Спондилогенные гаймороэтмоидиты у детей

Abstract

A comparative study of 71 patients aged 3 to 10 years was carried out, the average age was 4.73±1.99 years, including 29 males (40.8%) and 42 females (59.1%). Patients were divided into 2 groups. The first group, “spondylogenic acute sinusitis”, was 40 people; the second – “spondylogenic recurrent sinusitis” – 31 patients. In the course of the study, clinical, radiological, electrophysiological (electromyographic) data were compared and the tactics of managing and treatment of the children with a diagnosis of acute spondylogenic sinusitis who received a birth injury of the cervical spine were formed. The treatment regimen consisted of a comparative analysis of the traditional standard of treatment (prescribing decongestants, nasal cavity toilet, antibacterial drops in the nose, secretolytics, if it necessary antibiotics) of spondylogenic acute and recurrent sinusitis with an integrated method that includes the basics of traditional treatment with the addition of local effects on the affected cervical vertebral-motor segments (acupressure, light traction over the cervical spine, post-isometric relaxation of the neck muscles). The persistent positive effect we obtained from the complex treatment of “spondylogenic sinusitis in children” prompts a special study of the relationship of congestive inflammatory phenomena in the nasal cavity and paranasal sinuses with birth trauma of the cervical spine of neuropathologists, obstetrician-gynecologists together with otorhinolaryngologists.