Usually, in case of sinusitis, a puncture of the maxillary sinus is performed. This procedure is mandatory and extremely necessary to prevent the spread of the inflammatory process to nearby organs.
Inflammation can cause dangerous complications of sinusitis: meningitis, blood poisoning, loss of consciousness.
To understand how a puncture is made for sinusitis, it is worth watching the corresponding video and photo. The puncture technique is simple, but the patient needs to mentally prepare for the procedure.
Should I get my nose pierced for sinusitis?
A nose piercing for sinusitis is necessary in the following cases:
- If there are no visible signs of improvement for more than 14 days;
- There is no proper effect from treatment with medications.
- There is prolonged and severe pain in the maxillary sinuses. Pain occurs with sudden movements of the head or when bending over. The nature of the pain is pressing or bursting;
- Body temperature reaches more than 37.5 degrees;
- Pus does not come out through the nasal passages;
- The picture clearly shows pus in the cavities;
- There is a persistent, purulent odor in the nose.
These signs indicate that the patient has acute purulent sinusitis and requires surgical intervention.
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By date: 09.09.2020 - 10.09.2020 - 11.09.2020
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How to make a puncture for sinusitis (video)
What does surgery provide?
If the medication method does not help, then purulent exudate can cause a life-threatening disease such as meningitis. Nasal puncture for sinusitis will help quickly remove all accumulated pus.
During surgery, the doctor will remove all pus from the sinuses and administer anti-inflammatory drugs. Sometimes, in rare cases, puncture of the maxillary sinus is necessary to diagnose the contents of the cavities.
Treatment of sinusitis without puncture is often used. If the form of the disease is catarrhal, then more gentle treatment methods can be used. The patient is prescribed antibiotics, special procedures and medications. Rinsing the nose with disinfectant solutions is also prescribed. One of these alternative methods that can be used to cure sinusitis without a puncture is “Cuckoo”.
Main article:
Nasal rinsing procedure “Cuckoo” for sinusitis
This is one of the effective ways to treat sinusitis, in most cases it allows you to cope with both a common runny nose or a cold and avoid a puncture..
Read more to the contents?
Is a puncture required?
Many patients are concerned about the question: is it necessary to pierce the nose for sinusitis, and what is the alternative? Modern medicine offers several methods of treating the disease.
When diagnosed with sinusitis, a puncture is necessary only in extreme cases. Each of the methods has a single goal - eliminating the inflammatory process and maximizing the cleansing of the paranasal cavities from accumulated pus and mucus.
Puncture of the maxillary sinus is a surgical procedure aimed at speedy recovery of the patient. In addition, a puncture may be indicated:
- for diagnostic purposes to exclude a disease;
- to identify the contents of the sinuses;
- for the introduction of drugs into them.
The intervention is considered not difficult. It takes little time and does not require special preparation for the sick person. Initially, anesthesia is required. For these purposes, it is recommended to use Lidocaine.
A small piece of cotton wool wound on a special thin spatula is moistened with an anesthetic. After this, you need to insert it into the nostril on the affected side to freeze the future puncture site.
The Kulikovo needle for piercing the maxillary cavity is quite large, with a curved end. Photos of the instrument can be viewed in detail on medical websites on the Internet.
The doctor punctures the bone septum between the nasal passage and the maxillary sinus. Is it painful to get a puncture with sinusitis? Not at all. The patient will not feel pain due to the action of Lidocaine.
Without removing the needle from your nose, the doctor will attach it to the syringe and begin rinsing. The contents of the sinus are washed out with a pre-prepared saline solution. The patient should keep his mouth open and his head slightly tilted forward. This position is necessary for better evacuation of exudate and preventing it from entering the respiratory tract.
After puncturing the sinusitis, the following are introduced into the sinus cavity:
- anti-inflammatory drugs;
- antibiotics.
This will help stop the inflammatory process in a short time.
For continuous drainage of the maxillary sinus, a special catheter can be installed. The administration of medicine through it has a beneficial effect on health.
How to make a puncture for sinusitis photo
The operation can be performed on almost all age groups, with the exception of small children. The patient should not worry and wonder whether it hurts to get a puncture and whether this method is necessary.
All procedures are carried out in the otolaryngologist’s office with the mandatory use of a strong pain reliever.
Description of the procedure itself First of all, the patient is seated in a chair. Next, the doctor takes medical tweezers and fixes a cotton swab, which is pre-moistened in an anesthetic drug.
A 10% solution of lidocaine or 2% dicaine is used as an anesthetic. Next, the doctor must insert the tampon deeply into the nasal passage.
This procedure is carried out so that the patient does not feel pain during the process of piercing the cavity. After anesthesia, the doctor takes a needle and enters the maxillary cavity through the nasal passage.
A Kulikovsky needle is used. The purpose of this action is to get the needle to the accumulation of pus. The needle plunges into the cavity approximately 5 mm.
