Frontitis: Symptoms and Treatment

What is the front? This is a pathological process, accompanied by an inflammatory process in the frontal paranasal sinus. The formation of inflammation occurs in the mucosa, which is located in the frontal sinus. This disease has another name — frontal sinusitis. Of all types of sinusitis, the frontitis has the most severe form of flow.

Reasons for forming

Often acute frontalitis occurs as a result of the defeat of the body by a viral, fungal or bacterial infection. It happens that the disease serves as a complication of influenza, scarlet fever, diphtheria. The frontitis can also develop after the trauma of the nose. Distinguish the most common reasons for the formation of this pathology:

  • Prolonged rhinitis of an infectious or allergic nature.
  • Curvature of nasal septum of congenital or acquired form
  • A foci of infection formed due to infection with staphylococci, streptococci and other bacteria
  • Allergic reaction — bronchial asthma and vasomotor rhinitis contribute to the formation of edema of the mucous membrane. The result of this process is the overlapping of the opening, which facilitates the entry of fluid from the frontal sinus.
  • Polyps in the nose.
  • Foreign bodies.

If there are such circumstances, then the inflammatory process in the frontal sinuses can take a chronic form, which is very difficult to treat.

How does frontitis appear in adults?

Presented disease in adults is diagnosed very often. In 90% of cases the acute frontitis is combined with the defeat of the maxillary sinuses or cells of the latticed labyrinth. For this reason, the ailment is very difficult to proceed. Symptoms of the frontitis differ depending on the form of the pathology.

Symptoms of acute illness

Acute frontalitis in adults is accompanied by the following manifestations:

  1. Excruciating pains in the head, arising from the concentration in the damaged sinuses of the pus. The patient can alleviate his condition by taking a horizontal position. The reason is that there is a uniform distribution of accumulated fluid in the cavity.
  2. In the nose bridge, patients complain of uncomfortable feelings of a bursting nature. Their build-up occurs throughout the day. In the beginning, the pain syndrome is localized, but its focus with time «dissipates». Therefore, patients often experience pain when the head tilts forward or turns.
  3. Sensation of strong pressure and tension in the area affected by inflammation of the frontal sinus. If the case is started, the pain begins to appear in the occipital and temporo-occipital region of the head.
  4. Allocations from the nasal passages, which have an unpleasant odor. As a rule, they are mucous and transparent, but can contain particles of pus. Most often, their allocation occurs in an upright position. If there is a complete nasal congestion, then such symptoms of the frontitis are absent, because the outflow of sinus contents is difficult.
  5. The sudden rise in temperature to 39 degrees.
  6. Cough that worries the patient at night.
  7. Fatigue, loss of strength.
  8. Apathy, poor sleep and appetite

In adults, it is often diagnosed as an allergic frontalitis. Its manifestations are similar to those of an acute frontitis. Before you start to eliminate signs of the inflammatory process, you need to stop the real cause of the disease.

Symptoms of chronic disease

Symptoms of the frontitis in chronic course arise due to poor cleaning of the frontal sinuses in the acute form of the disease. Very often chronic frontal inflammation contributes to the formation of inflammation in the remaining paranasal sinuses.

The most common manifestation of the disease is a common cold, which is difficult to eliminate by any means. The released liquid has a purulent character and a repulsive odor. The chronic form of the disease is accompanied by the defeat of only one sinus, in which pus is concentrated. Very often, the pressure of pathogenic contents is the cause of the formation of deformation processes in the nasal cavity. There are the following symptoms of the chronic course of the front:

  • reduced sense of smell, sometimes the patient can not recognize smells at all
  • conjunctivitis;
  • in the morning, the eyelids are slightly swollen, which indicates the spread of inflammation to the orbit walls
  • persistent cough, which can not be stopped by any antitussive and expectorant means
  • a strong weakness that prevents ordinary household chores;
  • With a chronic front, polyps and neoplasms develop in the nasal cavity, which cause breathing problems

Diagnosing the chronic form of the disease is much more difficult than sharp front. The doctor will be able to diagnose only after he receives such data: external manifestations, patient complaints, test results and radiographs.

Occurrence of frontitis in small patients

Put in time the diagnosis of small children is very problematic, because they can not accurately establish the place where the pain is localized. In most cases, the inflammatory process in children is formed due to a common cold. In this case, bilateral lesions are often diagnosed, which is a particular danger for patients of young age. The following symptoms of acute pediatricitis in children are distinguished:

  1. irritability;
  2. temperature rise;
  3. Poor appetite
  4. poor sleep;
  5. general malaise, lethargy, weakness
  6. Sparse attention
  7. the inability to breathe through the nose.

