Method for the treatment of chronic sinusitis

 

(57) Abstract:

The invention relates to medicine, namely to otorhinolaryngology. The method consists in the fact that produce inductothermy right and left temporo-parietal regions of the scalp frequency 40,68 MHz, power 20 W, expositions 6-8 min, within 6-8 days. The method improves the efficiency of the treatment.

The invention relates to medicine, namely, otorhinolaryngology, and can be used for the treatment of chronic sinusitis.

There is a method of treatment of chronic polypous sinusitis by transcranial electrical stimulation using the apparatus of Transair-2 in patients in the postoperative period (proceedings of the XVI Congress of otolaryngologists of the Russian Federation, 2001, the Agency for health information, "RIA-AMI" , St. Petersburg S. 564-567).

The disadvantages of this method are the low availability due to the novelty of the instrument, the technique is applied only in patients with chronic polypous sinusitis in the postoperative period.

The invention is directed to solution of the problem: the availability of the method in its high efficiency, use of various forms of chronic sinusitis.

These tasks reaches the volumes (the limbic-reticular complex) in combination with the basic therapy: are inductothermy right and left temporo-parietal regions of the scalp frequency 40,68 MHz, power of 20 W, the exposure time 6-8 minutes 6-8 days.

The method is as follows. After surgical interventions (puncture of the maxillary sinus, trypanophobia frontal sinuses, pulpotomy nose) designate the ultrahigh-frequency inductothermy, which is carried out by impact in turn on the temporo-parietal region of the head using the applicator eddy currents EWT from UHF-66 or UHF 30. At a power of 20 W, the frequency 40,68 MHz exposure 6-8 min, the rate of 6-8 days. At the same time carry out basic drug therapy, antibiotics are indicated.

Example 1. Patient F. with a diagnosis of chronic polypous gameinput right, ill for 10 years, annually pulpotomy nose, the latter was accompanied by massive bleeding. The patient was bothered by headaches, difficulty in nasal breathing, Muco-purulent discharge from the right half of the nose, reducing the smell. Renoscopes was determined hyperemia and edema of the mucosa of the middle turbinate, Muco-purulent discharge at the average nasal course, polypous tissue in the back rinoskopii right choanal polyp. R-g - homogeneous darkening of the maxillary sinus on the right. In the study of function is resignations innervation, insufficient WATER at the ortho - and Kinoproba and mental stress, the deviation from the normal response in a sample of Dagnini-Achnera. The patient was pulpotomy nose, diagnostic puncture verhnecheljustnykh sinus on the right is the pure liquid, is free, hypoinsulinaemia therapy, intranasal procaine blockade, gliniany laser projection of the maxillary sinus. The course bitemporally inductothermy power 20 watt, frequency 40,68 MHz, exposure session 8 min, a total of 8 sessions. After one session, the headaches disappeared, improved overall health, improved nasal breathing (3rd day), improved sense of smell (4th day), stopped rhinorrhea (4th day), decreased in size remains small polypous tissue (5th day), during the year no recurrence of polyps.

Example 2. Patient W. diagnosed with exacerbation of chronic edematous-catarrhal pansinusitis, sick 3 years, exacerbation of 2 times per year. The patient was having constant severe headache in the frontal region, malaise, fatigue, difficulty in nasal breathing, Muco-purulent discharge from the nose, reduced sense of smell. Renoscopes - hyperemia and edema of the mucous membrane of the nasal Concha, more medium, the th of the throat. R-gram - total homogeneous darkening of the maxillary sinuses, the fluid level in the right frontal sinus; in the blood, increased erythrocyte sedimentation rate, leukocytosis. The patient studied the ANS functional state, marked by the predominance of the parasympathetic innervation, lack of vegetative management, deviation from the normal response. Diagnostic puncture - wash liquid net, it goes hard in her single mucous clots, trypanophobia frontal sinuses - edematous mucosa, no exudate. On the background of basic therapy, the course bitemporally inductothermy power 20 watt, frequency 40,68 MHz, with an exposure time of 8 min, total of 6 sessions. After one session, the headaches disappeared, improved overall health, improved nasal breathing (on day 3), stopped rhinorrhea (on day 3) improved sense of smell (3rd day), no recurrence within one year.

Thus, the effects on nadsegmentarnae (Central) division of the autonomic nervous system in combination with the basic therapy with various forms of chronic sinusitis provides a good therapeutic effect in a shorter time, simple and available to every patient in comparison with the prototype, has a persistent PR is otolaryngologists.

Method for the treatment of chronic sinusitis by impact of physical factors in combination with the basic therapy, characterized in that conduct inductothermy right and left temporo-parietal regions of the scalp frequency 40,68 MHz, power 20 W, expositions 6-8 min, within 6-8 days.

 

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