Curs Orl Rinita,Sinuzita,Adenoidita
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Transcript of Curs Orl Rinita,Sinuzita,Adenoidita
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O.R.L.O.R.L.
RINITARINITA
SINUZITASINUZITA
ADENOIDITAADENOIDITA
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RINITARINITA
Definitie: inflamatia acuta sau Definitie: inflamatia acuta sau cronica a mucoa-cronica a mucoa-
sei nazale.sei nazale. Clasificare:Clasificare:
-rinite acute: -r. acuta banala-rinite acute: -r. acuta banala
-r. bacteriana-r. bacteriana
-rinite cronice: -r. nespecifice-rinite cronice: -r. nespecifice
-r. specifice-r. specifice
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RINITELE ACUTERINITELE ACUTE Rinita acuta banala=guturai,corizaRinita acuta banala=guturai,coriza 1. Etiologie: virala1. Etiologie: virala 2. Factori favorizanti: -imunitate scazuta2. Factori favorizanti: -imunitate scazuta -stress-stress -variatii termice-variatii termice 3. Mod de transmitere: -pe cale aeriana3. Mod de transmitere: -pe cale aeriana 4.Clinic: -obstructie nazala4.Clinic: -obstructie nazala -stranut-stranut -prurit nazal-prurit nazal -rinoree-rinoree -subfebrilitate-subfebrilitate -cefalee difuza-cefalee difuza
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RINITELE ACUTERINITELE ACUTE Rinita acuta banalaRinita acuta banala 5. Evolutie:5. Evolutie: -spontana in 7-8 zile-spontana in 7-8 zile -uneori,severa la n.n si copilul mic:febra, -uneori,severa la n.n si copilul mic:febra,
tul-tul- burari dispeptice,deshidratare.burari dispeptice,deshidratare. 6. Tratament:6. Tratament: -antitermice-antitermice -hidratare-hidratare -repaus la pat-repaus la pat
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RINITELE ACUTERINITELE ACUTE Rinita bacteriana: apare in urma Rinita bacteriana: apare in urma
suprainfectiilorsuprainfectiilor 1. Clinic:1. Clinic: -febra-febra -secretii mucopurulente-secretii mucopurulente -stare generala alterata-stare generala alterata -inapetenta-inapetenta 2. Tratament2. Tratament -antitermice-antitermice -antibioterapie-antibioterapie -hidratare-hidratare
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RINITELE CRONICERINITELE CRONICE
Rinitele nespecifice:Rinitele nespecifice:
-r. hipertrofica-r. hipertrofica
-r. medicamentoasa-r. medicamentoasa
-r. din timpul sarcinii-r. din timpul sarcinii
-r. alergica-r. alergica
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RINITELE CRONICERINITELE CRONICE Rinita hipertroficaRinita hipertrofica 1. Factori favorizanti:1. Factori favorizanti: -poluare-poluare -expunere la alergeni-expunere la alergeni -fumat-fumat 2. Clinic:2. Clinic: -obstructie nazala bilaterala:-intermitenta-obstructie nazala bilaterala:-intermitenta -progresiva-progresiva -rinoree seroasa la variatii de temperatura-rinoree seroasa la variatii de temperatura
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RINITELE CRONICERINITELE CRONICE Rinita hipertroficaRinita hipertrofica 3. Investigatii:3. Investigatii: -rinoscopia: mucoasa nazala congestionata si-rinoscopia: mucoasa nazala congestionata si tumefiata,hipertrofiata difuz.tumefiata,hipertrofiata difuz. 4. Tratament:4. Tratament: -forme usoare:-local:- vasoconstrictoare 5-7 zile-forme usoare:-local:- vasoconstrictoare 5-7 zile -lavaj cu sare marina-lavaj cu sare marina -AINS spray sau aerosoli-AINS spray sau aerosoli -general: -Paracetamol Sinus-general: -Paracetamol Sinus -indepartarea fact.fav.-indepartarea fact.fav. -forme avansate: - tratament chirurgical-forme avansate: - tratament chirurgical
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RINITELE CRONICERINITELE CRONICE
Rinita medicamentoasaRinita medicamentoasa
Cauza:- medicamentele Cauza:- medicamentele vasoconstrictoarevasoconstrictoare
Rinita din timpul sarcinii: Rinita din timpul sarcinii:
Cauza: -modificarile hormonaleCauza: -modificarile hormonale
-se regleaza dupa nastere-se regleaza dupa nastere
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RINITELE CRONICERINITELE CRONICE
Rinita alergicaRinita alergica
1. Clasificare:1. Clasificare:
-periodica: manifestata sezonier prin -periodica: manifestata sezonier prin expunere expunere
la alergenla alergen
-aperiodica: manifestata tot timpul -aperiodica: manifestata tot timpul anului,anului,
datorata a. datorata a. respiratori/infectiosirespiratori/infectiosi
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RINITELE CRONICERINITELE CRONICE Rinita alergicaRinita alergica 2. Clinic:2. Clinic: -criza: -obstructie nazala-criza: -obstructie nazala -stranut in salve-stranut in salve -rinoree seroasa-rinoree seroasa -intre crize:-intre crize: -obstructia dispare total sau partial-obstructia dispare total sau partial -boli asociate: eczeme, dermatite alergice, -boli asociate: eczeme, dermatite alergice,
astmastm bronsic.bronsic.