All presented manifestations of the disease are similar to those of a common cold. For this reason, it is important to recognize the frontite in time to avoid severe consequences.

The basic manifestations of inflammation of the frontal sinuses are as follows:

  • headaches that become unbearable when the head changes;
  • pain in the frontal sinus, which can be determined by gentle pressure on the skin of the skin in the superciliary part of the face with pads of the fingers
  • swelling and pale complexion;
  • dry mouth
  • secretions from the nasal passages purulent, having an unpleasant odor
  • The nasal voice
  • nasal congestion
  • cough in the morning;
  • tears come from the eyes, in rare cases, conjunctivitis develops.

A characteristic feature of the ailment in small patients is the possibility of hidden leakage. Often the excessive prescription of drugs with the usual rhinitis removes many symptoms of the inflammatory process, but the disease itself does not disappear anywhere. The result of this process is the chronic frontitis, which contributes to the formation of inflammation in the middle ear region.

Diagnostic Methods

The main things in the diagnosis are the manifestations that the patient has. In addition, the doctor performs the examination of the nose. As a result of such manipulations, he can detect swelling, thickening and redness in the nasal concha. If the disease has a chronic course, then polyps can be identified. To clarify the diagnosis, the following research methods are used:

  1. X-ray of the sinuses of the nose;
  2. sounding of sinuses;
  3. video endoscopy;
  4. ultrasound examination of the paranasal sinuses
  5. MRI or CT sinus;
  6. blood tests and sowing from the nose.


How to treat a frontalitis? If it proceeds in acute form, then therapy should include conservative methods, and it is carried out in the ENT hospital. In order to reduce the swelling of the mucosa of the nasal cavity and normalize the outflow of the pathological content of the frontal sinus, treatment of the frontitis involves the use of the following vasoconstrictive drops. They are used 3-4 times for 2-3 drops in each nasal passage. After drops, treatment of the frontitis may include irrigation of the nasal cavity with the following formulations:

  • Bioparox;
  • Cameton
  • Propozol

In acute forms of illness, the doctor prescribes antibiotics, the course of treatment is 7-10 days. The choice of a particular medication is based on its tolerance to the patient and the severity of the disease. In most cases, treatment for the frontitis includes the following antibiotics:

  1. Augmentin
  2. Flemoxin
  3. Solutab
  4. Sumamed;
  5. Sporidex
  6. Rovamycin
  7. Ampiox;
  8. Durasef
  9. Cefazolin.

In combination with antibiotics, treatment of the frontitis involves the administration of antihistamines. Their intake is 1 tablet 2-3 times a day. The course of therapy is 7-10 days. The action of the presented drugs is aimed at eliminating the swelling of the mucous membrane of the nasal cavity.

Surgical treatment of the frontitis involves the removal of the frontal sinus. It should be performed in case of ineffectiveness of conservative therapy or in the diagnosis of pus in the sinus, expressed pain syndrome.

Traditional medicine

Treatment of the frontitis with folk remedies is effective to use in combination with the main therapy. Today, there are many prescriptions for non-traditional treatment, so consider the most effective.

Radish application

To treat the frontitis with folk remedies, you need to make juice from black radish, which after use as drops. In each nasal passage 2-3 drops 6-7 times a day.

Healing Herbs

For folk remedies, you need to stock up on the following herbs:

  • chamomile flowers — 10 g
  • St. John’s Wort — 15 g
  • marshweed — 10 grams

To prepare, mix the presented herbs and pour 450 ml of boiling water. Wait half an hour until the broth is consumed. Strain the remedy and treat the front with these folk remedies by dropping 7 drops into each nasal passage. Treatment of the frontitis represented by folk remedies can be carried out by inhalation. To do this, boil the infusion for 3 minutes and inhale the vapors. Perform inhalation folk remedies once a day, the general course — 14 days.


Therapy of the front with folk remedies involves the use of inhalations. For cooking it is necessary to take potatoes cooked in a «uniform», crush them, put them in a container and fill with water, in which it was cooked. Tilt your head, and breathe in pairs under the towel. Perform this treatment folk remedies every other day for 14 days.

Another recipe for inhalation by folk remedies involves the use of 2 glasses of water and 17 leaves of laurel. You need to pour the water into the pan and add the leaves of the laurel. Place the container on the stove so it will boil. After tilting your head over the pan, cover yourself with a towel and breathe. The duration of such treatment by folk remedies is 5-7 minutes.