sinusitis heartburn - Sinusitis and Biofilms - An Introduction - Part 1
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Sinusitis and Biofilms - An Introduction - Part 1

Why is it that some sinusitis sufferers do not respond to normal treatments, medications and surgical procedures and continue to come down with sinus infections regardless of the treatment they have been given? One answer to this question appears to be an atypical immune reaction to fungus, and topical anti-fungal therapies heave been developed by Mayo Clinic researchers. Another possible answer to this question has surfaced in the past couple of years: biofilms. This article is meant to be a brief introduction to biofilms and how they might be a factor in recurring sinus infections.


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The ethmoid sinus, is one of the paranasal (hollow space in the bones around the nose) sinuses, it is collectively called ethmoidal air cells. It is an air-space enclosed between the spongy ethmoid bone in the upper part of the nose between the eyes. The air cells are innervated by anterior and posterior ethmoidal nerves. It comprises of a number of thin-walled cavities located in the ethmoidal labyrinth. They form the mucus which keeps the nose from drying.

Sinusitis is an infection of the mucous membranes lining the sinuses, which are present in and around the face. Sinusitis may be acute or chronic. Acute sinusitis may improve on its own, but chronic sinusitis usually requires treatment.

Diagnosis Sinus disease of odontogenic origin is evaluated using radiographic examinations like conventional intraoral periapical radiography, standard plain films of the paranasal sinuses, dental panoramic radiography, CT, and MRI may be useful in evaluating. The radiological examinations of both dental structures and the maxillary sinus are reviewed. The anatomic relationship between the dental structures and maxillary sinus can be established through panoramic radiography. Surgical intervention or placement of implants is performed depending on the condition of the patient.

Walt Ballenberger is founder of http://www.postnasaldrip.net a resource web site for sinusitis sufferers like himself. For a free report entitled 'Sinus Treatment Success Stories', visit http://www.postnasaldrip.net and click on the Free Report link. This resource can be of significant help to chronic sinus sufferers.

Diagnostic procedures of what is ethmoid sinus? Medical therapy and surgery are the only means to cure ethmoidal sinusitis. Treatment can diminish the inflammation and edema of the mucosa, reduce pain and fight the infection. If the therapy do not heed surgery is needed. There are three approaches to it, external ethmoidectomy, intranasal and transantral ethmoidectomy. It is up to the surgeon and the advancement of disease which decides the treatment. Even a combination of two ethmoidectomy could be used on discretion of the surgeon. Regular check-ups after surgery are very essential to monitor the condition of the sinusitis. The success rate for ethmoidectomy is ranged between 46-98%. These are some what is ethmoid sinus therapy methods.

A thorough physical examination of the patient is required. In laboratory condition assessment of WBC should be monitored. Nasal endoscopic examination is conducted to diagnose the disease. The nasal mucus, polyps, tumors and other foreign bodies can be searched thoroughly.

For recurrent sinusitis, Ayurvedic compounds like Laghu Malini Vasant, Madhu Malini Vasant and Suvarna Malini Vasant are used along with Pippali (Piper longum). A special preparation called Chausashtha Pippali is used in a gradually increasing dose, followed by a gradually decreasing dose. Sometimes, several courses of these medicines are required.

Several Ayurvedic formulations are used for the treatment of sinusitis. Tribhuvankirti, Sitopaladi, Godanti Bhasma, Yashtimadhuk (Glycerrhiza glabra), Bhallatak Parpati, Shrung Bhasma and Sanjeevani vati are some of the well known compounds. Sookshma Triphala, Chaturbhuj Ras, and Gandhak Rasayan are used for symptoms like fever and inflammation. Most patients get significant relief in a period of two to six weeks.

Medicated ghee containing Chafa (Michelia champaka), Dadim (Pomegranate) flowers, Sabja (Canna edulus) leaves, Kanher (Nerium indicum) leaves, Durva (Cynodon dactylon), Haridra (turmeric) and Keshar (Crocus sativus) is used as nasal drop for obtaining immediate relief from symptoms.

Definition, Description and Medical Implications of Biofilms What are biofilms and how to they resist normal treatments for sinusitis such as antibiotics? 'Biofilms are composed of microbal communities that are attached to an environmental surface. The microorganisms usually encase themselves in an extra-cellular polysaccharide or slime matrix'. In other words, biofilms are a collection of bacteria and other microbes that encase themselves in a sort of slime. It is apparently the slime material that protects the bacteria from being destroyed by antibiotics, for example. Biofilms have been shown to play a major part in other medical conditions involving chronic infections, such as cystic fibrosis, Legionnaire's Disease, and otitis media, the most common type of acute ear infection in children in the U.S., among others. In addition, they can also form on medical implanted products such as stents, implants, catheters, and other devices. They appear to destroy cilia when present in sinusitis patients, and the loss of cilia is detrimental to the normal drainage system of nasal passages, so this is a serious issue since destroyed cilia cannot be replaced.

