Hypertrophy of the mucous membrane of the maxillary sinuses

Parietal thickening of the mucous membrane of the maxillary sinus, what is it?

Many patients who came to see an ENT doctor, after the examination, hear that they have been diagnosed with thickening of the mucous membrane of the maxillary sinus.

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This situation is very common and requires increased attention, because it can indicate a serious pathology. Why this happens, what the symptom indicates, and how disorders in the maxillary sinus can be eliminated - it is not possible to deal with these questions on your own.

General information

All paranasal sinuses are covered with mucous membrane. It is a columnar epithelium with cilia, goblet cells and mucous glands, which is fairly well supplied with blood. The main function of this layer is to cleanse the sinuses and warm the air in them. The mucous membrane of the maxillary sinus can be determined by the results of an x-ray examination. And if previously a thickness of less than 5 mm was considered the norm, now they say that the healthy epithelial lining is not visible at all - only the smooth contour of the bone walls.

Causes and mechanisms

If the mucous membrane thickens, it means pathological processes are occurring in it. They are manifested by edema, increased vascular permeability, infiltration and increased division of cellular elements. Therefore, the mechanism of violations can be different:

  • Inflammation (sinusitis).
  • Tissue hypertrophy.
  • Allergic reaction.
  • Neurovegetative disorders.

The infection enters the sinuses from the nasal cavity, and its further development is facilitated by a violation of the outflow of physiological secretions. The mucus stagnates and becomes a favorable environment for the proliferation of microbes. But parietal swelling of the mucous membrane can occur not only with sinusitis, but as a result of acute respiratory viral infection or another cold, persisting even during the recovery period. And additional factors are:

  • Smoking.
  • Dry and polluted air.
  • Injuries and nasal polyps.
  • Deviation of the nasal septum.

Allergic reactions, like inflammation, are accompanied by swelling. But it has a different origin. An increase in vascular permeability is initiated by allergy mediators (histamine, serotonin). The latter are secreted by mast cells in response to the binding of the allergen to immunoglobulins E absorbed on their surface.

A reaction with swelling of the mucous membrane can also occur with neurovegetative disorders. A decrease in vascular tone leads to expansion of the corpora cavernosa and thickening of the walls of the sinuses. This is facilitated by hormonal disorders and long-term use of nasal decongestants. And hyperplasia of the mucous membrane of the maxillary sinuses is a sign of a chronic process when long-term cellular infiltration develops into tissue disorders akin to tumors.

The mucous membrane of the maxillary sinuses can thicken for various reasons. But to establish the source of the pathology, diagnosis is necessary.

Symptoms

The clinical picture of the condition in question is variable. With slight thickening, there may be no symptoms. But even swelling of about 3 mm in the area of ​​the sinus openings can lead to a deterioration in aeration and outflow of secretions. And with more pronounced changes, the symptoms will become obvious:

  • Difficulty in nasal breathing.
  • Nasal discharge.
  • Sneezing.
  • Decreased sense of smell.
  • Feeling of pressure in the sinus area.

Acute sinusitis in case of untimely diagnosis transforms into a chronic inflammatory process (including hypertrophic). In addition to the above symptoms, it is characterized by a feeling of heaviness in the projection of the maxillary sinuses and periodic headaches. Due to impaired nasal breathing, the mucous membrane of the oropharynx dries out, sometimes the ears become blocked, sleep is disturbed and work capacity is reduced. And during periods of exacerbation, the temperature rises, malaise and weakness occur.

Atopic rhinitis is accompanied by profuse rhinorrhea, paroxysmal sneezing, itching in the nose and lacrimation. Such patients are likely to develop concomitant diseases (conjunctivitis, dermatitis, bronchial asthma). Neurovegetative runny nose has similar symptoms, but it is not associated with allergens. If the examination was carried out during the recovery period from ARVI, then among the probable signs there may be only minor nasal discharge and coughing.

Additional diagnostics

The thickening of the mucous membrane of the maxillary sinuses itself is determined using conventional radiography or computed tomography. But these studies are not enough to establish the reasons. Patients are prescribed additional diagnostic procedures:

  • General blood analysis.
  • Analysis of nasal discharge.
  • Allergy tests.
  • Rhinoscopy.
  • Sinus endoscopy.
  • Biopsy with histology.
  • Puncture of the paranasal sinuses.

Based on the results obtained, it is possible to form a complete picture of what is happening. And having made a diagnosis, you can proceed to the next stage of medical care - treatment.

X-ray methods alone do not allow us to determine the cause of mucosal thickening. To do this, it is necessary to expand the list of diagnostic measures.

Treatment

Consolidation of the sinus mucosa is, in fact, one of the morphological manifestations of the pathological process. And its cause should be treated. For sinusitis, medications come first:

  • Vasoconstrictors (Otrivin, Nazivin, Noxprey).
  • Antiseptics (Chlorophyllipt, Dimexide, furacillin).
  • Antibiotics (Augmentin, Xefocam, Sumamed).

The drugs are prescribed in forms for local (drops and sprays, rinsing solutions) and systemic use (tablets, injections). But any medications should be taken only on the recommendation of a doctor to avoid negative consequences, including drug-induced rhinitis. For atopic rhinitis, antihistamines (Allergodil, Tavegil) and topical corticosteroids (Flixonase, Nasonex) are required. In this same situation, it is extremely important to completely eliminate contact with the causative allergens.

