Yamik catheter

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Treatment with Yamik-catheter - an alternative to puncture for sinusitis

The Yamik catheter is a device thanks to which a large number of patients from various ENT clinics have successfully gotten rid of sinusitis without resorting to surgery.

Table of contents:

It is noteworthy that the author of this technique was a Russian otolaryngologist.

This procedure was invented by Dr. Kozlov, the meaning of which is to suck out the contents from the diseased sinus without violating its integrity and traumatizing the mucous membrane. Previously, the only way to eliminate pathological fluid and pus was an operation in which a puncture was made.

A puncture is a very unpleasant and painful procedure, which, moreover, does not always lead to a positive result, and also requires some time for recovery.

Therefore, the ability to cleanse the sinuses, without prescribing potent drugs and punctures, using a device such as a catheter has become a completely new word in the treatment of sinusitis.

Pit sinus catheter design

The yam-catheter is made of soft latex material, so it does not injure the nasal mucosa.

This choice makes it possible to use a catheter for sinusitis, not only in adults, but also in children from the age of five. And the basis of this procedure is the use of the pressure difference created in the nasal cavity.

The catheter system is very simple in design and consists of two main parts:

The case includes:

How is the procedure performed?

  • To carry out the procedure using the pit device, the patient must be in a sitting position;
  • Before starting, he is given anesthesia, this can be lidocaine or novocaine in the form of a spray. After which, a catheter is inserted along the lower part of the nasal canal;
  • The plastic and flexible tube of this device adapts well to the structural features of the inner wall of the nose in any patient.
  • After insertion, the posterior balloon is inflated, thereby blocking the nasopharynx from air intake;
  • On the other hand, the balloon is placed in the nasal cavity and inflated in the same way;
  • Hermetically closing the cavity, a syringe is attached to the cuff and air is sucked out with its help;
  • A vacuum is created inside the nose, which opens the maxillary sinuses. As a result, the pus spontaneously passes into the nasal cavity and then enters the syringe.

The procedure is repeated until the purulent pathological secretion stops flowing into the syringe.

Using a pit catheter, you can not only remove purulent contents when treating sinusitis, but also diagnose and prevent exacerbation of the disease.

To do this, the patient lies on his side from a sitting position. And with the help of a syringe, a medicine or diagnostic substance is injected directly into his sinus. After this, the air is released from the balloons and the catheter is removed.

Treatment of sinus inflammation using a pit catheter requires 3 to 6 procedures. Only then is it possible to achieve the desired result.

The duration of each session does not exceed eight minutes.

Advantages of the technique

The Yamik method is a simple and painless procedure that does not require long preparation from the patient.

Suitable for children and pregnant mothers.

In addition, the use of local treatment is especially important in young children and pregnant women with a diagnosis such as sinusitis.

Low level of side effects.

Allows you to achieve the maximum effect from the administered drugs, with minimal side effects.

Even a patient who, due to fear of pain, flatly refused a puncture (puncture) can agree to undergo such treatment.

And besides, many years of experience of doctors in using the Yamik catheter proves the effectiveness of this method. You can read many reviews about this not only from patients, but also from specialists in otolaryngology.

Indications

The effectiveness of this procedure and its high safety are widely used to eliminate diseases; it can be used in the following situations:

  • Treatment of acute sinusitis;
  • Complex therapy of chronic sinusitis;
  • With inflammation of the frontal, sphenoid sinus and ethmoid sinuses;
  • Preparation for surgery on ENT organs;
  • Prevention of purulent sinusitis after surgery.

Contraindications

In some cases, the use of this method is contraindicated. The reason for refusal to carry out the procedure may be:

Due to the risk of capillary bleeding.

Because with this disease, catheterization can accidentally disrupt the integrity of the nasal mucosa or cause a polyp to rupture.

Due to the presence of many chronic pathologies.

For the treatment of sinusitis in children under 5 years of age, other methods of therapy are provided and the yamik procedure is not suitable for them.

The use of a catheter is a high-quality and safe alternative to sinus puncture, which could only be decided upon in the most extreme cases.