Sometimes it can reach the contralateral wall of the cavity. After the puncture, gently move the needle and collect some liquid. If this is easy, then the needle is located in the lumen of the sinus.
After the doctor removes all the pus in the cavity with a syringe, he pours it into a special container, which he sends to the laboratory for testing.
When all the pus is removed, the cavity is washed. In this case, a syringe or tube is also used, which is inserted through a trocar.
This tube may not be removed throughout the treatment process. After all, the healing process does not end with one piercing operation. Washing is performed every day.
Sometimes, in order to carry out more thorough treatment, it is necessary to make several punctures over 1-2 weeks. In this case, catheters are installed through which lavage is performed. If a puncture is not required, then the tubes are not installed.
Contraindications for piercing surgery
In some cases, there are contraindications for sinus piercing. This is, first of all, the presence of infectious diseases in the patient. It is also not recommended to perform the operation if the patient is less than 6 years old.
In some cases, the shape of the cavity may differ from the standard one. This may make piercing more difficult. Special tools may be required.
to the content?
Puncture for sinusitis: reviews and video of puncture of the maxillary sinus
Usually, in case of sinusitis, a puncture of the maxillary sinus is performed. This procedure is mandatory and extremely necessary to prevent the spread of the inflammatory process to nearby organs.
Inflammation can cause dangerous complications of sinusitis: meningitis, blood poisoning, loss of consciousness.
To understand how a puncture is made for sinusitis, it is worth watching the corresponding video and photo. The puncture technique is simple, but the patient needs to mentally prepare for the procedure.
Is a puncture required?
Many patients are concerned about the question: is it necessary to pierce the nose for sinusitis, and what is the alternative? Modern medicine offers several methods of treating the disease.
When diagnosed with sinusitis, a puncture is necessary only in extreme cases. Each of the methods has a single goal - eliminating the inflammatory process and maximizing the cleansing of the paranasal cavities from accumulated pus and mucus.
Puncture of the maxillary sinus is a surgical procedure aimed at speedy recovery of the patient. In addition, a puncture may be indicated:
- for diagnostic purposes to exclude a disease;
- to identify the contents of the sinuses;
- for the introduction of drugs into them.
The intervention is considered not difficult.
It takes little time and does not require special preparation for the sick person. Initially, anesthesia is required. For these purposes, it is recommended to use Lidocaine. A small piece of cotton wool wound on a special thin spatula is moistened with an anesthetic. After this, you need to insert it into the nostril on the affected side to freeze the future puncture site.
The Kulikovo needle for piercing the maxillary cavity is quite large, with a curved end. Photos of the instrument can be viewed in detail on medical websites on the Internet.
The doctor punctures the bone septum between the nasal passage and the maxillary sinus. Is it painful to get a puncture with sinusitis? Not at all. The patient will not feel pain due to the action of Lidocaine.
Without removing the needle from your nose, the doctor will attach it to the syringe and begin rinsing. The contents of the sinus are washed out with a pre-prepared saline solution. The patient should keep his mouth open and his head slightly tilted forward. This position is necessary for better evacuation of exudate and preventing it from entering the respiratory tract.
After puncturing the sinusitis, the following are introduced into the sinus cavity:
- anti-inflammatory drugs;
- antibiotics.
This will help stop the inflammatory process in a short time.
For continuous drainage of the maxillary sinus, a special catheter can be installed. The administration of medicine through it has a beneficial effect on health.
Myths about puncture
Opinions and reviews about the puncture procedure for sinusitis are very diverse and at times contradict each other.
If some people believe that it is necessary to agree to piercing to get rid of the disease, then others are sure that it is quite possible to do without this extreme measure, and a piercing for sinusitis is not needed. Before drawing conclusions, you should analyze the ENT recommendations yourself and, if desired, watch videos about this on medical websites.
Some patients are terrified of getting a puncture for sinusitis. However, especially chronic sinusitis in this case only gets worse, especially if the patient does not go to the doctor, but prefers to self-medicate after watching numerous videos about traditional methods.
The biggest misconception is that the consequences will be irreversible: sinusitis after a puncture will return constantly and become chronic.
If you take into account all the factors that provoke such a disease and get rid of them, the patient will no longer suffer from sinusitis.
Conditions when a puncture is necessary
There are clearly defined indications for puncture of the maxillary sinus:
- the medications recommended by the doctor do not give the expected effect;
- body temperature rises to 38 degrees;
- X-ray photo showed the presence of pus;
- There is acute pain near the maxillary sinuses, which intensifies when tilting the head;
- an unpleasant characteristic odor of pus appears in the nose (bilateral or unilateral odontogenic process);
- the contents of the sinuses did not find a way for outflow.
