Sinusitis in the picture looks like

Features, as the genyantritis on a roentgen

Many people are interested in what the genyantitis looks like in the picture. When diagnosing a disease, a simple person will not be able to properly identify it; as the genyantritis on a picture looks, the experienced ENT can tell only.Only specialists know how the detection of maxillary sinuses occurs, as it looks like maxillary sinusitis on the x-ray.

Inflammation of sinuses in genyantema

What does an x-ray scan show for sinusitis?

Usually the doctor first of all pays attention to the nasal sinuses. In the normal state, they are not pneumatized, therefore, the X-ray image will show a mapping in the form of dark semi-oval formations on either side of the nasal cavity. It is worth noting that the x-ray passes through air tissue formations and has no reflections from them. Thus, on the X-ray itself, reflection will not be fixed.

If there is a liquid in the cavity of the liquid, a large darkening is observed. As an example, one of the radiographs, which describes an experienced doctor. He notes that the definition of maxillary sinuses does not depend on the level and type of darkening. This does not mean that there is sinusitis in the picture. In the same way, one can not immediately determine and fronts. Sinusitis is an inflammatory disease of the sinuses of the nose. They will contain the following types of liquid:

Sinusitis on x-rays
  1. Catarrhal.
  2. Mucous.
  3. Purulent.

In the picture, it can be noted in this disease the presence of a black shade of sinuses with a light infiltrative substance inside. By the presence of sharp contrast, the doctor can distinguish the pathology from the normal state. Remember that not always such a picture on the x-ray can indicate the presence of the disease. Therefore, do not engage in self-medication, and immediately go to a consultation with LOR. When he determines that there is PPN, therefore, will prescribe treatment for sinusitis.

The frontitis or sinusitis can be traced on the x-ray due to the presence of existing light shadows on the background of the black cavity around the nose. However, everything is not as simple as it seems. The fact is that if a purulent or catarrhal substance is formed, then in the picture it will not be in the form of a shadow. Rounded darkening appears with tumor formation or cysts. If the malignant formation of the paranasal sinuses begins to grow, then this growth can only be seen after a certain period of time. Cysts are likewise able to increase in their sizes in different directions proportionally.

What can not be recognized on an X-ray?

The scheme of the location of the maxillary pachuchiIt is determined that sinusitis, purulent or catarrhal can be seen in the picture of the nasal sinuses. But there are such things that can not be seen on the x-ray: this is a morphological type of infiltrate substrate. Pus and a simple inflammatory fluid on the X-ray look the same. In order to recognize the morphological type of the structure, it is necessary to do a sinus puncture.

Some doctors say that if pus is present, slightly light shades will appear, and if there is swelling, the whole shade of the picture will be uniform. But experts say that this information is not confirmed, since it is necessary to study this in detail.

Without contrast X-ray, it is impossible to determine the cyst or tumor formation. The disease is clearly visible and on a simple picture of a direct projection. To know for sure the exact diagnosis, you can perform additional examination in the form of nosopodbornoy, collateral and axial projection.

Remember that only a doctor should make a conclusion and prescribe appropriate therapy.

It is strictly forbidden to engage in self-diagnosis and self-medication.

X-ray of the maxillary sinuses: a description of the method, indications and contraindications

  • X-ray in genyantema
  • A picture of genyantritis
X-ray of the maxillary sinuses

X-ray of the maxillary sinuses is a diagnostic method for examining the maxillary sinus sinus.

It is aimed at identifying deviations, infectious processes and various pathological formations.

Radiography of internal structures of the maxillary sinuses determines various degrees of changes in the mucous membrane, cysts, tumors and foreign bodies.

Unlike CT and MRI, X-ray examination has a lower level of safety due to radiation, with which the image is obtained.

The x-ray of the maxillary sinuses takes from 15 to 20 minutes, is performed by a radiologist in two projections, standing or lying down. The resulting summary projection image of the cavities of the paranasal sinuses allows the doctor to make the correct diagnosis and start a specific treatment.


