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diagnostics and treatment Methods verhnecheljustnogo a sinusitis.

In diagnostics dontogenous verhnecheljustnogo a sinusitis auxiliary methods of research have great value: roentgenography okolonosovyh sinuses, ortopantomografija, endoscopic research, computer tomografija'i other [12, 18, 29, 30, 34, 81, 85, 87, 107, 112 ' 146].

Paramount value for diagnostics has performance of a survey X-ray inspection.

It is necessary to notice, that it is necessary to carry out diagnostics of the sinusitises which clinical implications it is not enough or. ’ are absolutely asymptomatic, as flaccid inflammations are to constants, an infection source, allergizirujut.organizm, influence the general and local resistance and promote development of irreversible changes in bronho-pulmonary system. The radiological method of research posesses the important role in revealing of inflammatory processes in verhnecheljustnom a sine, especially, if the reason of occurrence of a sinusitis is the alien body [70, 82, 112].

Successes of radiodiagnosis in значительной* degrees depend on use of techniques radiological, researches. Roentgenography traditionally used with that end in view okolonosovyh sinuses in a podborodochno-nasal projection is a source of occurrence frequent
Errors owing to anatomic features of a structure of genyantrums, disturbance of a technique of filming (an insufficient inclination of a head of the patient), errors in a choice of physicotechnical conditions of filming (selection of a strain and exposition time) [30].

The X-ray inspection should be spent in several projections: semiaxial, podborodochno-nasal and lateral. The received roentgenograms allow to define outlines, the sizes, degree of a pneumatization of a sinus, character of blackout, presence of the alien bodies giving a shade, plombirovochnyj a material, a root of a tooth and other [29, 30, 34, 46, 81]

Оптимальной* A technique for diagnostics is ^ the panoramic zonography. (ortopantomografija). According to N.A.Rabuhinoj and and. P.Arzhantseva, recognition of dontogenous inflammations of genyantrums should be based on this kind of roentgenography [81]. The method endoscopic ' diagnostics allows to define volume and character of pathological changes of a mucosa of a sinus which are not always defined on the roentgenogram. At the given pathology the endoscope is entered into a genyantrum through a trepanation aperture in the field of the bottom nasal course which is framed by means of a special trocar. At carrying out of endoscopic research the attention to a condition of a mucosa of a sinus, volume and character of its damages, on arhitektoniku nasal cavities (presence of a curvature of a nasal - septum, a condition of conductivity of a natural foramen of a genyantrum) [73, 75, 79, 87, 130, 135, 145, 178] is paid. According to P. Ilium with co-authors, the antroscopy in 29 % of observations has allowed to specify not only - but also to reconsider the diagnosis, in 9 % of cases the diagnosis of a lesion of the sinus, established rentgenologicheski [137] has not proved to be true.

Гаймороскопияікак One of the advanced methods of diagnostics of diseases verhnecheljustnogo a sine, allows to estimate a condition of a mucous - cover, to tap an edema, cicatrical, polipoznye changes and to make the decision on volume and necessity of surgical treatment. Gajmoroskopija allows to lower
Surgical intervention volume on verhnecheljustnoj a sine. There are some endoscopic approaches at surgical interventions in a cavity verhnecheljustnogo a sine, however at each of them strictly certain field of the review [12] is reached.

Special informative value in pathology recognition verhnecheljustnyh sine is represented by a computer tomography and gajmoroskopija. C the help of a computer tomography possible to define precisely not only character and prevalence of pathological process, but also involving degree in process of osteal and soft tissues of boundary regions. The computer tomography is effective at inspection of patients with alien bodies of jaws as allows to define precisely their form, the sizes and localisation [26, 29, 154].

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Scientific source ZEKERJAEV Rashid Sultanovich. the COMPARATIVE ESTIMATION of ENDOSCOPIC METHODS of TREATMENT SICK of the CHRONIC DONTOGENOUS GENYANTRITIS CAUSED by DEDUCING PLOMBIROVOCHNOGO of the MATERIAL In VERHNECHELJUSTNOJ the SINE. The DISSERTATION on competition of a scientific degree of the candidate of medical sciences.

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