title: [Therapeutic tactics in isolated and combined exudative ethmoid sinusitis in children].
abstract: This paper presents the results of treatment of 81 children, aged 5 to 14 years, suffering from exudation ethmoid sinusitis; isolated ethmoid sinusitis was diagnosed in 17.8% and ethmoid sinusitis combined with maxillary sinusitis was detected in 61.7% cases. Most sinusitis cases (82.7%) were diagnosed in 5 to 10 year-old children. The ethmoidal labyrinth and maxillary sinus were treated by the puncture method, infection of other paranasal sinuses being excluded by the application of antibacterial, enzymic, corticosteroid drugs, immune agents, and adenotomy. Antibiotic therapy of 2 weeks in duration applied to the ethmoid labyrinth and maxillary sinus was more efficient when compared to the sinus treatment alone. The stable clinical effect was seen in 86.4% cases. This therapeutic approach can find application in practical otolaryngology.
authors.forename: L S
authors.initials: LS
authors.lastname: Senchenko
authors.forename: N A
authors.initials: NA
authors.lastname: Fliginskikh
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002648:Child; D002675:Child, Preschool; D002918:Chymotrypsin / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D015521:Ethmoid Sinusitis / Q000150:complications / Q000188:drug therapy*; D005122:Exudates and Transudates; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage; D008297:Male; D015523:Maxillary Sinusitis / Q000150:complications / Q000188:drug therapy*; D014357:Trypsin / Q000008:administration & dosage
chemical_list: D000900:Anti-Bacterial Agents; D002918:Chymotrypsin; D014357:Trypsin; D006854:Hydrocortisone
vernacular_title: Lechebnaia taktika pri ékssudativnykh izolirovannykh i sochetannykh étmoiditakh u deteĭ.