Inflammation in the maxillary sinuses can be treated by washing with a YAMIK catheter and physiotherapy (UHF, EF, laser therapy). If the effect of conservative measures is not enough, then a puncture is performed for sinusitis, evacuating pus from the affected sinuses and washing them. And the hypertrophic process requires surgical manipulation - endoscopic or radical sanitation (according to Caldwell-Luc).

When the results of the initial examination reveal that the mucous membrane of the sinuses is thickened, it is necessary to first understand the cause of the changes. This process can be observed in inflammatory and hypertrophic disorders, allergic and neurovegetative disorders. And only after the patient undergoes additional diagnostics will it become clear what he is dealing with and how to cure the disease.

Source: http://elaxsir.ru/simptomy/drugie/utolshhenie-slizistoj-gajmorovoj-pazuxi.html

The mucous membrane of the maxillary sinus is thickened - what does this mean?

The normal functioning of the respiratory system becomes impossible if the condition of the maxillary cavity is disturbed. This happens due to various diseases of the nose, when a certain area is exposed to viruses, bacteria and allergens very often. One of the results of this process is connective tissue hypertrophy. Is it possible to prevent such a process?

What leads to violation

Thickening becomes a natural continuation of frequent colds, infectious diseases, hypothermia, and allergies. The development of pathology is promoted by:

  • rhinitis;
  • chronic sinusitis;
  • polyps;
  • injury;
  • excessive intake of medications that negatively affect the immune system;
  • acute lack of vitamins and weakening of the body's defenses;
  • congenital/acquired deviated septum.

Inflammation of the maxillary sinuses in each of these cases has its own characteristics.

With rhinitis, for example, the process develops not only in the maxillary cavity, but also in the frontal cavity, affecting the area of ​​the larynx and pharynx. The examination reveals changes in the periosteum, the bones of the nasal turbinates, and the growth is observed more in the lower part of the nose. Thickening of the mucous membrane leads to a feeling of complete obstruction, and vasoconstrictor drops do not give a positive result. In addition, patients note deterioration in hearing, smell, and quality of sleep.

Other provoking factors include the development of purulent, purulent-polyposis, necrotic, and parietal sinusitis. Each of these types also has its own characteristics. For example, in the latter case, not only does the mucous membrane of the maxillary sinus thicken, but the layer connecting it to the muscular layer is also affected. Its peculiarity is that the contents do not linger in the cavity, but flow down the back wall of the larynx. Parietal inflammation is accompanied by pain in the frontal part, below, near the eyes, and the sensations intensify when bending over.

If the maxillary sinuses are not washed in a timely manner, polyps form, and they are indicated by a feeling of congestion on one side. As the size of the formations increases, the wall becomes thicker, and as they increase, it is more difficult to breathe through the nose, and vasoconstrictor drops are of less and less benefit.

At the same time, the person cannot shake the feeling that there is a foreign body in the nose, he always wants to sneeze, and due to constant congestion, the patient tries to breathe through his mouth, which leads to pharyngitis, laryngitis, tracheitis, bronchitis, pneumonia and similar disorders.

Hypertrophy, which occurs as a result of injury, deviated septum, and disruption of the structure of the nasal cavity, leads to increased secretion production and difficulty breathing during inhalation and exhalation. The person experiences:

  • headache;
  • discomfort in the area of ​​the upper jaw and wings of the nose;
  • worsening sleep;
  • the appearance of tinnitus.

Previously appeared discharge becomes cloudy and turns white. The main general symptom is a lumpy appearance of the mucosa, as active formation of pineal seals occurs. All signs are more pronounced against the background of weak immunity and a significant lack of vitamins.

Necessary diagnostics

In order to make an accurate diagnosis, the patient’s history and complaints must be supplemented with the results of other examination methods. The condition of the problem area is assessed based on the results of research methods such as:

Using the methods used, the localization of the lesion is determined - the zone where the greatest thickening is formed. In addition, a sample of discharge taken during puncture is sent to study microflora and sensitivity to antibiotics.

The use of several examination methods makes it possible to examine in detail the layer under study and the processes that occur there. Computed tomography (CT), for example, helps not only to see the growth of the layer, but also to assess its height in various places, the degree of patency of the excretory ducts. At the same time, the place of edema here looks like a kind of strip located near the wall. Using CT, you can notice a thickening zone of several millimeters. This method compares favorably with radiography in its accuracy.

An X-ray image is used to evaluate the state of the layer under study at the stage of active swelling, as well as the level of fluid, and, depending on the degree of inflammation, this fluid acquires a horizontal or concave oblique position. The growth zone in the image is reflected in the form of wall darkening, which indicates the degree of air permeability. If the cause of hypertrophy was an injury, the image will show the location of the fracture or crack, individual fragments and their displacement.

However, it is believed that an x-ray does not always provide a complete picture and therefore a computed tomography scan is prescribed to obtain more complete information.

Rhinoscopy is considered one of the most important examination methods; an endoscope is often used to carry it out. With its help, small polyps are identified, the beginning of the process of thickening the mucous membrane, as well as purulent discharge, invisible with conventional rhinoscopy.

To obtain a more complete picture of the process, rhinoscopy is performed twice: before and after instillation of a vasoconstrictor drug into the nose. The procedure is performed using a local anesthetic.

The best ways to normalize mucous membranes

First of all, it is necessary to eliminate the cause of the abnormal growth of the layer in the area of ​​the maxillary sinus: without eliminating the root cause, even surgery will not give a lasting effect. Therefore it is recommended:

  • in case of odontogenic form of sinusitis, first carry out dental treatment;
  • for adenoids - sanitize the nasopharynx area;
  • for polyps, remove the formations.