In each specific case, the decision to carry out an intervention is made based on the general condition of the patient, the presence and severity of symptoms of the disease.
Advantages and disadvantages of piercing
Radical treatment of sinusitis, namely puncture of the maxillary sinus, has certain consequences.
As reviews say, it is not always possible to avoid them. The success of the procedure depends entirely on the skill of the doctor who performed the procedure. If the puncture is done correctly, sinusitis will not be complicated and the likelihood of serious consequences is negligible and you should not be afraid of manipulation. A doctor will never prescribe antibiotics, painkillers or other medications without first making sure that the patient does not have an allergic reaction to them.
During a puncture, the needle goes directly into the sinus, and not into the eye sockets and cheek. Penetration into adjacent sinuses is excluded. If all conditions are met, the positive dynamics of the disease is guaranteed, and negative consequences are excluded.
It should be noted that not every patient with severe sinusitis can undergo a puncture. It is prohibited to perform a puncture in the following cases:
- early childhood;
- violation of adequate formation of the paranasal sinuses;
- common serious illnesses;
- acute infectious processes.
Treatment of sinusitis by puncture is an unpleasant, but very effective procedure. In this case, it is possible to clean out the purulent contents from the maxillary sinus as much as possible, reduce the dosage of recommended drugs, and the duration of the course of treatment. This in turn helps eliminate many adverse reactions of the body.
The hole in the bone wall after the procedure will heal on its own after about 1 month. There are many videos explaining the nuances of this treatment method.
Often people who have been diagnosed with inflammation in the maxillary sinuses do not want to agree to a puncture. Arguing this with the unpredictable consequences of manipulation.
Alternative to piercing
Naturally, it is possible to avoid puncture of the maxillary sinuses and carry out treatment using other methods. However, it is worth remembering that you cannot do without medical advice. Untimely therapy will cause the development of complications that simply cannot be eliminated without surgical intervention.
Treatment can be carried out using various methods. The choice of a specific one depends entirely on certain factors: the anatomical structure of the nasal cavity, the degree of the disease, its shape.
Treatment methods can be distinguished:
- medication treatment;
- puncture-free treatment;
- puncture;
- surgical intervention.
In addition, it is worth using complex systemic therapy with antihistamines, antibiotics, anti-inflammatory and antibacterial drugs.
As for non-puncture methods, such treatment is also useful for sinusitis and will relieve nasal congestion. Sinus rinsing is called cuckooing. It involves the movement of fluid from one nostril to the other (photo).
You need to understand that such treatment can only help at the very beginning of the disease and in the absence of disturbances from the passage between the nasal cavity and the maxillary sinus. Another condition is strong immunity of the mucous membranes.
In some cases, treatment is practiced together with laser therapy. Since pus and mucus are evacuated from the nasal passages after rinsing, the laser will help stop the inflammatory process.
It is also often worth relying on the use of the YAMIK sinus catheter. The principle of its operation is to remove purulent accumulations by changing positive pressure in the nostrils to negative.
Prevention of sinusitis
The main danger of sinusitis is the proximity of the pathological process to the brain. If the disease is advanced, it can cause frontal sinusitis and meningitis, serious illnesses that threaten the patient’s life.
Treatment of inflammation in the sinuses is a complex and lengthy matter. For this reason, prevention is the only sure way to avoid a puncture.
Since the problem most often develops in the cold season, strengthening the immune system is at the forefront of prevention methods. Doctors recommend taking courses of vitamins and dressing appropriately for the weather to avoid hypothermia. Detailed videos and photos with instructions are available to everyone.
Also, nasal congestion should not be ignored and you should always agree to all procedures prescribed by your doctor. When you have a runny nose, you need to give up vasoconstrictor medications and opt for oil-based options.
The explanation for this is simple: vasoconstrictor medications relieve congestion perfectly, but after a few days they dry out the mucous membrane and prevent infections from persisting. That is why, after such treatment, a completely banal runny nose turns into sinusitis, increasing the risk of piercing the maxillary sinus.
About the pros and cons of a puncture, see the video in this article.
stopgripp.ru>
Is it possible to cure sinusitis without a puncture?
If the patient has hypertension or diabetes mellitus, this may be a reason not to undergo surgery.
It is possible, but it will take more time and a hospital with the use of medications. One of the alternative methods used for such patients may be the “Cuckoo” nasal rinsing procedure for sinusitis.
This method of rinsing uses vasoconstrictor drops such as Nasonex, Nazol, Naphthyzin, as well as antiseptic solutions.
You can avoid a puncture in the initial stage of the disease, when the inflammatory process is not yet so extensive.
As with other diseases, it is better to consult a doctor as early as possible so that the treatment process does not take much time and proceeds without complications. This is especially true for children, for whom puncture is a considerable stress.
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Contraindications for piercing sinusitis
Is a puncture for sinusitis really necessary?
