Ultrasound diagnosis of the traumatic forms of iatrogenic maxillary sinusitis of stomatogenic origin

Abstract

The need for elaboration of non-invasive methods of diagnostics of inflammatory diseases of maxillary sinuses still be topical that is explained by the existence of numerous patients, for example, children and pregnant, with contraindications to the traditional x-ray examination or computed tomography, by the necessity to carry out in several cases the scanning of maxillary sinuses in the dynamics of treatment. Sinusitis in children is the dominant pathology in both stationary and outpatient practice.Aim of research. To raise the effectiveness of diagnostics of the different forms of iatrogenic maxillary sinusitis. Material and methods. The two-dimensional ultrasound examination of the maxillary sinuses 21 (100,0 %) of patient (the mean age 43,8±14,0 years old) with the traumatic form of iatrogenic sinusitis of stomatogenic origin was carried out using the ultrasound diagnostic apparatus АCUSON X 500, ATSmod.539 (SIEMENS, USA) in В-mode by the method of V.V. Shilenkova [11] using the linear sensor with the length of working surface 37 mm and frequency mode 7,5–10 MHz.Results of research. At the primary injury of healthy maxillary sinuses by the iatrogenic traumatic factor of stomatogenic origin at the stage of remission of sinusitis the sonographic picture of unchangeable sinus is typical (isoechogenicity of membrane – 57,1 % and acoustical shadow – 52,4 %). At the secondary injury that is the combination of iatrogenesis with the chronic sinusitis the sonographic signs of the chronic inflammation are observed (hyperechogenicity of membrane – 23,8 % hyperechoic content of sinus (polyps) – in 38,1 %).In the acute phase of disease the signs of catarrhal sinusitis prevail (homogenous echostructure of membrane – in 52,4 %, uniformity of its thickening - in 33,3 %) and serous character of exudates in sinus (the arced form of the outline of the sinus back wall – 38,0 %)