Speak nasally

Introduction The breath control when speaking is not correct. Too much nasal sound is used, and the nasal sound is heavy. The nasal sound is the sound of the oral airflow obstruction, the soft palate, and the nasal ventilation. There are two types of nasal sounds, one is an open nasal sound and the other is an occlusive nasal sound. Open nasal sounds are usually congenital cleft lip and palate and soft palsy. The occlusive nasal sounds are mainly caused by nasal obstruction. The most common are nasal congestion during colds. In addition, such as turbinate hypertrophy, nasal polyps, and sinusitis Etc. Any lesion that causes blockage of the nasal cavity will cause an occlusive nasal sound. This nasal sound can be relieved as long as the nasal cavity is blocked. Sinusitis and other diseases can cause a nasal sound. Inflammation of the sinus mucosa. Among various sinusitis, maxillary sinusitis is the most common, followed by inflammation of the ethmoid sinus, frontal sinus and sphenoid sinus. Sinusitis can be single or multiple. The most common cause of the disease is secondary sinus purulent inflammation following nasal infection. In addition, allergic reactions, mechanical obstruction and changes in air pressure are easy to induce sinusitis, and infection of the teeth can cause odontogenic maxillary sinusitis.

Cause

1. Reduced body resistance, such as excessive fatigue, cold and dampness, malnutrition, vitamin deficiency, and poor living environment.

2. Allergic constitution, systemic diseases such as anemia, insufficient endocrine function (such as thyroid, pituitary and gonads), acute infectious diseases such as influenza, measles, scarlet fever, diphtheria, etc. can induce this disease.

3. Some diseases of the nasal cavity, such as nasal septum deviation, middle turbinate hypertrophy, nasal polyps, allergic rhinitis, nasal foreign body or nasal tumors, can also cause sinusitis.

4. Adjacent lesions, such as tonsillitis or adenoid hypertrophy, second maxillary canine and infection of the roots of the first and second molars, injury to the maxillary sinus wall during extraction or the fall of the molar roots into the maxillary sinus can also lead to Sinusitis.

5. Others, such as sinus traumatic fractures; improper diving posture during swimming (such as taking vertical diving), or improper swimming and swimming, nose and nose, sewage into the sinus; nasal tamponade retention time is too long; high-altitude flight rapidly declines, The sinus cavity forms a relative negative pressure with the outside world, and inhalation of nasal secretions into the sinus can also cause disease.

an examination

Related inspection

Nasal endoscopy nasopharynx MRI

It can be diagnosed according to the clinical.

1. Sinusitis is often secondary to upper sensation or acute rhinitis. At this time, the original symptoms are aggravated, and there are chills, fever, loss of appetite, constipation, and discomfort. Pediatric vomiting, diarrhea, cough and other symptoms can occur in children.

2. More can occur - side continuity, occasionally bilateral persistent nasal congestion.

3. The patient has increased purulent sputum and is not easy to exhaust. For example, when flowing backward into the pharynx and lower respiratory tract, it stimulates the pharynx and throat mucosa, causing hair loss, coughing and coughing, and even nausea.

4. Forehead pain, light in the morning, heavy in the afternoon. There may also be pain in the cheeks or pain in the upper molars, mostly maxillary sinusitis.

5. Morning feelings of forehead pain, gradually increased in Zhejiang, relieved in the afternoon, all disappeared in the evening, this may be frontal sinusitis.

6. The headache is mild, limited to the internal hemorrhoids or the base of the nose, and may also be radiated to the top of the head, caused by worm sinusitis.

7. The pain in the deep eye can be radiated to the top of the head, and the occipital headache, which is light in the morning and heavy in the afternoon, may be sphenoid sinusitis.

8. Chronic sinusitis, in addition to nasal congestion, runny nose, headache and other symptoms, there are the following characteristics:

(1) The headache is light, and it is generally dull and dull.

(2) The sense of smell is reduced or disappears.

(3) headache can be alleviated after rest, nasal drops, steam inhalation or nasal ventilation.

(4) Coughing, bowing, bending, and aggravating headaches when exerting force.

(5) Smoking, drinking, and emotional excitement can aggravate headaches.

(6) Sometimes it can cause lack of energy, sleepiness, dizziness, memory loss, inattention, and so on.

Differential diagnosis

(1) Identification with chronic rhinitis: Chronic rhinitis is not greenish and purulent, and there is no odor. Therefore, observing the nature of the sputum is the key to identification; the X-ray examination can be accurate and accurate, and the chronic rhinitis lesion is confined to the nasal cavity. Chronic sinusitis can be seen in the sinus.

(2) Identification with neurological headache: Some patients with neurological headache can have headaches for many years, repeated attacks, and often mistaken for sinusitis, but this patient has basically no nasal symptoms, so from the performance and taking X-ray film Can be identified.

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