If the first stage is ignored, the inflammatory process resumes and takes on a more severe form. After such a radical method, conservative treatment is used, which also depends on the cause of the disorder.

When chronic inflammation is caused by a purulent form of sinusitis, a puncture of the sinus is performed and rinsing using one of the disinfecting solutions (“Furacilin”, “Potassium Permanganate”, “Dioxidine”). It is practiced to inject a cephalosporin antibiotic into the problematic sinus. However, it should be noted that such medications often cause an allergic reaction, especially in people with kidney and liver diseases.

Therapy includes the use of vasoconstrictor drugs - 5 drops on each side 3 times a day. "Galazolin", "Naphthyzin", "Rinopront" are used, but the duration of their use should not exceed 14 days.

If rhinitis is the cause of chronic inflammation and proliferation of the mucous membrane, drainage is performed to remove secretions. Vasoconstrictor drugs are also prescribed (Noxprey, Galazolin, Evkazolin), but with long-term (more than two weeks) use they cause mucosal atrophy. However, antibiotics are considered the main medications for this disease, and the most effective of them are Suprax, Ceftriaxone, Cefotaxime, Bioparox. It is also recommended to rinse the sinuses with antiseptic solutions.

If the layer thickens for any reason, treatment is carried out in accordance with the indications. But not only punctures and medications are prescribed, but also physiotherapeutic procedures - UHF, microwave or ultra-high frequency therapy. Despite their good effectiveness, contraindications should be taken into account - high blood pressure, tumor, intolerance to physiotherapy.

It is recommended to rinse the cavity with a solution prepared based on eucalyptus/calendula extract (1 teaspoon per 500 ml of water).

Washing is carried out 2 times a day. It is useful to do double instillation of celandine juice: 2 drops on each side, after 1-2 minutes - again 2 drops, and the procedure itself should be done 2 times a day. You can use these or other folk remedies to prevent diseases, but only after consulting a doctor.

Author: Lina Kirillova

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Treatment of sinuses

  • CT scan of the paranasal sinuses

  • Puncture of the frontal sinus

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    Hypertrophy of the nasal mucosa

    Hypertrophy of the nasal mucosa, what is it? - a question that often arises among people far from medicine. Let's try to understand the causes, symptoms and treatment of this phenomenon.

    The turbinates are located on the side wall of the nasal cavity and are bony outgrowths. The upper, middle and lower walls perform different functions. One of the main ones is the regulation and direction of air in the nasal passages. As a result of allergic reactions, viral diseases or mechanical damage, asymmetry of the mucous membrane and nasal turbinates may occur. In the process of increasing secretion and proliferation of the surface of the nasal mucosa, hypertrophy appears. The surface takes on an uneven, bumpy appearance. This is one of the most common diseases.

    Causes of hypertrophy of the nasal mucosa

    If you have no damage to the mucous membrane, then it can easily cope with air pressure. In the presence of diseases or asymmetry, air movement changes, and the mucous membrane has to adapt, which leads to its growth.

    One of the main causes of the disease is chronic hypertrophic rhinitis. This is the last stage of catarrhal rhinitis, which has developed in the patient over many years.

    One of the reasons is also the curvature of the nasal septum when the direction of the air flow changes. If this process is difficult in one nostril, then the other nostril works in enhanced mode. After some time, the mucous membrane begins to block air movements in the second half.

    A deviated septum also affects the growth of the nasal turbinates themselves. Due to the curvature, one of the partitions takes up free space.

    Other causes include working in dusty and polluted air, persistent allergic rhinitis, hormonal therapy and smoking.

    Types of turbinate hypertrophy

    Hypertrophic changes most often occur at the posterior end of the inferior shells. This is common in people with chronic rhinitis. As a result of research in this case, polyps are identified that cover the lumen of the nasal openings. The disease develops asymmetrically on both sides.

    Hypertrophy of the anterior ends in the middle shells is less common. The cause is long-term inflammation in the nasal sinus.

    Symptoms of sinus hypertrophy

    The symptoms of hypertrophy are similar to other diseases, so they are not always immediately identified. Mostly, patients complain of difficulty breathing through the nose when inhaling and exhaling. Speech becomes nasal, the presence of a foreign body is felt. There are headaches, nasal discharge, lack of sense of smell, and tinnitus.

    To make a correct diagnosis, it is necessary to perform a rhinoscopy. During the examination, special attention is paid to which part of the discharge has accumulated. If they are localized at the bottom, then this indicates hypertrophy of the posterior ends of the shells. The accumulation of mucus in the anterior passage indicates hypertrophy of the inferior concha.

    A deviated nasal septum can lead to unilateral or bilateral pathology.

    Diagnosis of hypertrophy of the nasal mucosa

    Rhinoscopy is the most popular research method. This procedure is necessary to make a correct diagnosis and as a control during surgical operations. There are three variations of this procedure: anterior, posterior and middle.

    When performing anterior rhinoscopy, the patient and the doctor are opposite each other. The lighting is located to the right of the patient's ear. The patient sits upright, which makes it possible to examine the anterior section, septum, as well as the common and inferior nasal passages. The head is fixed and a nasal speculum is carefully inserted into the nasal cavity. The distance depends on the age of the patient and ranges from three to twenty millimeters. Then the clicks on the mirror are gently pulled apart. If necessary, a probe is used. When using vasoconstrictor drugs and if the patient has wide nostrils, you can examine the posterior wall of the nasopharynx.

    When tilting the head back, anterior rhinoscopy is performed, which makes it possible to examine the middle meatus, middle concha, middle part of the nasal septum and the ethmoidal vesicle. This is the most common examination.

