[Treatment of nuclein 32P colloid perfusion with chronic suppurative maxillary sinusitis].

OBJECTIVE: To determine the effect of nuclein 32P colloid in treatment of chronic maxillary sinusitis (CMS). METHOD: 22 patients (31 sides) with CMS after washing of sinucavity were perfused with nuclein 32P in sinucavity. 20 patients (31 sides) with routine conservative treatment were served as a control group. Two groups were followed up for one year. RESULT: In nuclein group, 27 sides were cured, 4 sides were recurred and the rate of cure was 87%. In routine group, 19 sides were cured, 12 sides were recurred and the rate of cure is 61%. There is significant difference between the two groups (P < 0.01). The treatment active of nuclein group is better than that of routine group. CONCLUSION: Nuclein 32P colloid with the function of ionizing radiation can increase the pathogenic tissue immunocompetence and metabolic course, obstruct the microvascular and promote the absorption of inflammatory exudation and edema subsidence. It can also make the proliferous tissue atrophy thence accelerate the rate of cure of CMS.

[Use of laser therapy in inflammatory diseases of the paranasal sinuses]. / Primenenie lazernoi terapii pri vospalitel'nykh zabolevaniiakh okolonosovykh pazukh.

105 patients with acute and chronic inflammation of the paranasal sinuses were exposed to the radiation of the semiconductor laser Uzor using gallium arsenide. The treatment combined antiinflammatory drugs with vasoconstrictive nasal drops, maxillary puncture and laser radiation. Intolerance to laser effects was registered in 3 patients. The course of treatment included 5-6 sessions in acute sinusitis and 10 sessions in chronic sinusitis. Laser therapy was found effective as it reduced the time of treatment by 1-2 days.

[Therapeutic effect of helium-neon laser on microcirculation of nasal mucosa in children with acute and chronic maxillary sinusitis as measured by conjunctival biomicroscopy]. / Terapevticheskoe vliianie izlucheniia gelii-neonovogo lazera na mikrotsirkuliator-noe ruslo slizistoi obolochki nosa detei, bol'nykh ostrym i khronischeskim gaimoritom, po dannym kon'iunktival'noi biomikroskopii.

Using biomicroscopy of the bulbar conjunctiva, 65 patients, aged 6 to 15 years, with catarrhal and purulent forms of acute and chronic maxillary sinusitis were examined. At the repair stage the patients were exposed to laser therapy. The results give evidence that laser therapy produced a positive effect on microcirculation and reduced the potential of relapses. Low-energy helium-neon laser affected mostly vessel permeability (decrease of perivascular edema) and blood rheology (red blood cell aggregation). In terms of circulation changes, laser therapy was more beneficial in the case of acute maxillary sinusitis. Circulation lesions, that persisted after laser therapy in some patients with chronic maxillary sinusitis, can be attributed to stable morphological changes in the wall architectonics of microvessels of the nasal mucosa.