Sinusitis is termed as "Dushta Pratishyaya" or "Peenas" in Ayurveda. Ayurvedic treatment is effective in both the acute and chronic types of sinusitis.

Dr. A. A. Mundewadi is Chief Ayurvedic Physician at Mundewadi Ayurvedic Clinic based at Thane, Maharashtra, India. He is available as an online Ayurvedic Consultant at http://www.ayurvedaphysician.com

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Non-medical Implications of Biofilms Biofilms are not just associated with medical conditions, however. In fact biofilms are ubiquitous and can form under the right conditions on almost any kind of surface, including metals, rock, and of course human tissue. Two common examples of biofilms are pond scum and dental plaque. Detrimental biofilms are the cause of billions of dollars in damaged products and equipment systems in such fields as food processing, water treatment and metal-working. The also cause damage by clogging household drains and water pipes. Their effects are not always harmful, however, for example when they attach to the roots of certain plants they seem to aid the transfer of nutrients from the soil to the plant. Also, they are used in sewage treatment facilities to help treat sewage water before it is released to the environment, and they are utilized in treating contaminated ground water as well.

Dr. A. A. Mundewadi, B.A.M.S., has clinical experience of 22 years and clinical research experience of 9 years. He has published his findings of herbal treatment of HIV / AIDS in 55 patients in the Bombay Hospital Journal, Mumbai, India, July 2005 issue.

Oral medication is advised of ghee treated with Haridra (turmeric), Musta (Cyperus rotundus), Vishwa (Zinziber officinale), Karanj (Pongamia pinnata), Renukabeej (Vitex negundo), and Yava-Kshar. Medicated ghee containing Hinga (Ferula narthex), Yava-Kshar, Deodar (Cedrus deodara) is also recommended.

The ethmoidal air cells are innervated by the anterior and posterior ethmoidal nerves, and the orbital branches of the pterygopalatine ganglion. Problem caused due ethmoid sinus

What is ethmoid sinus inflammation? It is the mucus lining of the sinus. Patients suffering from ethmoid sinusitis usually have a light malaise, nasal discharge. They also develop low fever and headache. Pain in the eye area and brow is very common.

Definition The frequently unrecognized cause of fever of critically ill patients is maxillary nosocomial sinusitis in short MNS. Treatment usually involves sinus drainage, nasal tracheal tube removal or nasal gastric tube removal and through antibiotics.

The hollow bone found below the eyes and inside the cheek bone is called maxilla. The space inside this bone is called maxillary sinus. If there is any infection in this area, it leads to maxillary sinus disease. In this case pain behind the upper teeth and cheek bones is reported by most patients.

A procedure called "Shodhan Nasya" is used, in which medicated oil (Vacha oil, containing Acorus calamus) or Shigru (Moringa oleifera) seed powder or Madanphal (Randia spinosa) powder is put into the nostrils, after giving fomentation to the area surrounding the nose. This helps in draining the sinuses, and contributes to early recovery. For further reduction in sinus inflammation, mild medicated drops are used, such as Anu oil or Panchendriya vardhan oil.

Symptoms Dental pain is usually confused with the jaw pain caused by this disease. The jaw pain associated with this disease is always accompanied by other symptoms like fatigue, fever, nasal discharge and headache. The pain occurs at the back of the upper teeth while the dental pain is felt anywhere in the teeth. A dentist will examine the area and will tell if it is dental pain or not. For this disease medication should be taken immediately. If delayed, it may lead to further complications and even surgery. Generally it is cured by decongestants and anti inflammatory drugs. In some cases surgery may be required.

Anatomy of what is ethmoid sinus The ethmoidal sinus is divided into anterior, middle and posterior. The anterior drains into the middle meatus of the nose through infundibulum, the middle drains into the middle meatus of the nose above the bulla ethmoidalis and the posterior drains into the superior meatus under the superior nasal concha and opens into the sphenoidal sinus.

A daily process of applying medicated nasal drops such as Anu oil or Panchendriya vardhan oil (known as "Pratimarsha Nasya") is believed to prevent frequent occurrence of sinusitis. In addition, breathing exercises like Yogic Pranayam, and special procedures like the Yogic Neti, are also very useful. It is advisable to avoid known aggravating factors.

Causes The causes are usually periapical abscess or extensive marginal periodontitis or immediately following dental extraction. Sometimes the retention cysts arising from the sinus mucosa can cause the problem. Tumor like lesions or benign tumors can cause deviation or erosion of the sinus walls. Sometimes malignant tumors like gingival malignancies or sarcomas can cause this disease.

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He has also successfully completed a clinical trial of herbal extract medicines in Schizophrenia compared to modern anti-psychotics, in 200 patients. He has also conducted preliminary studies of Ayurvedic herbal extracts in the treatment of Bipolar Disorder, Vascular Dementia, Alzheimer's Disease, Parkinson's Disease, Attention Deficit Hyperactivity Disorder, Autism, Mental Retardation, Tobacco and Alcohol Addiction, Age Related Macular Degeneration and different types of Cancer.


 
 
     
 
 





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