    The surface of the palate, hard-to-reach parts of the nasal cavity, and the vaults of the pharynx are examined using posterior rhinoscopy.

    The procedure is carried out using a rhinoscope. This is a complex device consisting of two tubes. The device is available in various modifications depending on the length and diameter of the tubes. For children under two years of age, ear funnels are used for the procedure. For older children, small special mirrors are used during the study. An assistant helps the doctor when examining small children.

    Hypertrophy of the nasal mucosa: treatment

    Often it is impossible to cope with the disease on your own, so you need to see a doctor for examination and subsequent treatment. Therapeutic treatment does not provide a long-term effect and in most cases surgery is necessary. These methods include:

    Galvanocaustics, when an electrode is inserted into the nasal cavity under local anesthesia. It is heated and passed through the mucous membrane. It begins to enlarge and dies with the formation of a scar. After the procedure, tissue swelling is observed for some time. A few days after the remaining parts are rejected, breathing returns to normal.

    During conchotomy, the mucous membrane is removed using a wire loop, cutting off the excess part without affecting the bone. Cold and nasal packs are used to stop bleeding. They are removed after two days, after soaking them in hydrogen peroxide.

    Submucosal resection is performed by removing bone plates. This eliminates air obstructions and reduces the size of the sink.

    During turbinate surgery, the bony part of the turbinates is removed, their size is reduced, and the obstruction to air movement is reduced.

    Correction of the nasal septum is carried out if the size of the turbinates is normalized as a result of the operation.

    High-frequency ultrasound is also used for treatment. It is used to remove cavernous tissue, which is located under the mucous membrane of the lower conchae. Before the procedure, you need to do an x-ray and endoscopy of the nasal cavity and nasopharynx. During the operation, no bleeding occurs and the mucous membrane is not damaged. Afterwards, no crusts form in the nasal cavity. Before the procedure, you need to do an x-ray and endoscopy. As a result, swelling decreases and nasal breathing is restored.

    Sometimes the hypertrophied mucosa, after anesthesia, is cauterized with trichloroacetic acid. The procedure is carried out using a probe on which cotton wool soaked in acid is wound.

    Turbinate hypertrophy is a serious and unpleasant disease that requires mandatory treatment. Modern medical technologies will help solve problems quickly. As a preventive measure, spend more time in the fresh air and visit a specialist if symptoms appear.

    In folk medicine there are also recipes for treating the disease:

    Rinse your nose with a solution of eucalyptus or calendula at the rate of a teaspoon per half liter of water. Suck it in through your nose and pour it out through your mouth. Carry out the procedure twice a day.

    Instill two drops of celandine juice three times a day. You need to do double instillation, that is, two drops and two more minutes later.

    Insert tampons soaked in plantain infusion into your nose for ten to fifteen minutes.

    Make inhalations from decoctions of oak bark, calendula, raspberry leaves, coltsfoot.

    Source: http://nasmork-rinit.com/lechenie-nasmorka-dlya-vsekh/370-gipertrofiya-slizistoj-nosa

    Symptoms and treatment of thickening of the mucous membrane of the maxillary sinuses

    • Signs of thickening of the mucosa
    • Types of hypertrophy
    • Symptoms of hypertrophy
    • How is hypertrophy treated?

    Thickening of the mucous membrane of the maxillary sinuses is a symptom of many diseases. Often, changes in the mucous membrane occur due to rhinitis, polyps, or foreign objects entering the nose. With rhinitis, the inflammatory process occurs in the larynx, pharynx, frontal and maxillary sinuses. Moreover, the changes that occur in the mucous membrane differ in each of the diseases.

    If the changes in the nasal cavities are minor, then the prognosis will be favorable. If the process is characterized by significant proliferation of connective tissues and damage to the frontal and maxillary sinuses, then the prognosis may be disappointing.

    Most often, thickening of connective tissues is characteristic of chronic sinusitis, which can be purulent, purulent-polyposis, necrotic, or parietal hyperplastic. In some cases, changes in the condition of the nasal mucosa occur due to allergies.

    Most often, the chronic form is a continuation of the acute process. In this case, exacerbation of the disease occurs regularly. Inflammation that continues for more than 6 weeks is chronic.

    Signs of thickening of the mucosa

    The following symptoms are characteristic of chronic sinusitis:

    1. Discharges that can be of different types and quality.
    2. Nasal discharge is thick or thin, sometimes with a characteristic smell of pus.
    3. In this case, the mucus that forms in the nose is poorly blown out and dries out in the form of crusts.
    4. Sinusitis, which occurs in catarrhal form, is characterized by the formation of viscous discharge.
    5. Allergic and serous sinusitis produces liquid discharge. A certain position of the head promotes the outflow of secretions. The most common symptom is nasal odor.

    The development of sinus lesions is indicated by a disturbance in the sense of smell. During the period of attenuation of the disease, the patient's condition remains satisfactory. Gradually, addiction to sinusitis develops. Patients do not seek medical help. During an exacerbation, an increase in temperature may develop, which remains subtile for a long time.

    At the same time, painful sensations are observed in the cheek area, where the inflammatory process occurs. Swelling of the eyelids occurs, a headache develops, which has a certain localization or can be diffuse. Due to the constant inflammatory process, cracks and maceration begin to form in the mucosal tissues, and in some cases eczema and parietal inflammation begin to develop.

    However, thickenings of the mucous membrane are not always formed due to sinusitis. Many types of chronic rhinitis and sinusitis have similar symptoms. They contribute to the development of hypertrophy of the maxillary conchae.