Now there is no need to endure pain, and there is also the opportunity to receive quality treatment without side effects or unwanted consequences.

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Source: http://gaimoritus.ru/lekarstva-i-proceduri/yamik-kateter-pri-gaimorite.html

Treatment of sinusitis without puncture using the Yamik sinus catheter

This method of treatment involves a long recovery period, so its use is justified only in extreme cases. During a puncture, there is always a danger of the needle penetrating into the border areas, which can lead to inflammatory processes.

To help doctors and patients in the 1980s, inventor V. Kozlov developed the Yamik non-puncture method. Since then, the device has been significantly improved and began to be used for the treatment of frontal sinusitis and sinusitis.

Using the Yamik procedure allows you to treat mild to moderate sinusitis without a puncture.

What is the YAMIK procedure?

The essence of the entire procedure is to free the paranasal sinuses from pathological contents. Due to the fact that the sinus catheter freely adapts to the shape of the patient's nose, its use is painless. In addition, the catheter is made of a very soft material - latex, which eliminates the possibility of injury to the walls of the sinuses.

Using a sinus catheter, the doctor creates controlled pressure in the nasal cavity, then pumps out the contents through the natural nasal openings (stomachs). The procedure helps reduce swelling and pump out pus simultaneously from several sinuses on one side, and also facilitates the penetration of medicinal solutions.

Benefits of the procedure

It is necessary to note several advantages of the YAMIK procedure:

  1. painlessness;
  2. the possibility of quick recovery (due to the absence of a puncture and damage to the sinuses);
  3. multilateral therapeutic effect. Treatment affects more than one paranasal sinus;
  4. safe use in the treatment of pregnant women and children.

Design and use of a sinus catheter

The main parts of this small system are the cuff and the body. The body includes a flexible rod, a “back” balloon and a valve with which this balloon is inflated. The cuff contains the “front” balloon, the valve for this balloon, the main working channel and the adapter for the syringe. Several types of such devices are manufactured. Their differences lie only in the size of the diameters of the channels for the treatment of adults and children.

The YAMIK system can be used not only in the treatment of sinusitis. It is also used for X-ray and CT examinations for contrasting the nasal sinuses, pumping out blood and administering special medications after removal of adenoids in children.

Main indications and contraindications

Indications:

  • treatment of sinusitis, rhinitis, frontal sinusitis (acute), ethmoiditis, sphenoiditis, polysinusitis,
  • adenoiditis, tonsillitis;
  • preparation for various ENT operations;
  • the occurrence of complications after surgery in the form of purulent sinusitis.

The main indication is the effectiveness of this procedure.

Contraindications for YAMIK procedure

In some situations, this treatment method can be harmful:

  • hemorrhagic vasculitis and other vascular diseases with a risk of bleeding;
  • severe polyposis of the inner lining of the nose;
  • age under 5 years and over 60 years;
  • epilepsy;
  • severe curvature of the nasal septum.

Preparation for the YAMIK procedure

Catheterization is performed in a sitting position. The doctor anesthetizes the desired side of the nose along with the mucous membrane. In the presence of bilateral sinusitis, anesthesia is performed on both sides. Then the sinus catheter is adjusted to the anatomical structure of the patient’s nose. This is not at all difficult, because the sinus catheter is very plastic and can easily take any shape.

The catheter is then inserted into the nasal cavity along the lower part of the canal. Careful supervision by a specialist is a prerequisite here. When the rear latex balloon is in the nasopharynx, they begin to pump air into it with a regular syringe. Now you can move on to the procedure itself.

Carrying out the YAMIK procedure.

First, the nasal cavity is treated with vasoconstrictor drugs. The patient tilts his head forward, slightly to the side, in the direction opposite to the sinus catheter. The doctor uses a syringe to suck out the inflammatory secretion (pus, mucus) from the maxillary sinuses. The first stage of the procedure is completed. Next, the medicine is administered with another syringe, while the patient needs to tilt his head in the other direction. The procedure is considered complete, the catheter is removed from the nose.