Preparation for X-ray of maxillary sinuses is not required. The method of investigation is carried out urgently with injuries or acute conditions free of charge in the direction of the doctor or paid in private clinics and medical centers.

If the symptoms persist for a long time against the background of the therapy, a second examination is performed a month after the last visit. Chronic diseases of the paranasal sinuses lead to the development of complications, inflammation of the meninges or orbitals, the classic panoramic X-ray image reflects the first changes in the bones of the facial skeleton.

Indications for X-rays of the maxillary sinuses include:

  • clinical signs of sinusitis (nasal congestion, facial pain when leaning forward and percussion);
  • caries of the upper teeth, implant surgery;
  • polyposis of nasal concha;
  • tumors;
  • cysts;
  • injuries;
  • foreign bodies;
  • bleeding;
  • headache of unclear etiology.

X-ray of the maxillary sinuses reveals characteristic shadows with sinusitis or fluid level (pus) in cases of severe bacterial infection. Subtotal and total darkening of the walls of the maxillary sinuses allows one to suspect proliferative changes in the background of parietal hyperplastic sinusitis.

Contraindication to the x-ray of the maxillary sinuses is the period of pregnancy, studies on the limitation of radiation exposure have demonstrated a teratogenic effect on the fetus, especially on early terms.

The cost of X-ray of maxillary sinuses is in Moscow from 1200 to 1900 rubles, in Voronezh from 1000 to 1500 rubles, in Kursk from 1100 to 1800 rubles, prices also depend on the organization in which the examination.

X-ray of the sinuses in sinusitis: the difference between the x-rays of the nasal sinuses with sinusitis and a healthy person

X-ray of sinuses in genyantemaThe x-ray of the nasal sinuses in the genyantritis reveals characteristic changes that allow one to suspect pathological inflammatory changes in the mucous membrane of the maxillary sinus.

The nasal sinuses of a healthy person are the dark semi-oval formations located on both sides of the nose.The degree of intensity of sinus staining on an X-ray is determined by comparison with a tinge of the eye sockets.

In acute catarrhal sinusitis, signs of a beginner inflammation is a reduction in pneumatization cavity, the formation of infiltration of the inner shell of the sinus floor, which is manifested by the thickening of the layer tissue. The x-ray of the nasal sinuses will show darkening on one or both sides, tightening the nasal passages and jaws of the maxillary.

In acute serous or purulent sinusitis, in addition to reducing pneumatization, the pathological content is determined - the horizontal level of the fluid (exudate, pus). In the case of partial or complete filling of the sinus with pus, a puncture is required to prevent breakthrough in the bones of the facial skull, latticed sinuses and external meninges.

In chronic sinusitis, the x-ray of the sinuses determines hyperplastic proliferation of the mucosa, the presence of polyps and adhesions.In chronic pathology, the process often spreads to the bone, causing osteomyelitis of the facial skeleton, when suspected of requiring a powerful antibiotic treatment.

To make an x-ray of nasal sinuses at a genyantritis in St.-Petersburg and Novosibirsk on a direction of the doctor it is possible free of charge in the state organizations (an out-patient department, a hospital).

A picture of a genyantritis: that it is possible to learn or find out, as the pus looks or appears and what for the repeated picture is necessary

A picture of genyantritisA picture of genyantritis in an adult or child allows you to assess the degree of inflammation, determine the presence or absence of fluid.

Depending on the type of pathology, the doctor prescribes a specific therapy or physiotherapy procedures.

According to the received data it is possible to suspect the etiology of sinusitis, to appoint the right treatment.

In allergic sinusitis due to puffy growths of the mucous membrane of the sinuses, a chronic runny nose develops, requiring the use of antihistamines. With exudative viral rhinitis in the sinuses, there is a decrease in pneumatization, a thickening of the mucous membrane lining the bottom, a general darkening of the sinus.

