FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to otorhinolaryngology, and can find application in treating pyogenic inflammatory disease of frontal sinuses. Substance of the method consists in extranasal opening of a sinus, sanation thereof and adjoining formations, plasty of an operative bone defect, and postoperative treatment. The plasty of the operative bone defect is carried out with a fragment of a demineralised bone graft (DBG) pre-perforated and impregnated with an antibiotic of directed action. A catheter is inserted through one of external lateral perforations of the DBG in the sinus lumen. The postoperative period is managed by a "closed" technique. Daily, 3-5 ml of a sterile physiologic saline is introduced in the sinus lumen through the catheter, and the sinus content is aspirated. Thereafter, 3-5 ml of a solution of the antibiotic of directed action is introduced in the sinus lumen. Once observing a transparent aspirate, the catheter is removed from the sinus.
EFFECT: use of the given invention allows cutting time of treatment of purulent frontal sinusitis and preventing cosmetic defects.
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Authors
Dates
2010-12-20—Published
2009-11-05—Filed