With bilateral sinusitis, the same actions are performed on the other side. The course of treatment usually consists of 5-6 procedures. Even if the first time it is not possible to remove pus from the sinuses, then an important result will be cleaning the anastomosis. Subsequently, the swelling decreases, and the rate of drug administration increases. Based on these facts, it is already possible to judge the improvement of the patient’s condition.

YAMIK procedure for children

YAMIK is a godsend for children. The use of the YAMIK procedure eliminates many traumatic factors and painful punctures, which are difficult for children to endure both physically and psychologically. The procedure is carried out in the same way as for adults, only a catheter with a smaller diameter of the balloons and channel is used.

The main difference is in preparing the small patient for the procedure. The child may have a very negative reaction to attempting to insert a sinus catheter. Therefore, before the procedure, parents should explain to their baby the meaning of what is happening and talk about the stages of the procedure. The doctor’s task is to be able to turn everything into a game and distract the child, relieve the feeling of discomfort and fear.

In some private clinics, this task is performed by a psychologist. The procedure is carried out by an experienced specialist who is well aware of the structural features of the body in children, so the result is always maximum.

For children, it is recommended to conduct at least 2 sessions, the maximum number is 8. On average, 4 procedures are enough.

No other method allows for the introduction of drugs into the nasal cavity so effectively. It significantly speeds up the healing of patients.

The YAMIK catheter is sold in pharmacies and is available to everyone. But despite the apparent simplicity of this method, a sinus catheter can only be used in a hospital setting, under the strict supervision of medical specialists. And it is worth remembering that in severe and advanced forms of sinusitis, a puncture is still inevitable.

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Yamic procedure - effective treatment of sinusitis without puncture

When a diagnosis of sinusitis is made, it immediately becomes clear that the person is very seriously ill. When the diagnosis is confirmed by an otolaryngologist, many begin to panic, especially if the disease affects children. But there is no need to panic; it is better to immediately begin treatment for this disease.

With sinusitis, the maxillary paranasal sinuses become inflamed. This disease is dangerous due to its complications and transition to a chronic form. In the conservative treatment of this disease, previously they often used puncture of the maxillary sinuses and rinsing them with various anti-inflammatory drugs.

But such a procedure is not only painful, but also quite traumatic, and therefore requires a long recovery. Therefore, the emergence of the non-puncture Yamik method for the treatment of sinusitis was a real breakthrough in otolaryngology and made it possible to treat this insidious disease with a high degree of efficiency without the use of a painful puncture.

Advice: you should not let sinusitis progress, otherwise it will become severe and Yamik-method therapy will not be indicated.

How sinusitis is treated without a puncture using pit catheterization is indicated in the description of this article.

About the procedure

The principle of the method is to “suck out” exudate (fluid that accumulates in cavities during inflammation) from the paranasal sinuses. Due to the fact that the catheter is made of soft material (latex), the walls of the nasal sinuses are not injured. With this method, instrumental rinsing of the nasal sinuses occurs using various medications.

The picture shows a diagram of the “yamik” procedure

The main problem with sinusitis is blocking the release of inflammatory exudate, which is present in any bacterial inflammation. While the sinuses of the nose are clogged with contents, there is no way to introduce medications into them that reduce inflammation.

Thanks to the use of the Yamik catheter, it is possible to painlessly suck out the pathological contents from the paranasal sinuses in order to then administer the necessary medications directly into the sinuses. Such local treatment, aimed specifically at destroying the causative agent of the disease, is very effective and leads to a complete recovery of the patient. At the same time, all signs and symptoms of sinusitis gradually disappear in patients, including the absence of nasal breathing, the presence of severe headaches and purulent nasal discharge.

Indications and contraindications

Children must undergo psychological preparation before the procedure.

How to properly take Sinupret, a medicine for sinusitis, is indicated in the description in the article.

The Yamik method is mainly used for mild forms of diseases in ENT practice.

Diseases treated with this method include:

  • sinusitis;
  • rhinitis (including allergic);
  • tonsillitis;
  • nasal polyps;
  • adenoiditis;
  • infectious diseases of the nasal passages;
  • acute sinusitis, frontal sinusitis, ethmoiditis;
  • chronic sinusitis, frontal sinusitis, ethmoiditis;

But there are situations when such a method can only do harm.