If a secondary bacterial infection joins, the doctor must prescribe specific drugs against her growth. Chronic sinusitis is dangerous by the growing atrophy of the mucous membrane, a persistent runny nose and dystrophic changes in the bones.

Pus in the picture of maxillary sinus after bacterial infection is defined as the horizontal level of the fluid or total darkening of the sinus. Purulent effusion is dangerous for the development of complications, melting of the bones of the facial skull with the involvement of the brain tissue in the process. Clinically manifested severe severity in the near-nasal area with a forward tilt, headaches, high fever and symptoms of general intoxication.

Why do you take a second shot with genyantritis?In cases of severe disease, when there are signs of fluid accumulation, in spite of ongoing treatment, during the transition of sinusitis to the chronic hyperplastic phase is repeated examination.

A repeated picture of sinusitis helps the doctor evaluate the treatment, and in some cases, change the tactics of drug therapy or send the patient for surgery.

What usually can not be seen in the pictures?According to the picture, it is impossible to determine the cause of sinusitis in the patient, the initial process of inflammation due to the absence of pronounced changes. The first phases of osteomyelitis or odontogenic sinusitis are also difficult to identify even to an experienced specialist.

In large cities, for example, in Minsk, the procedure is carried out in modern clinics, where not only X-ray, but also magnetic resonance methods are available.


There was a rhinitis made a picture-a genyantritis, wanted to go to the hospital.


Sokolov Vitaly

Let's see what kind of disease it is, and how the common cold can transform into sinusitis.
During a runny nose in the nasal passages the infection settles, pathogenic bacteria cause swelling of the nasal mucosa, the nose "pawns". Appears slime, first transparent ("snot flow"), and then a thick, green color. Here you need to be alert. The appearance of green mucus is a sign of severe inflammation. With a cold, we often blow our nose, trying our best to clean the nose. And often we forget that the nasal passages are closely connected with the maxillary sinuses located on both sides of the nose, under the eyes. From intense nose blows, mucus enters the sinus and inflammation begins - the sinusitis.
Diagnosis of genyantritis
The doctor determines the genyantritis after the examination: inserts the expander into the nose and visually inspects each nostril.
But an accurate diagnosis can be established only on the basis of X-ray data. The patient is taken an X-ray, and if there is sinusitis, the area between the eyes and the upper jaw will be opaque, white.
You can identify sinusitis and yourself: stand up, and slowly lean forward. With genyantritis you will feel a drawing pain in the area of ​​the maxillary sinuses and forehead.
Sometimes it happens that the roots of the upper teeth are very close to the maxillary sinuses, and then the patient with the sinusitis constantly feels pain in the entire upper jaw.
Acute and chronic sinusitis
Acute sinusitis declares itself a constant headache, thick mucous discharge from the nose, a feeling of pressure and bursting from the inside. The patient feels weak and shattered.
If the genyantritis is not treated, it goes into a chronic form. The pain gradually disappears, but the stuffiness of the nose, periodic headaches remain. MirSovetov does not recommend taking a sip of vasoconstrictor to make the nose breathe. But many people often use such medications, but if it is a genyantritis, then it can not be cured in this way, but one can only become addicted to the medicines used.
It is worth noting that with chronic sinusitis in the nose there is always a foci of infection, so any hypothermia or alcohol abuse (alcohol is a powerful blow to immunity) leads to a prolonged coryza. In the unfavorable course of chronic sinusitis, the nose develops polyps that need to be surgically removed. The most unpleasant consequence of chronic sinusitis is the loss of the ability to smell.
Treatment of genyantritis
In acute sinusitis, the doctor prescribes antibiotics to the patient. Now there are powerful drugs that can defeat the disease in just three days. It's Zitrolid or Macropen. You need to take one capsule a day before meals, with plenty of water.
There are also older antibiotics used to treat sinusitis - ampicillin, amoxicillin, cephalexin. The choice of an antibiotic depends on the physician's preferences and on the presence / absence of a patient's allergy to this or that kind of antibiotics. To facilitate breathing, the doctor will prescribe vasoconstrictors, but also explain how often they can be used (galazoline, nasol, otrivin and others). If there is a suspicion that the allergic reaction has caused the sinusitis, antiallergic drugs will be prescribed: Clarotadine, Tavegil, Cetrin Suprastin, Zirtek, Claritin.

