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Maxillary sinus mycetoma

Disease Information

The mycetoma of the maxillary sinus is a form of the inflammatory process that has a fungal nature.

The disease can be asymptomatic for up to several years. But over time, a fungal colony forms around the root of the tooth, resembling plasticine in its consistency. When the colony reaches a certain size, serious respiratory problems and sinusitis occur.

Most often, the fungus in the maxillary sinus occurs during the treatment of the 5th and 6th teeth of the upper jaw, since their roots enter the maxillary sinus and are covered only with a thin layer of mucous membrane.
Sometimes, after dental treatment, particles of the filling material can enter the maxillary sinus and play the role of a breeding ground for various kinds of bacteria and fungi. Around the foreign body of the sinus, mycetoma most often grows.

Fungal infection of the maxillary sinuses: symptoms

    • Frequent headache localized in the area of ​​the projection of the maxillary sinuses, forehead, bridge of the nose, temples.
    • Feeling of pressure in the sinus, upper teeth.
    • Difficulty breathing, frequent congestion.
    • Persistent nasal discharge, unpleasant odor.
    • Swelling.

To diagnose sinus mycetoma, an examination by an otolaryngologist or dentist is required. To confirm the diagnosis, specialists resort to computed tomography.

Mycetoma of the maxillary sinus: treatment in Kiev

The only way to cure a fungal infection of the maxillary sinuses is to surgically remove the neoplasm.

In order to minimize postoperative discomfort, swelling and pain, removal is carried out using modern endoscopic techniques, which allow performing such manipulations without any incisions in the mouth and face.

During the operation, I use endoscopes with an angle of 0 °, 30 °, 45 °, 70 °. For a more gentle removal and preservation of the nasal mucosa, a shaver is used, which allows you to almost bloodlessly eliminate the necessary areas.

Preoperative examination

Before the patient is admitted to the hospital, he needs to undergo a series of laboratory tests and functional tests. It depends on their results whether complications can be avoided later.

Mandatory examination includes:

    • General blood analysis.
    • Biochemistry of blood.
    • Coagulogram - blood clotting analysis.
    • General urine analysis.
    • Analysis for blood group and Rh factor.
    • Chest fluorography.
    • Electrocardiography.

If necessary, the list of tests can be expanded by the attending physician.


Preparation

Before the surgery, it is necessary to:
    • refuse the use of alcohol and smoking;
    • refuse the use of heavy food, while the last meal should be at least 6 hours before the operation (low-fat broth, meat or fish, fruits and vegetables);
    • not drink 4 hours before surgery.

Hospital checklist:
    • comfortable clothes (tracksuit, T-shirts made of natural fabric, changeable underwear);
    • comfortable shoes;
    • slippers;
    • personal hygiene products;
    • a book or a laptop, since after the operation you will have to spend another 1-2 days in the hospital.

Note! It is better to give valuable things to relatives during the operation or to warn medical personnel about them.


Postoperative period

Until full awakening, you will be under the supervision of doctors and only after that you will be transferred to the ward.

At the end of the removal of the mycetoma of the maxillary sinus, there will be tampons in the nose, which are removed, as a rule, the next day.

Removing the tampons is not a painful procedure, as for tamponade I use modern Merocel tampons, which are only 8-10 cm long.

After the tampons are removed, you will be transferred to a ward where you will need to lie on your side for an hour. Then you can get up and walk.

After 6-8 hours or the next day, the nasal toilet is performed: only after that it is possible to assess the condition of the mucous membrane, the severity of edema, the presence of discharge in the nose and decide on the date of discharge.

Convalescence and rehabilitation at home

The greatest number of complications occur outside the medical facility, so it is extremely important to follow all the doctor's recommendations.

You are recovering, but not yet completely healthy. It is necessary to come to the dressings and toilets of the nose, to take medications, which are assigned individually to each at discharge.

What is recommended:
    • to rinse the nose with saline solutions 2-3 times a day (Pshik, Humer, Aqua Maris);
    • to instill Aekol solution 3 times a day;
    • to take a slightly warm shower;
    • to walk outside;
    • to eat warm food.

What is prohibited:
    • to take a hot bath;
    • to do sports for 14 days;
    • to consume hot food and drinks;
    • to drink carbonated drinks.