This question can only be answered by a specialist after a complete picture of the disease has been compiled.
However, there are a number of reasons why surgery cannot be performed
Namely:
- Presence of somatic diseases;
- The operation is not performed on infants;
- For infectious sinusitis, which is at an acute stage;
- An unformed bone sinus will be prohibited from surgery.
Also, puncture may be prohibited if the patient has an anomaly of the nasal cavity or maxillary sinus. Intervention is not recommended for those patients in extremely severe conditions that have caused the onset of a chronic disease.
So let us repeat once again, only a specialist can decide whether to perform a puncture or not, based on the general condition of the patient.
How is rinsing done after a puncture?
The main cleaning agent is sodium chloride. After rinsing, the saline solution is removed and approximately 20 ml is injected into the cavity. solution of chemtrypsin and saline.
After the manipulations, the patient is placed on the side in whose sinus the puncture was performed. He should lie in one position for a minute. After this, the cavities are washed with saline solutions or iodinol. If iodinol is used, then antibiotics are not prescribed. In other cases, the patient must take antibiotics for 2 weeks. to the content?
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Puncture for sinusitis: consequences
After surgery, heavy bleeding may occur. In rare cases, complications caused by fluid entering the brain are possible. In most cases, the patient's body temperature normalizes.
My head doesn't hurt anymore. Swelling and nasal congestion quickly disappear. This occurs due to the fact that the pressure of pus on the walls decreases. The swelling disappears because sinus ventilation and breathing are normalized. The bone heals within three days. In some cases, complications may also arise. One of them may be a headache when lying down. A headache and fever may also occur.
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Sometimes nasal congestion and the presence of discharge indicate the development of such an insidious disease as sinusitis.
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Prevention of sinusitis after puncture
The main task of a patient recovered from the disease is to take care of his immunity. Prevention after treatment is no less important than the treatment itself.
It should be remembered that if you have a cold, sinusitis can occur again. To improve immunity, you need to exercise and lead a more active lifestyle. In this way, it is possible to increase resistance to various inflammations of the upper respiratory tract and nasal mucosa.
After treatment, you need to pay attention to your diet. It is advisable to eat right, consume more raw vegetables and fruits. Don't get too cold.
to the content?
We apply compresses
After you have administered the medications and removed the tampons, it is time to make compresses to relieve inflammation of the mucous membrane. Most often they are impregnated with compounds made at home.
You should know that if sinusitis is in the initial stage, then the compress will only increase the inflammation. You need to wait a little with this stage of treatment.
Some of the most popular recipes for compresses look like this:
- We soak a piece of bandage or gauze in a mixture of radish juice and vegetable oil, heat it and place it on the sinuses, covering the top with a bag of heated salt. Compresses should be done twice a day, and left for half an hour for children and an hour for adults.
- Another recipe is a mixture of pureed propolis and honey. It is applied to the painful sinus, secured with a band-aid and left overnight. This mixture promotes the removal of sinus contents and relieves swelling.
- If sinusitis has progressed to the chronic stage, then you need to brew a bay leaf, moisten a cloth in it, apply it to the sinus and cover it with a warming cloth.
The compresses are kept until the matter is completely cooled. They are done before bed to improve sleep, and the course consists of six procedures.
Puncture - how it is
It is impossible to say that a puncture is a pleasant procedure. In addition, this is not the most harmless manipulation , therefore it is used only in cases where therapeutic methods are ineffective. But how does the puncture occur, and what does the patient feel at this moment?
The manipulation is always performed under local anesthesia. Lidocaine, tetracaine and a complex of vasoconstrictor drops and anesthetic are used as an analgesic. In such products, a tampon is moistened, which is inserted using a special spatula deep into the nasal cavity. Many are afraid that the painkiller may not work, and the doctor will perform a puncture practically on the living, but we can say with confidence that this will not happen. Before starting the procedure, the specialist must check how pain-free the area is and, if necessary, administer an additional dose of the drug. Before the procedure, the main thing for the patient is to calm down and remember that he will not experience painful shock.
An extremely unpleasant moment during the manipulation is the crunching of bone tissue , but it is impossible to get rid of this sensation. This sound seems excessively loud because the patient hears it from within, and also sees all the actions of the surgeon at this moment.
Recovery period
Bone tissue is restored quite quickly, which means that soon after the puncture, only memories of the manipulation will remain. Some patients may experience a headache after the puncture, but in most cases this goes away quickly. A puncture also cannot become an impetus for the onset of the inflammatory process, because rehabilitation therapy after a puncture always involves the use of antibiotics. The success of treatment directly depends on the patient, who must strictly follow all the doctor’s instructions. It is important not only to take the full course of antibacterial drugs, but also not to forget that hypothermia should be avoided.
It is worth remembering that a puncture is a safe procedure that can be performed by any experienced otolaryngologist.
