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Furuncle nose

Boil - purulent-necrotic inflammation of the hair follicle, adjacent sebaceous gland and fiber. The wide involvement of surrounding tissues in the inflammatory process is a qualitative difference between the boil and the one close to it in etiology and pathogenesis of ostiofolliculitis. The ability to unlimited spread of inflammation, with the features of the venous system of the face and the likelihood of rapid development of thrombosis of the cavernous sinus, make the boil of the nose, unlike other localizations, a very dangerous and alarming disease.

Furuncle of the nose is one of the manifestations of general furunculosis. It often occurs in patients weakened by various diseases, especially diabetes. Boils, incl. and nose, are often observed in young people suffering from acne on the body and skin of the face and for a long time in conditions of malnutrition, vitamin deficiency and cooling. The etiological factor, as a rule, is staphylococcus.

Clinic and symptoms. The boil is localized on the tip and wings of the nose, on the threshold, near the septum and in the area of ​​the bottom of the nose near the lower lip. There is a gradually increasing redness of the skin, painful infiltration of soft tissues. The boundaries of the fuzzy lesion (Fig. 2.6.2). Around the primary focus of inflammation, soft tissue necrosis is formed. Elements of the hair follicle form the so-called the stem of the boil. There is an increase in body temperature (low-grade and higher), headache and other symptoms of general intoxication. In the blood - changes of an inflammatory nature. On the 3-5th day, an abscess forms in the center of infiltration. Maturation of the boil is accompanied by a strong tension of the tissues, which causes a sharp pain. After opening the boil, the subjective sensations weaken, the pain subsides, the body temperature returns to normal.

In some cases, the development of a carbuncle is possible, in which several purulent-necrotic rods are formed. The disease is more severe than with a boil, and is accompanied by a more significant common infiltration of the soft tissues of the nose and face, expressed by symptoms of general intoxication.

With an unfavorable course of the disease, the inflammatory process progresses, it is possible to develop orbital (ocular vein thrombosis, orbital phlegmon, orbital abscess, blindness) and intracranial (cavernous sinus thrombosis) complications.

Treatment.
Treatment depends on the stage and severity of the disease and is predominantly conservative. It should be emphasized the need for extremely careful handling of inflammatory infiltrate located in the so-called area. The "triangle of death" formed by nasolabial folds and the upper lip. Inadvertent extrusion of the so-called A pimple in this area (often produced by the patients themselves) can lead to the rapid spread of infection through the venous channel into the orbit and cranial cavity, causing inevitable formidable complications. Patients with a boil of the nose are prescribed intensive antibiotic therapy. It is advisable to use broad-spectrum antibiotics, mainly from the so-called “Reserve group” as well as the latest generation. Antibiotic therapy can be enhanced by sulfamidotherapy. Measures are taken to combat general intoxication. In the initial stage, microwave therapy is used locally, which helps to limit the inflammatory process and more quickly reject the purulent-necrotic stem of the boil. UHF-therapy is used only after opening the boil for faster absorption of the inflammatory focus. Effective x-ray therapy (Kishkovsky A.N., Dudarev A.A., 1977). Of the many drugs used topically, we indicate a 10% sintomycin emulsion. After opening the boil, for the quickest cleaning of the formed "crater" from purulent-necrotic masses, dressings with 5-10% sodium chloride solution (hypertonic solution) are useful, which it is advisable to replace after drying.

The majority of authors have a negative attitude to performing surgical interventions for a boil (opening and removing the rod) (Likhachev A.G., 1981, Heine O.G., 1982, Ovchinnikov Yu. M., 1995). Only in cases of abscess formation in the area of ​​the septum of the nose and upper lip with a boil (but not a carbuncle!) Is it possible to open it (Dainyak LB, 1994).

Orbital and intracranial complications, along with increased antibiotic therapy and expansion of the route of antibiotic administration (including intra-arterial via a permanent catheter in the temporal artery), require the appointment of anticoagulants. A neurosurgeon, an ophthalmologist, resuscitator and other specialists are involved in the treatment.

The timely ligation of the facial vein according to V.F. Vojno-Yasenetsky serves to prevent the development of the inflammatory process.
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Furuncle nose