Tolkunova Anna

such questions should not be asked on the forum - it's not funny, even sad ...


It is necessary to squeeze the juice Kalanchoe therapeutic and drip (pour almost) into the nostrils. First it will be an eerie long sneezing, and then all the muck from the maxillary sinuses will fly out.

Igor komusak

Slept an inflammatory edema, but there was residual edema. Be like quartz in physiotherapy, but catching cold with this procedure is almost like death - therefore they offer hospital conditions and by puncture will speed up stabilization and general therapy.

Maria Dyachkova

Look with caution. My husband at one time did not cure maxillary sinusitis and his pus went into the frontal sinuses (this is called the frontitis). They did the operation. T. h. better treated under medical supervision!


Schema Treatment of sinusitis (sinusitis)
the drug "Sinuforte." A very caustic drug, irritates the mucous, I do not advise.
1. Antibiotics amoxiclav 1000 mg. For 1 tabl. - 2 times a day for 7 days (or augmentin 875 mg. )
2. Sinupret 2tab-3 times a day. 1014 days (improves the outflow-the exit of mucus, pus with sinuses) herbal preparation.
3 Rinsing the nose
You can wash your nose with saline solution or warm mineral water without gas, (or warm boiled) 2-3 times a day, only rinse better with a device for wash the nose (Dolphin or Rhinolife), or drip 2-3 pipets, and well vysmarkivatsya, but in no case can not draw water into the nose and rinse syringes. (since the water can get into the sinuses and auditory tubes,) or use the spray to wash the nose:
Aqua Maris Sea water,
SALIN. Nodium chloride,
Humer-150 adults and children are not diluted, sterile, isotonic sea water for washing the nose.
4. In the nose Polidex with phenylephrine on 1 injection-4 times a day 7-10 days.
5. Multivitamins
6. Erespal 1 tab - 3 times a day for 10 days (this is an anti-inflammatory drug)
You can try to do a cuckoo. This procedure helps only if there is an outflow, an outlet of mucus, pus.
Laura's consultation (you may need to do a sinus puncture by the doctor looking at the picture).
If you do not make a puncture, and he really needs it, pus can be organized and there can be polyps, etc.
People's opinion It is worth piercing... and went went obsalyutno not true, so reason people who are far from lor diseases, and unfortunately some doctors.
Just the nose is a weak spot and the next time it is as soon as you have a cold first you need to drip drops in your nose.
Sometimes, if you do not make a puncture at the time, you can be treated for a long time and without any result, and the treatment costs 2-3 times more expensive for money.
Doing a puncture or not on the iris remains a trace, and on it you can determine what the person was sick and when.
The cause of sinusitis can be a severe cold or a bad upper jaw (odontogenic cause)
With sinus sinus can not be warmed
Be sure to contact your ENT doctor

Marina Kravchenko

I agree that the treatment should be started as quickly as possible. In the early stages, it is possible to avoid a puncture. I was treated with Cinnabsin and my sinusitis passed. For more than a year, this sore does not bother me.

What does the maxillary sinusitis look like on an X-ray?


Good afternoon, my name is Melena. I had complications after a cold and prescribed tests, in particular X-rays. Therefore I want to clarify: the antritis on the X-ray image looks like? And is it possible to put this diagnosis in this way?


Hello, Melena! In fact, you do not need to worry - after getting ready results your doctor in charge decipher the snapshot, because a specialist in the medical field knows well how the genyantitis looks like X-ray.

