditional Chinese view is "lack of righteousness, it is easy to invade the toxin".

Please refer to: how to treat non suppurative otitis media

4, due to complications: throat inflammatory secretions (nose) back into the nasopharynx, throat, throat mucosal stimulation, can cause inflammation of the throat, including pharyngitis, tonsillitis, pharyngitis, adenoiditis, adenoid hypertrophy, laryngitis, cause sore throat, to "honk Cameroon, cough there is little sputum or hoarseness, snoring, etc..

Please refer to: the treatment of pharyngitis

How to treat chronic pharyngitis

How to treat chronic tonsillitis

Adenoid hypertrophy

How to treat chronic laryngitis

How to treat cough for a long time

How to treat snoring and obstructive sleep apnea hypopnea syndrome...

5, the lower respiratory tract and pulmonary complications: trachea through the throat. On the one hand, because of sinusitis, nasal secretions into the throat, causing inflammation of the throat, and further down the spread, cause bronchitis disease, cough and other symptoms; on the other hand, the nasal cavity is clean, filtration and disinfection of inhaled air, is the first line of resistance to disease. When sinusitis, this line of defense is destroyed, the dust in the air and harmful substances in the trachea and lungs, thus prone to trachea and lung disease. Clinically, intractable bronchitis, bronchitis, bronchial asthma and chronic sinusitis often exist at the same time, more than the allergic reaction caused by sinusitis.

6, the digestive system complications of sinusitis, especially chronic sinusitis, nasal cavity has lots of pus. The pus is sometimes blowing out, sometimes from the back into the pharynx, nasal reflux, patients are swallowed into the gastrointestinal tract. The poison into the gastrointestinal tract, gastrointestinal mucosa irritation, congestion and edema occurred damage change, so gastrointestinal function is affected, causing gastrointestinal discomfort or pain, bloating, indigestion, appear anorexia, and mesenteric lymphadenitis (umbilical week pain, abdominal ultrasonography can diagnose). The long-term loss of appetite, malnutrition in children with developmental disabilities will (physical weakness, colds, emaciation with sallow complexion of short stature.). The children won't blow your nose, in most cases, nasal secretions flow back into the retropharyngeal be swallowed into the gastrointestinal tract. Therefore, the influence of chronic sinusitis on children's gastrointestinal tract is bigger and more obvious. This is also one of the reasons why sinusitis is more harmful to children.

7, complications of the nervous system: due to the nasal cavity, nasal cavity purulent secretions of toxic and harmful substances are absorbed by the local or gastrointestinal tract, leading to dysfunction of the nervous system. The main symptoms are dizziness, fatigue, sedentary, dizziness or dizziness, headache, insomnia, mental deficiency, memory loss, mood swings, inattention, restless sleep, molar, hyperactivity, poor academic performance etc.. This is also one of the reasons why sinusitis is more harmful to children.

7, cause children development disorders

As the saying goes, "scratch are easy to fold, immaculate stains easily". The children are in the growth process, Chinese medicine belongs to juvenile Yin and Yang of the body, so vulnerable to external factors which lead to disease and dysplasia. Because of the long-term chronic sinusitis, recurrent purulent swallowed into the gastrointestinal tract, causing loss of appetite, so as to reduce food intake and nutritional intake will reduce, can not meet the needs of the growth and development of children. Long time does not meet the needs of growth and development, children's growth and development will be hampered, the emergence of poor performance, such as physical weakness, easy to cold, lack of spirit, not lively, etc.. Therefore, pediatric sinusitis should arouse the attention of parents, active treatment.

Five, why are children prone to sinusitis?

In recent years, doctors and parents of children sinusitis more and more attention. Scientists check the film purporting to children's health were X-ray, found that about 50% children have sinus lesions, if the puncture of maxillary sinus for these children, about 1/3 or so can be washed out purulent secretions, the incidence of sinusitis in children was high. The causes and incidence of children high sinusitis in children in the growth and development of related physiological characteristics.

(1) the nasal sinuses begin to develop after birth. Pediatric sinus development is not perfect, and the nasal cavity channel is long and thin, and the channel opening in the nasal cavity and adult than is wide, so the bacteria can easily enter the children in the paranasal sinus; sinus mucosa delicate, poor resistance to infection prone to inflammation.

(2) compared with the adults poor children's resistance to the external environment, poor adaptability, such as climate change, and disorder, it is easy to catch a cold; if the body is weak, it is likely to cause sinusitis. Moreover, childhood endemic infectious diseases such as measles, scarlet fever, whooping cough, pneumonia and other diseases are more common, easy to cause the nasal inflammation, resulting in sinusitis. The children in the age from 3-9, brought maternal immunity has been expended, and its own immune system has not been established or open not fully established, therefore, this age children are most likely to get sick of the age, we need to pay special attention to the prevention of influenza. To have chronic nasal disease or chronic throat disease (such as chronic rhinitis, chronic sinusitis, allergic rhinitis, tonsillitis and adenoid hypertrophy), bronchitis, allergic reaction (due to genetic factors, such as parents or grandparents have allergic rhinitis diseases, including asthma, chronic bronchitis, allergic rhinitis) children, are especially easy to cause upper respiratory tract infection, chronic or recurrent disease. After growing up, when the situation has improved significantly.

Six, how to prevent sinusitis in children?

Prevention of sinusitis mainly pay attention to the following aspects.

1, to prevent colds: sinusitis is often caused by a cold, so to prevent colds. A lot of methods to prevent colds, such as exercise, enhanced physique; morning water washing, winter night before going to bed with warm water feet; usually to use both hands forefinger back massage nose back to work after sweating and fever; the sudden change in the weather, and the cold sleep when keep warm.

Please refer to: what is the cause of the cold easily, how to prevent and cure

2, active treatment of acute sinusitis, do not turn into chronic sinusitis. Chronic sinusitis is usually acute sinusitis treatment is not complete, course of disease and cause, therefore, to active treatment of acute sinusitis, the course of disease.

3, active treatment of nose and throat, inflammation of the mouth: for other diseases can cause nasal sinusitis (such as nasal polyps and nasal foreign bodies), oral diseases (such as caries), pharyngeal disease (such as tonsillitis and adenoid hypertrophy in children), active prevention and early cure.

4, after a cold, it is best not to fly, so as not to cause sinusitis or otitis media.

5, pay attention to conditioning children's diet, improve appetite, add trace elements, to ensure nutrition, to enhance physical fitness.

To enhance children's appetite: Huangqi meat soup (experience)

Composition: Astragalus 15g big red dates 15 nuclear pig lean meat 100g

Usage: on the three kinds of water, salt, braised or steamed, meat, jujube, soup, 1 to 2 times a week.

Indications function: Yiqi Gubiao fuzhengquxie. For the prevention of chronic rhinitis, allergic rhinitis, sinusitis, chronic pharyngeal disease, adenoid hypertrophy, easy to catch a cold, often recurrent or repeated exacerbations.

If you are interested in discussing the Department of ENT disease, and joined my "friends", you can go to "friends" to participate in the discussion, mutual exchange: http://lifancheng.haodf.com/huanyouhui/index.html



Cerebral Vascular Disease,Acne,Heart Disease,Deaf,Headache,Std,Condyloma Acuminatum,Fibroid,Pneumonia,Brain Trauma,。 Rehabilitation Blog 

Rehabilitation Blog @ 2018