鼻窦炎引起耳鸣What to do

鼻窦炎是鼻窦粘膜的非特异性炎症，一种鼻科常见多发病，上颌窦炎多见，依次筛窦、额窦和蝶窦的炎症。鼻窦炎可以单发，亦可以多发。最常见的致病Cause为鼻腔感染后继发鼻窦化脓性炎症。鼻窦炎SurgeryTreatment最主要功能性鼻内窥镜Surgery，鼻窦内窥镜Treatment鼻窦炎的原理。

鼻窦炎Patient在发现Disease的第一时间就应该采取有效的Treatment方案。Patient在患上鼻窦炎以后一定要在Life中减少Cold的频次，因为一旦出现Cold的Symptoms，鼻窦炎Patient的病情Symptoms就会加重，在平时的Life中加强体育锻炼，这样才能增强身体的抵抗力，减少Cold的发生。

鼻息肉既可能是鼻窦炎的并发症，也可能本身就是鼻息肉病，所以鼻息肉跟鼻窦炎既有区别又有相关性，鼻息肉是鼻腔黏膜的炎症、水肿性反应，如果长期刺激以后造成鼻腔内黏膜水肿增生，就形成息肉，鼻窦炎是鼻腔鼻窦的慢性炎症。

Sinusitis can be diagnosed based on the patient’s symptoms and physical signs, combined with sinus X-ray and sinus CT imaging. Initially, patients with sinusitis commonly present with nasal congestion, headache, rhinorrhea, and diminished sense of smell. Nasal endoscopy typically reveals mucosal hyperemia and edema, with purulent nasal discharge possibly remaining in the nasal passages. Increased density in the maxillary, sphenoid, ethmoid, and frontal sinuses may be observed on imaging, supporting the diagnosis.

Sinusitis can potentially cause tooth pain, especially when the maxillary sinuses are inflamed—increasing the likelihood of dental discomfort. In patients with sinusitis, a sinus CT scan often reveals swelling and redness in the alveolar process, the first premolar, and the apical region of the third tooth from the midline (i.e., the lateral incisor). Palpation of these areas typically elicits marked tenderness.

鼻塞轻重不等，1.多因鼻黏膜充血肿胀和分泌物增多所致，鼻塞常可致暂时性嗅觉障碍。2.脓涕多鼻涕多为脓性或黏脓性，擤净，脓涕中可带有少许Blood。厌氧菌或大肠杆菌感染者脓涕恶臭。脓涕可后流至咽部和喉部，刺激局部黏膜引起发痒、恶心、Cough和咳痰。

鼻窦炎的常见Symptoms包括：急性鼻旁窦炎全身Symptoms：烦躁不安、发热；慢性鼻旁窦炎全身Symptoms：头昏、注意力不集中；鼻塞：交替性鼻塞或持续性鼻塞；流脓涕；局部疼痛和Headache；根据鼻窦解剖位置，可分为前组鼻窦和后组鼻窦，前组鼻窦和后组鼻窦发炎。

急性鼻窦炎时，需充分给予头孢菌素类抗生素、克拉霉素片、罗红霉素胶囊等抗感染Treatment；病情严重的急性鼻窦炎Patient需进一步输液抗感染Treatment，适当联合激素类Medicine如泼尼松、地塞米松等输液进行抗炎Treatment。急性鼻窦炎是鼻窦粘膜的急性化脓性炎症，多继发于急性鼻炎。