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Ashurov Azimjon Mirzajanovich, Boymuradov Shukhrat Abdujalilovich, Khayruddinova Zulfiya Rafikovna, Ibragimov Davron Dastamovich, Tashkent Institute of Advanced Medical Education, Tashkent Medical Academy, Samarkand branch of the Tashkent State Dental Institute E‑mail: [email protected] Posttraumatic rhinosinusitis in patients with cranio-facial injuries Abstract: Post-traumatic sinusitis develops due to combined craniofacial injuries and is accompanied by brain damage, skull, orbit. Post-traumatic inflammation of the frontal sinus is in the first place among post-traumatic lesions of the paranasal sinuses, while the rarest post-traumatic sinusitis aſter trauma of the facial skeleton is an inflammation of the sphenoid sinus. We have examined 216 patients with cranio-facial injuries. Patients were carried out the following methods of research: rhinoscopy, X-ray, MRI, MSCT of PNS, sinusal probing, diagnostic puncture, in open fractures — revision of the sinuses. According to our data post-traumatic sinusitis amount to 9.7 % of the total number of cranio-facial injuries. When ongoing hemosinus more than 5 days it is necessary to conduct active anti-inflammatory, anti-edematous, biodegradable and mucolytic treatment. Keywords: Post-traumatic sinusitis, craniofacial injuries, hemosinus, treatment of acute sinusitis. Post-traumatic sinusitis develops due to combined craniofa- cial injuries and is accompanied by brain damage, skull, orbit. Dam- ages of the front group of the paranasal sinuses (PNS) develop as a result of injury of the facial skeleton, eye socket, while the post- traumatic sinusitis of the back groups of PNS occur in fractures of the skull base, as well as the long-term presence of a nasogastric tube, nasotracheal and endotracheal tubes [1; 4]. A characteristic feature of post-traumatic sinusitis is the presence of hemosinus, obstruction of the natural sinus by thrombosis, bone fragments, foreign bodies, damage of the mucous membrane etc. [2; 5]. Post-traumatic inflammation of the frontal sinus is in the first place among post-traumatic lesions of the paranasal sinuses, which is due to its anatomical features: a narrow nasofrontal channel, an ex- serted front wall, the large volume of the frontal sinus than the other paranasal sinuses. Injuries of the frontal sinuses can be penetrating and nonpenetrating to the cranial cavity, open and closed. Posrau- matic purulent frontal sinusitis is a frequent serious complication of traumatic brain injury. e rarest post-traumatic sinusitis aſter trauma of the facial skel- eton is an inflammation of the sphenoid sinus, because sphenoid sinus locates deep and has a protective anatomical structure, so this sinus damages are rare. However, inflammation of the sinuses is more common in fractures of the skull base, as well as in nosocomial sphenoiditis when, due to the serious condition of the patient a na- sogastric tube or conduct artificial pulmonary ventilation by endo- tracheal tube is installed. e cause of inflammation of the sphenoid sinus is in violation of ciliated airway epithelium function, leading to inflammation in the sphenoid sinus [2; 3]. e hospitalization for the purpose of examination and pre- scription of preventive therapy is indicated for the patients with post- traumatic hematosinus even when drainage function is safe [2; 6; 8]. Complications of traumatic sinusitis are: nasal septum ab- scess, osteomyelitis, frontoorbital fistula, orbital cellulitis, epidural abscess, sepsis. e aim of this study was to examine the state of PNS in pa- tients with cranio-facial injuries. Material and Methods: the work is done in the Department of Neurosurgery and Maxillofacial Surgery, ENT department for adults of the II clinic of the Tashkent Medical Academy. During the period from 2014 to 2015 we examined 216 patients with cranio-facial inju- ries, from which there were 180 (83.3 %) males, 36 (16.7 %) women. e age of patients ranged from 18 to 70 years (mean age 44 years).