How to cure acute bilateral sinusitis will help you understand the content of the article.

The following conditions are contraindications to the technique:

  • vasculitis (vascular diseases with a tendency to bleeding);
  • severe polyposis of the nasal cavity;
  • deviated nasal septum;
  • nosebleeds;
  • epilepsy;
  • old age.

This procedure should be performed with caution on young children who panic at the sight of a device, cabinet, or are frightened when drugs are administered. Parents need to conduct a preparatory conversation with such children, explaining the essence of the procedure in a language they understand and reassure them.

Yamik catheter device

The Yamik sinus catheter is a special device for pumping out fluid from the paranasal sinuses and subsequently administering medications into them.

The device consists of a housing with three channels. Two channels are designed to inflate the cylinders located on the body. The third one has a larger diameter and its hole on one side enters the catheter body, and its other end has an adapter for a syringe. The first two channels are equipped with special valves. The catheter is made of a soft material - latex. There are several types of devices with different channel diameters, designed for adults and children.

The article contains reviews about the medicine Sumamed, which is used for sinusitis.

Preparation for the procedure

Before the procedure using the Yamik catheter, special preparatory work is carried out, which consists of the following:

1. The patient is asked to sit down. The doctor anesthetizes the desired side of the nose along with the mucous membrane or both parts.

2. After the onset of anesthesia, the catheter is modeled to suit the particular patient’s nasal anatomy.

3. Under the supervision of a doctor, the Yamic catheter is inserted into the nasal cavity.

4. When the latex balloon is in the nasopharynx, air is pumped into it using a syringe. This is necessary to block the nasal space.

After reading this article, it will become clear whether sinusitis is contagious for a child or not.

Carrying out

The course of treatment is usually 4-6 procedures

The catheter insertion procedure itself looks like this:

1. To carry out the procedure, the patient is asked to tilt his head forward and to the side opposite to the Yamik apparatus. Then an empty syringe is taken and connected to the working channel of the catheter. In this case, the doctor smoothly moves the piston, creating a pressure difference in the nasal cavity. As a result, liquid contents from the sinuses should enter the syringe.

2. After the sinuses are freed, medications are injected into them. These are drugs such as antibiotics, mucolytics, hormonal drugs. For this, the patient is asked to lie on his side.

3. Using a syringe with the drug, intermittent pressure is again created, and the drug enters the sinus.

4. Before completing the procedure, both balloons are deflated and the catheter is removed.

When carrying out the first procedure, the most important thing is to clear the anastomosis, even if the contents of the sinuses do not yet enter the syringe.

How long does it take to treat sinusitis? The average course includes 4-6 procedures. Each time, the swelling in the sinuses decreases more and more, and the rate of delivery of the drug increases. These facts allow us to judge the improvement of the patient’s condition and the reduction of swelling of the sinuses.

The Yamik-catheter method allows you not only to cleanse the nasal sinuses, but also to introduce the necessary drugs into them. You should not refuse this procedure.

Advantages and disadvantages

Puncture (puncture) for sinusitis has significant disadvantages, as it is a surgical procedure. It can have various complications, sometimes even leading to death. During puncture, there is a possibility of the needle getting into “forbidden” areas such as the eye orbit or soft tissues of the cheek. In this case, complications often arise in the form of infection and suppuration. One puncture is not always enough; sometimes it is necessary to resort to numerous manipulations to cure sinusitis.

From this article you can find out whether sinusitis is dangerous or not.

Advice: puncture of the paranasal sinuses for sinusitis has many complications, and therefore should be used only if it is impossible to use alternative methods.

The Yamik method is good because it eliminates trauma to the mucous and bone tissues of the nasal cavity and sinuses. It also makes it possible to remove purulent contents from several sinuses at the same time. No other method makes it possible to deliver the necessary medications to such a difficult-to-reach area, where the nasal cavity borders the paranasal sinuses. This method greatly speeds up the patient’s recovery process.