    The most common cause of the disease is a runny nose that lasts a long time, or chronic nasal congestion. Very often, a violation of the location of the nasal septum leads to difficulty in nasal breathing.

    What is conchobullosis? The nasal turbinates are bony outgrowths that are located on the side of the walls of the nasal cavities. Depending on their location, they are located in the upper, middle and lower parts, and each of them performs its own function. The function that the turbinates perform is very important. During breathing, air is directed from the nasal passage to the lungs. With an intact and properly developed mucous membrane, breathing will be free.

    The mucous membranes can be damaged due to mechanical injuries, viral diseases, and allergic reactions. All this leads to asymmetry of the nasal septum, as well as a change in the structure of the mucous membrane. Hypertrophy of the nasal turbinates is a condition in which the nasal mucous tissue grows and thickens, and secretion production increases.

    The main symptom of the development of hypertrophy is a lumpy appearance of the mucosa, in which pineal formations begin to form. The inferior turbinates most often undergo hypertrophic changes.

    Types of hypertrophy

    The anatomical features of the structure of the nose are such that the anterior middle part of the turbinate is the most vulnerable. Hypertrophic changes very often occur here. There are several types of hypertrophy.

    Very often, hypertrophy develops in the back of the turbinates, which are located in the lower part. During examination, polypous formations are often discovered. As the polyps develop, breathing problems begin to develop as they block the nasal passages.

    As a rule, hypertrophy develops asymmetrically on both sides. The anterior part of the turbinates is very rarely affected by hypertrophy. As a rule, the cause of this is advanced sinusitis.

    In a healthy state, the mucous membrane allows air to pass freely during inhalation. With the development of asymmetry or with a chronic inflammatory process, respiratory function is impaired. Since the body is forced to adapt to changes, the mucous membrane, trying to cope with the increased load, begins to grow.

    The same process begins if there is a trauma to the nose or curvature of the nasal septum, and the mechanism works in exactly the same way.

    Gradually, the overgrown mucous membrane blocks breathing from the healthy side. There are a number of other factors that provoke the development of hypertrophy.

    What are the causes of hypertrophy? There are factors that contribute to the development of this disease:

    • tobacco addiction;
    • a profession that involves working in a contaminated area;
    • dusty air;
    • hormonal drugs.

    Symptoms of hypertrophy

    There are no symptoms that directly indicate the development of maxillary concha hypertrophy. In most cases, they are similar to most symptoms of respiratory diseases. As a rule, these are problems with nasal breathing, difficulty in inhaling and exhaling. In some cases, there is a feeling of a foreign body in the nose, mucus, and the voice becomes nasal. You should pay attention to a persistent runny nose and problems with the sense of smell. Headache and tinnitus, heaviness in the head area appear.

    To make a diagnosis, the doctor prescribes rhinoscopy.

    In this case, great attention is paid to where exactly the secretions are localized. Based on their location, the area where thickening of the mucous membrane is formed is determined. Mucosal hypertrophy is a rather dangerous disease that requires serious treatment.

    It is necessary to make a reservation right away that this problem cannot be dealt with at home. In some cases, surgery may be required.

    How is hypertrophy treated?

    Conservative treatment is unproductive. In most cases, the doctor prescribes surgery. There are several types of surgical intervention.

    In order to get rid of the growth of mucous membranes, galvanocaustics are prescribed. Surgery is performed under local anesthesia. The operation is performed using an electrode. After cauterization and death of the scar, nasal breathing function is restored.

    Conchotomy is performed in order to excise the overgrown mucosa. Resection is performed using a wire loop. In this case, the bony part of the shell is not affected.

    Hypertrophy is a disease that can only be completely cured with surgery. In order to avoid it, it is necessary to promptly treat all colds.

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    Symptoms and treatment of thickening of the mucous membrane of the maxillary sinuses

    Thickening of the mucous membrane of the maxillary sinuses is a symptom of many diseases. Most often, changes in the mucous membrane occur with rhinitis, polyps, or foreign objects entering the nose. With rhinitis, the inflammatory process occurs in the larynx, pharynx, frontal and maxillary sinuses. Moreover, the changes that occur in the mucous membrane differ in each of the diseases.

    If the changes in the nasal cavities are minor, then the prognosis will be favorable. If the process is characterized by significant proliferation of connective tissue and damage to the frontal and maxillary sinuses, then the prognosis may be disappointing.

    Most often, thickening of connective tissues is characteristic of chronic sinusitis, which can be purulent, purulent-polyposis, necrotic, parietal hyperplastic. In some cases, changes in the condition of the nasal mucosa occur due to allergies.

    Most often, the chronic form is a continuation of the acute process. In this case, exacerbations of the disease occur regularly. Inflammation that lasts more than 6 weeks is chronic.

    Signs of thickening of the mucosa

    The following symptoms are characteristic of chronic sinusitis:

  • Discharges that can be of different types and quality.
  • Nasal discharge is thick or thin, sometimes with a characteristic smell of pus.
  • At the same time, the mucus that forms in the nose is difficult to sniff and dries out in the form of crusts.
  • Sinusitis, which occurs in catarrhal form, is characterized by the formation of viscous discharge.
  • Allergic and serous sinusitis produces liquid discharge. A certain position of the head promotes the outflow of secretions. Often the symptom is a smelly nose.

    The development of sinus lesions is indicated by a disturbance in the sense of smell. During the period of attenuation of the disease, the patient's condition remains satisfactory. Gradually, addiction to sinusitis develops. Patients do not seek medical help. During an exacerbation, an increase in temperature may develop, which remains subtle for a long time.