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RINITELE CRONICERINITELE CRONICE
Rinita alergicaRinita alergica
3. Diagnostic:3. Diagnostic:
-paraclinic:- teste alergologice care -paraclinic:- teste alergologice care se fac se fac
inafara crizelorinafara crizelor
- euzinofilie- euzinofilie
- valori crescute ale Ig E- valori crescute ale Ig E
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RINITELE CRONICERINITELE CRONICE Rinita alergicaRinita alergica 4. Tratament:4. Tratament: -evitarea expunerii la alergeni-evitarea expunerii la alergeni -desensibilizare specifica-desensibilizare specifica -local: -antiinflamatorii steroidiene-local: -antiinflamatorii steroidiene -antihistaminice topice-antihistaminice topice -general: -antihistaminice-general: -antihistaminice -chirurgical: -cand obstructia nazala nu -chirurgical: -cand obstructia nazala nu
mai cedeazamai cedeaza la tratamentul conservator.la tratamentul conservator.
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RINITELE CRONICERINITELE CRONICE
Rinitele specifice=atroficeRinitele specifice=atrofice
Clasificare:Clasificare:
-rinita atrofica simpla-rinita atrofica simpla
-ozena-ozena
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RINITELE CRONICERINITELE CRONICE
Rinita atrofica simplaRinita atrofica simpla Cauze:Cauze: -expunere la gaze toxice,pulberi -expunere la gaze toxice,pulberi
metalicemetalice -unele interventii chirurgicale-unele interventii chirurgicale Clinic:Clinic: -cruste epidermice-cruste epidermice -uscaciunea mucoaselor-uscaciunea mucoaselor -falsa senzatie de obstructie nazala-falsa senzatie de obstructie nazala
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RINITELE CRONICERINITELE CRONICE OzenaOzena Definitie: afectiune inflamatorie Definitie: afectiune inflamatorie
cronica,ca-cronica,ca- racterizata prin atrofia racterizata prin atrofia
mucoasei,mucoasei, apare la sexul F, la pubertate apare la sexul F, la pubertate
sausau la varsta adulta.la varsta adulta. Clinic: - falsa senzatie de obstructie nazalaClinic: - falsa senzatie de obstructie nazala - cruste fetide,urat mirositoare- cruste fetide,urat mirositoare - anosmie- anosmie
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RINITELE CRONICERINITELE CRONICE
OzenaOzena Investigatii: -rinoscopia anterioaraInvestigatii: -rinoscopia anterioara Tratament:Tratament: -instilatii cu vit. A-instilatii cu vit. A -aerosoli cu ape sulfuroase-aerosoli cu ape sulfuroase -vitaminoterapie+Ca-vitaminoterapie+Ca -interventie chirurgicala de -interventie chirurgicala de
recalibrare a foselorrecalibrare a foselor nazale.nazale.
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SINUZITASINUZITA
Definitie: inflamatia acuta sau Definitie: inflamatia acuta sau cronica a mucoa-cronica a mucoa-
sei sinusurilor paranazale.sei sinusurilor paranazale. Etiologie: Etiologie:
-virala-virala
-bacteriana-bacteriana
-alergica-alergica
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SINUZITASINUZITA Factori favorizanti:Factori favorizanti: -rinita hipertrofica: - adenoidita cronica-rinita hipertrofica: - adenoidita cronica - corpi straini nazali- corpi straini nazali - deviatia de sept- deviatia de sept - alergia rinosinusala- alergia rinosinusala -odontogeni: - abcese, supuratii-odontogeni: - abcese, supuratii -fistule alveolo sinusale dupa -fistule alveolo sinusale dupa extractii dentareextractii dentare -traumatici: -fracturi de sinus frontal sau -traumatici: -fracturi de sinus frontal sau
maxilar.maxilar.