It is worth noting that the Yamik method cannot always be used in pediatric practice, since some children cannot tolerate treatment with the Yamik catheter, considering it painful. Also, information occasionally appears in the medical literature that sometimes this method of treating sinusitis can worsen the patient’s condition, involving previously uninvolved sinuses in the inflammation process.

How is sinusitis treated with Amoxicillin and how effective is it? indicated in the description in the article.

But such complications arise due to the low qualifications of the doctor performing this manipulation. Most experts advocate the use of this method for many diseases of the ENT organs, including sinusitis.

Advice: do not neglect this method and be afraid of it, since there is no other equivalent alternative for treating sinusitis at the local level!

Cost of the procedure and savings

The cost of this procedure may vary from one medical center to another. So, in Moscow, this manipulation costs an average of 2,000 rubles, ranging from 1,500 to 2,500 rubles. excluding the price of the sinus catheter itself, and depending on whether one or two paranasal sinuses need to be washed.

Currently, it is not difficult to purchase a Yamik catheter on your own. In the pharmacy chain its price is around 900 rubles. It would seem that buy yourself a catheter and do rinsing at home as much as you want. Is it so? Of course not. Beneath the apparent simplicity of this manipulation hides a lot of skills and abilities that only medical specialists possess. Otherwise, trouble cannot be avoided. Injecting fluid into the airway always poses serious risks.

You can understand which nasal drops for sinusitis are best to take by reading the article.

Important: the use of the Yamik catheter is possible only in a clinical setting, where, if necessary, it is possible to provide qualified medical care.

Reviews about the method

Larisa, St. Petersburg: “I have sinusitis again, but I refused to pierce it. I agreed to use the Yamik catheter. “In my opinion, this procedure is not pleasant, but it is quite effective and has already given a good result.”

Svetlana Petrovna, Moscow: “I fell ill with bilateral sinusitis. An x-ray confirmed the disease. In a private clinic, I was offered to draw out pus from the sinuses with a vacuum. To put it mildly, this procedure cannot be called pleasant. But against the background of this treatment, I only took antibiotics for 3 days, and recovered very quickly.”

Victoria, Kazan: “I chose treatment with Yamika. My doctor friend highly recommends it. This washing method is quite painful in itself, but the effect of the procedure is simply super.”

Igor, Magadan: “My younger brother recently moved from a hot climate to us, where he contracted sinusitis. Then my 8-year-old brother was offered to do Yamik instead of punching. I had to do 6 procedures, and after 3 procedures he felt great.”

Video

Learn more about the treatment of sinusitis without a puncture using the Yamik method in this video:

The method of non-puncture treatment of sinusitis using a Yamik catheter has many advantages: a minimum of contraindications and complications, the ability to cure acute and chronic inflammation of the ENT organs in a few days, and the availability of the procedure. Most patients are satisfied after using this method of treating sinusitis, preferring this technique to the method of puncture of the sinuses.

I read your article about the treatment of sinusitis. I can say that I myself treated sinusitis only with puncture, until I had to completely straighten the septum, because I could not breathe on one side at all. To be honest, the method is quite strange. I don’t know how effective it is, but I think it is quite so. Of course, I hope it won’t come in handy in the future, but if anything happens, I’ll resort to it, thank you!

It cost 200 rubles. You could buy it at a pharmacy. It’s been 10 years since the procedure and I don’t even remember about sinusitis. My husband started having problems, we are trying to find a specialist in Krasnodar. As it turned out, it’s not that simple.

Source: http://prolor.ru/n/lechenie-n/yamik-procedura.html

Yamik sinus catheter: procedure for sinusitis. Treatment, reviews

One of the conditions for successful treatment of maxillary sinusitis is the restoration of the normal functioning of the anastomosis, which connects the nasal cavity with the sinus and removes pathological contents out.

A rare patient is immediately ready to use surgical treatment methods (puncture, surgery) to eliminate the problem.

As an alternative, a non-surgical procedure for treating sinusitis without a puncture, such as the YAMIK method, can be used.