    At the same time, painful sensations are observed in the cheek area, where the inflammatory process occurs. Swelling of the eyelids occurs, a headache develops, which has a certain localization or can be diffuse. Due to the constant inflammatory process, cracks and maceration begin to form in the mucosal tissues, and in some cases eczema and parietal inflammation begin to develop.

    However, thickening of the mucous membrane is not always caused by sinusitis. Many types of chronic rhinitis and sinusitis have similar symptoms. They contribute to the development of hypertrophy of the maxillary conchae.

    The most common cause of the disease is a runny nose that lasts for a long time, or chronic nasal congestion. Very often, a violation of the location of the nasal septum leads to difficulty in nasal breathing.

    What is conchobullosis? The turbinates are bony outgrowths that are located on the side of the walls of the nasal cavities. Depending on their location, they are located in the upper, middle and lower parts, and each of them performs its own function. The function that the turbinates perform is very important. During breathing, air rushes from the nasal passage into the lungs. With an intact and properly developed mucous membrane, breathing will be free.

    The mucous membranes can be damaged due to mechanical injuries, viral diseases, and allergic reactions. All this leads to asymmetry of the nasal septum, as well as a change in the structure of the mucous membrane. Hypertrophy of the nasal turbinates is a condition in which the nasal mucous tissue grows and thickens, and secretion production increases.

    The main symptom of the development of hypertrophy is a hilly appearance of the mucosa, in which lump-like formations begin to form. The inferior turbinates are most often susceptible to hypertrophic changes.

    The anatomical features of the structure of the nose are such that the anterior middle part of the turbinate is the most vulnerable. Hypertrophic changes very often occur here. There are several types of hypertrophy.

    Very often, hypertrophy develops in the back of the turbinates, which are located in the lower part. During the examination, formations of a polypous nature are often detected. As the polyps develop, breathing problems begin to develop as they block the nasal passages.

    As a rule, hypertrophy develops asymmetrically on both sides. The anterior part of the turbinates is very rarely affected by hypertrophy. As a rule, the cause of this is advanced sinusitis.

    In a healthy state, the mucous membrane allows air to pass freely during inhalation. With the development of asymmetry or with a chronic inflammatory process, respiratory function is impaired. Since the body is forced to adapt to changes, the mucous membrane, trying to cope with the increased load, begins to grow.

    The same process begins if there is a trauma to the nose or curvature of the nasal septum, and the mechanism works in exactly the same way.

    The mucous membrane has gradually grown and blocks breathing from the healthy side. There are a number of other factors that provoke the development of hypertrophy.

    What are the causes of hypertrophy? There are factors that contribute to the development of this disease:

    • tobacco addiction;
    • profession related to work in contaminated premises;
    • dusty air;
    • hormonal drugs.

    There are no symptoms that directly indicate the development of maxillary concha hypertrophy. In most cases, they are similar to most symptoms of respiratory diseases. As a rule, these are problems with nasal breathing, difficulties in inhaling and exhaling. In some cases, there is a feeling of a foreign body in the nose, mucus, and the voice becomes nasal. You should pay attention to a persistent runny nose and problems with the sense of smell. Headache and tinnitus, heaviness in the head area appear.

    To make a diagnosis, the doctor prescribes rhinoscopy.

    At the same time, the state pays great attention to where exactly the emissions are localized. Based on their location, the area where mucosal thickening is formed is determined. Mucosal hypertrophy is a rather dangerous disease that requires serious treatment.

    It is necessary to make a reservation right away that this problem cannot be dealt with at home. In some cases, surgery may be required.

    How is hypertrophy treated?

    Conservative treatment is unproductive. In most cases, the doctor prescribes surgery. There are several types of surgical intervention.

    In order to get rid of the growth of mucous membranes, galvanocaustics are prescribed. Surgery is performed under local anesthesia. The operation is performed using an electrode. After cauterization and the death of the scar, nasal breathing function is restored.

    Conchotomy is carried out in order to cut the overgrown mucous membrane. Resection is performed using a wire loop. In this case, the bony part of the shell is not affected.

    Hypertrophy is a disease that can only be completely cured with surgery. In order to avoid it, it is necessary to promptly treat all colds.

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    Causes of thickening of the mucous membranes of the maxillary sinuses

    Many processes can occur in the area of ​​the maxillary sinuses, and all of them affect the condition of the respiratory tract. The accumulation of mucous contents and pus is a favorable environment for the proliferation of pathogenic microorganisms. It is worth remembering that thickening of the mucous membranes of the maxillary sinuses is often a common manifestation of many pathologies. Pathological changes in the structure of the mucous membrane are possible with rhinitis, polyps, cysts, penetration of small parts into the nasal cavity (especially important for children).

    The inflammatory process during rhinitis affects not only the maxillary and frontal sinuses, but also the area of ​​the pharynx and larynx. It is worth remembering that the changes occurring on the shells may be different. If they are small, the prognosis is favorable. If the connective tissues grow, the nasal cavities are affected - in such situations the prognosis is disappointing.

    Seals usually occur with chronic sinusitis. It is worth remembering that chronic sinusitis often develops with improper treatment of the acute form of the disease. If the duration of the inflammatory process exceeds 6 weeks, the disease becomes chronic. Exacerbation of pathology in this case will be regular. The structure of the mucous membrane may be damaged due to allergies.

    Types of hypertrophy

    The respiratory organ is designed in such a way that the anterior parts of the nasal concha are the most vulnerable, and it is in them that hypertrophic changes often occur. Quite often, hypertrophy occurs in the posterior part of the nasal concha, located in the lower part of the cavity.