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SINUZITASINUZITA Mecanism de producere: Mecanism de producere: Initial, inflamatia mucoasei din timpul Initial, inflamatia mucoasei din timpul
rinitelorriniteloracute sau cronice, ingustarea spatiului acute sau cronice, ingustarea spatiului
sinusurilor,sinusurilor,aparitia unei staze care se suprainfecteaza si aparitia unei staze care se suprainfecteaza si
deter-deter-mina acumularea secretiilor.mina acumularea secretiilor. Clasificare:Clasificare: - sinuzita acuta- sinuzita acuta - sinuzita cronica- sinuzita cronica
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SINUZITASINUZITA Sinuzita acutaSinuzita acuta Clinic:Clinic: -durere pulsatila-durere pulsatila -obstructie nazala-obstructie nazala -rinoree -rinoree
mucopurulentamucopurulenta -cefalee: -frontala-cefalee: -frontala -reg. geniana-reg. geniana -febra-febra -fotofobie-fotofobie -lacrimare-lacrimare
Sinuzita cronicaSinuzita cronica Clinic:Clinic: -cefalee-cefalee -obstructie nazala-obstructie nazala -rinoree:- posterioara -rinoree:- posterioara si/sausi/sau anterioaraanterioara -mucoasa sau-mucoasa sau
mucopurulentamucopurulenta -halitoza(respiratie urat -halitoza(respiratie urat
miro-miro- sitoare).sitoare).
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SINUZITASINUZITA
Investigatii:Investigatii:
-Rx.: - sinusuri anterioare ale fetei-Rx.: - sinusuri anterioare ale fetei
-ex. stomatologic-ex. stomatologic
-punctia sinusului-punctia sinusului
-CT cranian-CT cranian
-RMN-RMN
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SINUZITASINUZITA Tratament-sinuzita Tratament-sinuzita
acutaacuta -antibioterapie 7-10 -antibioterapie 7-10
zilezile -AINS sau AIS -AINS sau AIS -vasoconstrictoare -vasoconstrictoare
nazalenazale +/-+/- -antihistaminice-antihistaminice -mucolitice-mucolitice -inhalatii, aerosoli-inhalatii, aerosoli
Tratament-sinuzita Tratament-sinuzita cronicacronica
-antibioterapie 10-14zile-antibioterapie 10-14zile in fazele de acutizarein fazele de acutizare -punctia sinusului:-punctia sinusului: -drenaj-drenaj -lavaj-lavaj -ex. bacteriologic-ex. bacteriologic -depistarea si tratarea -depistarea si tratarea fact. favorizantifact. favorizanti -tratament -tratament
chirurgical:clasic chirurgical:clasic sau endoscopic.sau endoscopic.
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ADENOIDITAADENOIDITA
Definitie: inflamatia amigdalei lui Definitie: inflamatia amigdalei lui LuscaLusca
Clasificare:Clasificare:
-adenoidita acuta-adenoidita acuta
-adenoidita cronica-adenoidita cronica
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ADENOIDITAADENOIDITA
Adenoidita acutaAdenoidita acuta Clinic:Clinic: -obstructie nazala-obstructie nazala -rinoree mucopurulenta-rinoree mucopurulenta -febra-febra -sforait-sforait -stare generala alterata-stare generala alterata -insotita de otita medie acuta-insotita de otita medie acuta
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ADENOIDITAADENOIDITA
Adenoidita acutaAdenoidita acuta Investigatii: Investigatii: - radiografia sinusurilor- radiografia sinusurilor (dg. diferential cu sinuzita)(dg. diferential cu sinuzita) Tratament:Tratament: -antibioterapie-antibioterapie -antitermice-antitermice -vasoconstrictoare nazale-vasoconstrictoare nazale
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ADENOIDITA ADENOIDITA
Adenoidita cronicaAdenoidita cronica
Definitie: inf. plurimicrobiana dupa Definitie: inf. plurimicrobiana dupa puseepusee
acute,fiind una din cele mai acute,fiind una din cele mai frec-frec-
vente probleme nasofaringienevente probleme nasofaringiene
din perioada copilariei.din perioada copilariei.
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ADENOIDITAADENOIDITA Adenoidita cronicaAdenoidita cronica Clinic:Clinic: - rinoree- rinoree - halitoza- halitoza - coexistenta unei otite medii- coexistenta unei otite medii - obstructie nazala bilaterala persistenta- obstructie nazala bilaterala persistenta - sforait,respiratie pe gura,tuse nocturna- sforait,respiratie pe gura,tuse nocturna - paloare- paloare - somnolenta- somnolenta - tulburari de auz si fonatie- tulburari de auz si fonatie - enurezis nocturn- enurezis nocturn - deficit staturo-ponderal- deficit staturo-ponderal
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ADENOIDITAADENOIDITA
Adenoidita cronicaAdenoidita cronica Investigatii:Investigatii: -rinoscopie posterioara-rinoscopie posterioara -fibroscopie-fibroscopie Tratament:Tratament: -adenoidectomie:-adenoidectomie: -clasic-chiureta-clasic-chiureta -radiofrecventa-radiofrecventa
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INTREBARI?INTREBARI?
VA MULTUMESCVA MULTUMESC