  1. Furuncle nose
    A boil of the nose is an acute inflammation of the hair bag or sebaceous gland. Et and about l about d and I. Of primary importance is a local decrease in the resistance of the skin and the whole organism to staphylococcal and streptococcal infections. Under these conditions, the microflora, getting into the hair bags and sebaceous glands of the skin, more often the lower third of the nose and its vestibule (often introduced by hand), usually causes acute purulent
  2. Furuncle of the nose, features of the clinic, therapeutic tactics
    A boil of the nose is most often the result of scratching in the nose with infection in the sebaceous and hair sacs located on the threshold of the nose; less commonly, one of the manifestations of general furunculosis. Clinic. Hyperemia of the skin, tension and soreness of the tissues appear on the tip or on the wings of the nose. Inflammatory phenomena in the form of redness and swelling often capture the neighboring parts of the face. At
  3. Abscess, boil and carbuncle of the nose. U-34.0
    {foto26} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, difficulty breathing, purulent discharge from
  4. Deformations of the nasal septum, synechia and atresia of the nasal cavity
    The etiologic deformation of the nasal septum may be due to physiological, traumatic, and compensatory factors. Physiological curvature occurs when there is a mismatch in the growth of the nasal septum and the bone frame into which it is inserted. The growth of the septum is slightly ahead of the growth of the facial skeleton, so its curvature occurs. In childhood, physiological
  5. Boils
    Clinical picture of the boils of the external auditory canal The furuncle of the external auditory canal is a limited inflammation in the cartilaginous part of the external auditory canal. With minor skin damage, the infection enters the hair sacs and sebaceous glands, where inflammation begins. There is a sharp pain in the ear, often giving to the teeth, worse when chewing, sharp pain with
  6. Furuncle
    A boil, or BOIL, is an infectious, painful subcutaneous inflammation that results in an abscess with lots of pus. A boil occurs around a hair sac. See the article ABCESS, with the addition that some situation poisons a person’s life, causing him great anger, anxiety and fear. These negative emotions are so intense that they prevent the body from getting rid of
  7. FURUNCUL and CARBUNCUL
    A boil is an acute painful perifocal inflammation of the hair follicle, most often occurring on the face, neck, chest and buttocks. Recurrent infection turns into a disease of furunculosis. Carbuncle is a conglomerate of furuncles resulting from subcutaneous infection, leading to purulent-necrotic inflammation of the deep layers of the skin, often with local rejection of necrotic
  8. Staphylococcal piloderma. Furuncle
    Furunculosis is an acute purulent-necrotic inflammation of the hair follicle and perifollicular connective tissue. The furuncle refers to the deep form of staphyloderma. The primary eruptive element of the boil is an inflammatory node that forms around the hair follicle infected with staphylococci. The onset of the disease is associated with the formation of inflammatory purulent around the hair sac
  9. Boil and furunculosis
    Acute staphylococcal purulent-necrotic inflammation of the hairs. follicle and surrounding junction. tissue. Etiology. The causative agent is golden, less often white staphylococcus. Pathogenesis. It can form on unchanged skin, be a complication of the existing surface. or deep staphyloderma. The virulence and pathogenicity of the pathogen strain, exogenous and endogenous predisposal affect the occurrence.
  10. Boil of the external auditory meatus
    Furuncle (otitis externa circumscripta) - acute purulent inflammation of the hair sac, sebaceous gland with limited inflammation of the skin and subcutaneous tissue of the membrano-cartilaginous part of the external auditory canal. Et and about l about d and I. The disease occurs as a result of infection, more often staphylococci, entering the sebaceous and hair sacs when irritated skin is irritated by manipulations in the ear.
  11. Auditory meatus furuncle
    Cause Microtrauma of the skin of the external auditory canal when picking in the ears, hypothermia, impaired carbohydrate metabolism, hypovitaminosis. Symptoms Strong shooting pain in the ear, if you pull off the earlobe or press on the tragus - the pain in the ear increases. Increased pain also occurs with chewing and yawning. The skin of the external auditory meatus is reddened, swollen. The disease may be accompanied.
  12. Nose injuries
    Clinical picture Damage to the external nose is very common. The degree of damage to soft tissues, bone and cartilage skeleton depends on the nature of the injury, the direction and strength of the impact. The nasal bones and septum are most often damaged, and fractures of the frontal processes of the upper jaw and the walls of the paranasal sinuses are less common. Sometimes there is damage to the nose with a break in its tip or edge. Injuries
  13. Anatomy of the nose
    In clinical and anatomical terms, the nose is divided into external and internal departments. The external nose, nasus externus, is an important anatomical component of the face, largely determining its individual characteristics. The external shape of the nose is compared with a trihedral pyramid. In the outer nose, there are: 1) the root located between both eye sockets, 2) the tip (tip) of the nose, 3) the back
  14. Clinical anatomy of the external nose
    The nose (nasus) consists of the external nose and nasal cavity. Outside (nasus externus) is represented by a bone-cartilaginous skeleton in the shape of a pyramid (Fig. 1.1), covered with skin. It distinguishes the tip, root (bridge of the nose), back, slopes and wings. Fig. 1.1. Outer nose. a - front view: 1 - nasal bone; 2 - frontal process of the upper jaw; 3 - triangular lateral
  15. Nose injuries
    Damage to the external nose and walls of the nasal cavity are more often observed in men and in children. Injuries to the skin of the nose are found in the form of a bruise, bruising, abrasion, and injury. During the examination, it must be borne in mind that damage often only appears to be superficial in appearance, but actually penetrates more deeply; in such a wound there may be a hardly detectable foreign body;
  16. NOSE CAVITY
    The nasal cavity (cavitas nasi) is the initial section of the respiratory tract and, at the same time, the organ of smell. Passing through the nasal cavity, the air either cools, or warms up, moisturizes and purifies. The nasal cavity is formed by the outer nose and bones of the facial skull, divided by a septum into two symmetrical halves. The nostrils are the front openings in the nasal cavity, and through the choanas are the back openings
  17. Syphilis of the nose
    Syphilitic lesions of the nose are currently extremely rare. Primary syphilis of the nose develops when pale treponema penetrates through microscopic lesions of the skin or mucous membrane of the nose (the so-called extragenital route of infection). This is possible as a result of infection by poorly disinfected instruments used in the examination of patients with syphilis, or
  18. Polyps of the nose
    Polyps of the nose is one of the complications of year-round allergic rhinitis. Usually they are localized on the middle nasal concha, around the holes of the maxillary sinuses and ethmoid labyrinth. Polyps are observed in both allergic and infectious rhinitis. Polyps that occur with allergic rhinitis look like whitish or gray, shiny, gelatinous formations. Polyps in chronic
  19. Tuberculosis of the nose
    Tuberculosis of the nose, according to the clinical classification of tuberculosis (1973), is included in the group of tuberculosis of the respiratory system and a subgroup of tuberculosis of the upper respiratory tract. It usually develops in the presence of a tuberculous focus (most often in the lungs). Mycobacterium tuberculosis (Koch's bacillus) penetrate the nasal cavity and its external integument endogenously through the blood and lymph vessels.
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