    During the initial examination, polyps may be detected. As they grow, breathing becomes worse due to the fact that such formations block the nasal passages. Hypertrophy often develops asymmetrically; the anterior parts of the turbinate are damaged extremely rarely. This can happen due to advanced sinusitis.

    In normal conditions, the mucous membranes allow air to pass freely during inhalation, but with the development of chronic inflammation, this function is disrupted. At this moment, the body is forced to adapt to changes of this kind, and the mucous membrane, trying to cope with such a load, grows. With mechanical damage or injuries to the nasal septum, the same thing happens.

    The mucous membrane grows gradually and blocks breathing from the healthy side of the nose. There are a number of other factors that provoke and influence the development of pathology:

    • smoking;
    • frequent colds;
    • formation of polyps in the nose;
    • tendency to allergic reactions;
    • constant contact with dry air;
    • being in a room with polluted air;
    • long-term use of hormonal drugs.

    The deformed mucous membrane takes on a lumpy appearance. This pathology is characterized by intensive production of mucous secretion.

    Diagnosis consists of rhinoscopy. During this event, the otolaryngologist examines the parts of the nasal cavity. The location of the area with formed thickening of the mucous membranes is of greatest importance.

    Such a phenomenon necessarily requires treatment. Therapy may consist of home treatment with periodic visits to a specialist. In complicated cases, surgical intervention is used. In a number of cases, the surgical method is used for violations in the structure of the nasal septum and if it is necessary to remove any tumors in the nasal cavity.

    Thickening of the mucous membrane of the maxillary sinus occurs gradually, but at the first alarming symptoms you need to visit a specialist. Treatment can be prescribed only after an initial examination and examination.

    Signs of thickening

    Thickening of the mucous membranes is characteristic of chronic sinusitis, in which the following manifestations are possible:

    1. Discharge from the nasal cavity can have different appearances, in most cases it has a thick consistency.
    2. In some cases, snot has a characteristic putrid odor.
    3. Mucus accumulates in the nasal cavity and forms crusts.
    4. Decreased sense of smell.
    5. Increased body temperature during an exacerbation.
    6. Soreness in the cheek area, the ability to palpate the lump.
    7. Swelling of the eyelids, headaches.
    8. Cracks appear on the mucous membranes, and subsequently parietal inflammation forms.

    With allergic sinusitis, the discharge is liquid, but its outflow is possible if the patient’s head is in a special position.

    It is worth remembering that thickening of the mucous membrane does not always occur due to sinusitis. Rhinitis and sinusitis are very similar in their manifestations, and hypertrophy can also develop against their background. In most cases, sinusitis provokes a prolonged runny nose, which causes constant nasal congestion.

    Diagnostic measures and treatment methods

    To make a diagnosis, rhinoscopy is used, during which a specialist can detect swelling of the mucous membranes, pallor of certain areas, and damage to blood vessels. If symptoms characteristic of chronic sinusitis are present, an x-ray of the sinuses is necessary. Only on x-rays can one notice the initial stages of formations and parietal edema.

    Therapy should primarily be aimed at eliminating swelling and establishing the natural outflow of mucous contents. It is extremely important to restore normal air exchange. Only a specialist can choose the treatment method. Therapy may include the use of antibacterial agents, which should be prescribed only after a nasal swab to determine the type of pathogen.

    The list of applied measures indicated for thickening of the membranes is as follows:

    1. Rinsing the nose with preparations based on sea salt.
    2. The use of antiallergic drugs in a course.
    3. For pain, anti-inflammatory drugs are prescribed.
    4. Use of vasoconstrictor drops (duration of use no more than 7 days).
    5. Nasal antibiotics.
    6. Corticosteroid drugs to relieve parietal edema.
    7. Homeopathic remedies whose action is aimed at thinning mucus.

    To enhance the effect, drug therapy is often supplemented with physiotherapy. Laser therapy, UHF and ultrasound are used. The course of treatment in most cases does not exceed 1 month. Traditional medicine offers its own recipes, the action of which is aimed at combating thickening of the mucous membranes and nasal congestion, but you should remember that self-medication is dangerous and at the first signs of the disease you should consult a specialist.

    Thickening of the mucous membrane of the maxillary sinuses: treatment methods, and what will happen if left untreated

    Changes in the condition of the mucous membrane lining the inner surface of the supramillary sinus are caused by various processes and conditions of the ENT organs. Thickening of the mucous membrane of the maxillary sinuses is a precursor to the development of a serious inflammatory process.

    Causes of thickening of the membranes

    The internal tissues of the maxillary sinuses increase in volume in the following cases:

    • improper treatment of rhinitis;
    • frequent respiratory diseases;
    • long-term allergic reactions;
    • hypothermia of the body;
    • if a polyp has formed in the sinus area;
    • severe infectious diseases;
    • acute states of deficiency of any vitamin;
    • with congenital structural features of the nasal passages;
    • when a foreign body enters the nasal cavity;
    • when a patient takes hormonal drugs for various purposes.

    Important: the prognosis of the course of the disease directly depends on the degree and area of ​​tissue thickening; the more insignificant it is, the more likely a rapid and complete recovery is.

    Changes in the mucosa can occur not only in the maxillary sinuses, but also in the frontal and ethmoid sinuses. In this case, the mucous membrane degenerates into connective tissue.

    Thickening of the mucous membrane of the maxillary sinus is one of the components of the following diseases:

    • chronic sinusitis (purulent, purulent-polypous, necrotic, parietal hyperplastic forms);
    • allergic reactions and rhinitis.