Yamic procedure for sinusitis: what is it?

YAMIK is a method of non-surgical treatment of sinusitis, based on creating a pressure gradient in the nasal cavity. Thanks to the pressure difference created, the exudate is removed from the sinus through the natural anastomosis.

To carry it out, a special catheter is used, which is inserted into the nasal cavity. It helps to create alternating negative and positive pressure, due to which the exudate independently leaves the sinus. After the manipulation, you can inject the drug into it using the same method.

Design of the Yamik sinus catheter

For the procedure, a special sinus catheter YAMIK 321 is used, which consists of a latex body (1) and a special movable cuff (10).

Inside the case there is a flexible metal base, which makes it possible to change its shape. In addition, at one end of the body there is a rear balloon (2), which is designed to block the entrance to the nasopharynx. At the front there is a valve (8) for inflating this balloon.

The moving part consists of a front balloon (4) and a valve (9), which inflates it. The cuff also has a special “working channel” (5) with two holes – internal (3) and external (7) for administering medications. The outer hole has an adapter for a syringe (6)

How is the Yamik procedure performed?

After checking the equipment, the specialist performs anemia and local anesthesia of the mucous membrane.

To narrow blood vessels, Naphthyzin or another vasoconstrictor is used. After this, local anesthesia is performed with a lidocaine solution over the entire surface of the nasal mucosa, paying special attention to the posterior sections. After waiting the time necessary for the onset of the analgesic effect, they begin to install the catheter.

Description of the manipulation itself

Some nuances of treating children

Performing the YAMIK method for sinusitis in a child is no different from performing it in an adult. The only difference is the introduction of less air to inflate both balloons. If in adults this is about 100 ml, then in a child 5-7 years old 6-9 ml of air is enough to hermetically seal the nasal cavity.

Before carrying out the manipulation, it is important to prepare the child mentally and tell him about what will happen. The procedure is practically not performed on children under 4-5 years of age due to their behavioral characteristics.

Advantages of the technique

The advantage of this method of treatment is its relative safety and gentle effect on the structures of the nose.

The YAMIK catheter is a worthy alternative to puncture in cases where the natural anastomosis with sinusitis is working normally. This method allows you to get rid of exudate in the sinus, introduce a medicinal substance there, and all this is achieved without a traumatic effect on the mucous membrane, unlike puncture.

Possible complications

When performed correctly, the risk of complications is minimized. In rare cases, bleeding, trauma to the nasal mucosa, or inflammatory changes in the middle ear develop.

In most cases, this method of treatment does not cause significant discomfort to the patient, and it is relatively safe.

Indications and contraindications for

Indications for using this method are the following conditions:

  1. Acute sinusitis in the absence of anastomosis block and other types of acute exudative sinusitis.
  2. Chronic sinusitis during exacerbation.
  3. Preparation for surgical intervention on the paranasal sinuses for chronic inflammatory processes.
  4. Development of sinusitis after surgery in this area.

There are absolute and relative contraindications to this procedure:

  • diseases associated with blood clotting disorders (hemophilia, Randu-Osler disease, etc.);
  • severe concomitant diseases in the stage of decompensation;
  • blockage of the nasal passages by a tumor or polyps
  • children of primary school age.

Sinus catheter Yamik at home

You will not be able to carry out this procedure on your own, despite the fact that the device itself can be freely purchased at a pharmacy.

Treatment of sinusitis at home using this method can only be carried out by a specialist who is familiar with this equipment and the structure of the nasal cavity.

You should not try to carry out the procedure at home on your own or with the help of a loved one, even if you think that you have studied the instructions well and understand everything. Incorrectly selected depth of catheter insertion, volume of balloon inflation and other factors will, at best, not give any effect from the procedure, and at worst, will cause the development of unpleasant complications.

The price of the Yamik procedure for sinusitis will average from 1,500 rubles to 2,500 rubles. excluding the cost of the sinus catheter itself. The cost of this manipulation (treatment) depends on the region and medical institution, as well as on the number of paranasal sinuses that will need to be washed.