However, if it is important for you to independently assess the degree of the disease, carefully look at the edges of the maxillary sinus. If they are clearly darkened and have sharp contours, then this is a clear sign of the mucosal edema. In addition, a serious deviation can be determined by a distinct turbidity in the area of ​​the maxillary sinus.

When the form of the maxillary sinusitis on the X-ray image includes a whitish color, then instead of air, the liquid gradually accumulates there. Usually, if it is present in a moderate amount, it is easy to detect such a defect. But completely filling the space allotted to it, it creates a solid blackout and merges with a hint of eye sockets. So to diagnose a genyantritis on a roentgen it is much more difficult.

If there are any doubts, it is better to seek advice from a doctor and more precisely to orient yourself with the further course of treatment. Moreover, what looks like sinusitis in the picture and whether deviations from the norm can be supplemented with other confirmations. In particular, to assess your condition will help personal examination and manifestation of the characteristic symptoms of this ailment. See also "Sinusitis Photo".

How does a genyantritis

Do not self-treat sinusitis

Through the blood or through the nasal cavity in the maxillary sinus gets an infection that can cause acute sinusitis - inflammation of the maxillary sinus. Often, sinusitis is a complication of the flu.


  1. Acute antritis is an inflammatory process of the mucosa of the maxillary sinus, which is the most common ailment of the paranasal sinuses. In most cases, when sowing contents from the maxillary sinus, a bacterial microbial flora is found. The main causative agent of acute sinusitis is Streptococcus pneumoniae, which has a very high degree of resistance to antibiotics of the penicillin series. Quite often, anaerobes, hemophilic rod, fungi and viruses are sown. The leading factor in the development of infection in the sinus is the constriction or complete blockage of its outlet.
  2. Symptoms of acute sinusitis are divided into local and general. To local manifestations of inflammation of the maxillary sinus can be attributed: violation of nasal breathing on the side of the inflamed sinus or on both sides, pain on the side affected sinuses with irradiation into the temple or even the entire half of the head, secretion of purulent or mucopurulent nature from the nose, impaired sense of smell of varying degrees. A characteristic feature is the increased pain when the head is tilted forward. We must also take into account the fact that acute purulent maxillary sinusitis can often be accompanied by inflammation in other sinuses, which complicates the process.
  3. Common symptoms include high body temperature, loss of appetite, headaches and poor overall health. In the analysis of blood, an inflammatory reaction is isolated. Inflammatory process can last up to two weeks.
  4. To establish the correct diagnosis, the doctor has few patient complaints and typical clinical manifestations of acute sinusitis. For the accuracy of diagnosis it is necessary to conduct several additional studies: radiography maxillary sinuses, computed tomography (CT), a diagnostic puncture for obtaining the contents the maxillary sinuses. Puncture is performed with both diagnostic and therapeutic purposes.
  5. Treatment of acute sinusitis is aimed at evacuation of purulent foci of infection in the sinus and implies local treatment and general anti-inflammatory therapy, as well as physiotherapy methods of treatment. Locally, various vasoconstrictive medications are used that help reduce the mucous membrane the nasal cavity and as a consequence there is an opening of the sinus of the maxillary sinus with the nasal cavity and breathing improves nose. The vasoconstrictive drops are infused three times a day with five drops into each half of the nose. Such treatment should be continued for 5-8 days.
  6. Good results are obtained by puncturing the maxillary sinus with the installation of a special catheter, through which washing of the sinus cavity with various antiseptic solutions and antibiotics during 5-8 days. At the same time, antihistamine anti-inflammatory drugs are prescribed.
  7. Among the physiotherapeutic procedures, the application of 7-10 UHF procedures to the sinus, UFO, pulse currents or electrophoresis can be effective. But do not forget that the physiotherapy with acute sinus is shown only in the absence of complete blockage of sinus anastomosis and symptoms of general intoxication of the body.

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