    If the acute form of the disease is not treated, it transforms into a chronic course of the disease. In this case, the condition periodically worsens, the symptoms intensify, which each time become more and more difficult to relieve. An inflammatory process that lasts more than two months is considered to be a chronic form of the condition.

    Symptoms of tissue thickening

    Signs of changes in the condition of the maxillary sinus mucosa are not specific only to this case.

    Important: the constant inflammatory process changes the mucous membrane, cracks form in it, and polyps grow.

    The symptoms are similar to most symptoms of respiratory diseases.

    The chronic condition is characterized by the following complaints from patients:

    1. Breathing is difficult both when inhaling and exhaling.
    2. Constant nasal discharge, which has a different appearance and consistency.
    3. Often the discharge smells like pus. It can be felt even when the patient breathes.
    4. It is difficult for the patient to blow his nose; there is a feeling of mucus, but it is difficult to remove it from the nasal cavity.
    5. This condition is characterized by a deterioration in the sense of smell, up to its complete loss.
    6. The patient's voice becomes nasal, the person speaks “into his nose.”
    7. There may be complaints of congestion, pain and tinnitus.
    8. If an increase in mucous occurs due to the development of sinusitis, then in the initial stages the mucus will be liquid. At this stage, sinusitis is catarrhal. As the disease progresses, it will become thicker and thicker. The development of a purulent stage of the disease is possible.
    9. Sometimes, when the mucous membrane of the maxillary sinuses thickens, a person’s eyelids swell and their eyes water. Their soreness may mistakenly suggest conjunctivitis.
    10. Headaches come in varying intensity, nature and location.
    11. Allergic reactions are accompanied by a liquid state of mucus discharged from the nose.
    12. In the cheek area, on the sides of the nose, pain appears, increasing with pressure.
    13. During an exacerbation, the body temperature rises and the condition worsens sharply.

    When the acute stage passes, even if the condition has already become chronic, the patient begins to feel better. The satisfactory condition lasts until the next onset of the acute stage.

    The patient gets used to his condition and the alternation of these periods; he does not consult a doctor.

    Mechanisms of changes in the structure of the mucosa

    Thickening of the internal tissues of the maxillary sinuses occurs according to the following principle:

    1. When the disease occurs, swelling and thickening occur. The ducts that remove mucus from the sinuses are located on the surface of the mucous membranes, which means that when there is swelling, they are blocked. The mucous membrane performs its function of producing mucus. In case of illness, it is produced more than in a normal situation.
    2. Excess mucus remains in the sinus, causing pressure. The walls of the sinus begin to stretch.
    3. With increased pressure, cysts grow. These formations are subject to uncontrolled growth in size.
    4. If pathogenic organisms penetrate the sinus cavity, the cyst tissue becomes inflamed.
    5. The cells begin to produce pus, which has no way out of the cavity.

    What does long-term lack of treatment lead to?

    Important: degeneration of mucous tissue is very dangerous, as malignant formations may occur.

    Long-term changes in the shape and volume of the mucous membrane of the maxillary sinuses lead to hypertrophy of the maxillary sinuses. The nasal septums shift, and the patient begins to experience serious breathing problems.

    In addition, the displacement of the shells disrupts their symmetrical arrangement. Impaired free nasal breathing will negatively affect the condition of the entire body. On performance, sleep status, mental balance, oral health and much more.

    Changes in the condition of the nasal turbinates affect the condition of their mucous tissue.

    • the asymmetry of the shells provokes uneven air inhalation, the mucous membrane of the shells becomes inflamed;
    • when trying to cope with increased loads, the membrane grows, hypertrophy of the mucous membrane of the nasal concha begins;
    • secretion increases.

    Important: hypertrophic changes in the nasal mucosa can also be provoked by physical impact, trauma to the nose and face.

    The purulent stage of the development of the situation is especially dangerous.

    Purulent processes in the sinus will have the following symptoms:
    • congestion occurs periodically, can be unilateral or bilateral;
    • nasal discharge – cloudy, white;
    • the jaw, forehead, and sides of the nose hurt;
    • the general condition of the patient is rapidly deteriorating;
    • the temperature rises.

    Establishing diagnosis

    The following methods are used to diagnose the disease:

    The research method is prescribed by the attending physician. Often you have to resort to more than one method. It is especially important during the examination to determine the exact location of mucosal hypertrophy.

    Important: it is not possible to cure this disease at home, since a diagnosis can only be made after a series of procedures and consultation with a specialist.

    In case of a serious condition of the patient, surgical intervention will be indicated. The video in this article and photos will explain the features of x-ray diagnostics.

    Surgical methods for treating hypertrophy

    Hyperplasia of the mucous membrane of the maxillary sinuses can be cured by certain surgical methods.

    Surgical treatment methods:

    Upon completion of the procedure, the doctor should give detailed instructions about the features of the postoperative period.

    In addition to surgical methods, drug support is prescribed:

    • antihistamines;
    • drugs to strengthen blood vessels;
    • rinsing the sinuses and nasal turbinates with medicinal solutions;
    • performing inhalations.

    Thickening and swelling of the mucous membrane of the maxillary sinuses causes pathological formation of mucus and pus. Pathogenic microorganisms successfully live in such an environment. This proximity is especially dangerous for the membranes of the human brain, which are located near the maxillary sinuses.

    This disease cannot be determined independently, which means that even with a simple runny nose you need to consult a specialist. Self-medication in this case gives false hope, wastes precious time, the cost of which is very high, and is harmful to health.

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