The cost of this procedure may vary from one medical center to another. So, in Moscow, this manipulation costs an average of 2,000 rubles, ranging from 1,500 to 2,500 rubles. excluding the price of the sinus catheter itself, and depending on whether one or two paranasal sinuses need to be washed

Questions for the doctor

Question: Doesn't it hurt to do YAMIK?

Answer: When performed correctly and with good local anesthesia, the patient experiences no pain, only slight discomfort and a feeling of fullness in the head.

Question: Should I choose YAMIK or puncture (puncture) if the excretory anastomosis is blocked?

Answer: If after the first YAMIK procedure the anastomosis does not open, and the symptoms increase, then a puncture of the maxillary sinus should be performed.

Question: Is it possible to cure sinusitis without a puncture (puncture)?

Answer: Yes, you can. Techniques such as lavage, YAMIK in combination with conservative therapy help most patients get rid of the disease.

Question: How many procedures will be needed to completely get rid of sinusitis and where to do them?

Answer: This treatment is carried out in clinics and hospitals. The number of procedures depends on the clinical course of the disease; on average, 4-5 times are enough to evacuate discharge from the sinus.

The use of a YAMIK sinus catheter is a safe and low-traumatic way to treat sinusitis and other types of sinusitis. The procedure must be carried out by a doctor with the appropriate skills and education.

Yamik sinus catheter for sinusitis: patient reviews

Yamik catheter: photo

Video of the Yamik procedure from the ENT office

The principle of operation of the catheter is the removal of purulent accumulations by alternating negative and positive pressure in the nose. The catheter is made of elastic latex and consists of air cylinders, external valves and an opening for a syringe. During the procedure, air balloons are inserted into the nose and inflated in the nasal cavity. Due to the created pressure, it becomes possible to pump out the pus accumulated in the sinuses with a syringe and inject a medicinal solution into the sinuses.

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Specialty: Otorhinolaryngologist Work experience: 12 years

Specialty: Otorhinolaryngologist Work experience: 8 years

Source: http://nasmorkam.net/jamik-procedura-pri-gajmorite-sunus-kateter/

Treatment of sinusitis without puncture

YAMIK-catheter

The non-puncture Yamik method has recently become widely used in the treatment of sinusitis. This ENT procedure was invented by the doctor V.S. Kozlov. The point of the procedure is that it allows you to treat sinusitis without a puncture.

Conservative treatment of sinusitis involves puncturing the sinuses and washing them with antibiotics and mucus thinners - this procedure is painful, the recovery process is long, but, as a rule, even in the past, this method was resorted to in extreme, advanced cases. Therefore, the emergence of a way to treat sinusitis without a puncture was a real breakthrough in medicine.

Yamik method - the principle of the procedure is to “suck out” the contents from the paranasal sinuses. In this case, the process is considered natural, because no surgical intervention occurs. The walls of the sinuses are not injured, since the pit catheter is made of soft latex. In addition to treating sinusitis, this method is used for frontal sinuses. Yamic catheters come in several varieties. Their main difference is the diameter of the channels. After all, it is impossible to perform the procedure on a child with the same catheter as on an adult.

YAMIK catheter device

The YAMIK catheter is a small system that consists of a body and a cuff. The body consists of:

Balloon inflation valve

The cuff consists of:

Balloon inflation valve

Syringe adapter

The procedure is carried out in several stages, but lasts only no more than 8 minutes. It is done on an outpatient basis, without special complex preparation of the patient. The Yamik method is well tolerated even by children.

Preparation for the procedure

During the Yamic catheter procedure, the patient is positioned sitting. The doctor anesthetizes one or both (for bilateral sinusitis) sides of the nose. In this case, the inner mucous membrane of the nose is also subjected to anesthesia. After the medicine has taken effect, the sinus catheter is adjusted to the structure of the nasal cavity of a particular patient. This is easy to do, since the catheter has a plastic rod that can be bent. Then, under the careful supervision of a doctor, the Yamik catheter is inserted into the nasal cavity. It is more convenient to do this along the lower part of the nasal canal. Once the posterior balloon is in the nasopharynx, it is inflated by introducing air into it. This is done using a syringe. This completes the preparation for the procedure.

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Carrying out the procedure

Before the procedure, the nasal cavity is treated with special vasoconstrictors. Then a latex sinus catheter is inserted into the nasal cavity on one side. After the balloons are inserted, one of them begins to gradually inflate inside the nasopharynx, and the second in the nostril. The patient tilts his head at a certain angle. A small syringe is used to suck out the contents of the maxillary sinuses - pus, mucus. This is how the first stage of the procedure occurs.

Then the medicinal solution contained in it is injected with another syringe. The patient now tilts his head in the opposite direction and as a result, the solution is pumped into the freed sinuses. At this point, the procedure is completed, and the sinus catheter can be removed from the nose. But if the patient suffers from bilateral sinusitis, then it is necessary to repeat the entire procedure, but now on the other side.

Benefits of the procedure

The most important advantage of the Yamik-catheter treatment procedure for sinusitis is its painlessness. The absence of punctures and damage to the sinuses and the inside of the nose allows the patient to immediately recover after the procedure. The therapeutic effect during the procedure is multifaceted; it affects all paranasal sinuses at once.

Therefore, this method can be used to treat not only sinusitis, but also frontal sinusitis, polysinusitis, sphenoiditis, and ethmoiditis. Due to the fact that this method is gentle, it is used to treat pregnant women and small children. Almost all patients tolerate the procedure calmly and throughout the existence of this method, patients have only received positive feedback after treatment. In addition, doctors also recognize the Yamik method as the best at the moment, excluding advanced forms of sinusitis.

Yamic catheter and treatment of children

The Yamik-catheter procedure for the treatment of sinusitis and other nasal diseases in children is almost the same as in adults. To carry out the procedure, a catheter with a small diameter of channels and balloons is used. However, unlike adult patients, a child must be prepared mentally. After all, a child may react negatively to the doctor’s attempts to insert a catheter into his nose. Parents must explain to the child in advance the full meaning of the procedure at a level accessible to the child. The doctor’s task is to turn the procedure into a game, distracting the child from feelings of fear and discomfort. Catheterization of the children's sinuses is actively used in modern otolaryngology. In this case, all anatomical features of the structure of the child’s nasal sinuses are strictly taken into account. This is the only way the procedure will not leave bad memories for the child.

To obtain a lasting effect and consolidate the result of treating sinusitis with a Yamik catheter, it is necessary to carry out at least 2 procedures, and preferably 8 of them. Most often, 3-4 sessions are prescribed, which is often enough to achieve the desired result.

Indications and contraindications

The indications for performing the Yamik catheter procedure are as follows:

preparation for serious ENT operations

the occurrence of purulent sinusitis after surgical operations

The procedure is contraindicated in the following cases:

total polyposis of the inner lining of the nose

Thanks to the emergence in otolaryngology of the ability to treat sinusitis non-surgically, treatment of the disease and recovery from it have become much less time-consuming. In terms of effectiveness, procedures performed with a YAMIK catheter are superior to conservative treatment methods.

Balloon sinuplasty

Balloon sinuplasty is a method of treating sinusitis (chronic and acute), which consists of surgical intervention. However, this method is not traumatic and is a minimally invasive surgical procedure. Its essence boils down to expanding the anastomosis of the sinuses using a special catheter balloon. The sphenoid, maxillary and frontal sinuses may be affected, depending on the patient’s condition. To carry out the intervention, endoscopic equipment will be required.

Balloon sinuplasty procedure

The procedure is carried out in stages:

A sinusoplasty system is inserted into the inflamed sinus. This is done using a thin guiding catheter.

The contents of the nasal sinuses are aspirated by probing using a conductor connected to a light. The use of a light source allows the physician to clearly visualize the location of the guidewire tip.

A balloon catheter is inserted into the anastomosis through a guidewire.

Liquid is injected into the balloon, causing it to inflate. The exposure time does not exceed 5 seconds, then it is blown off. In this case, the anastomosis increases in the lumen, this allows the sinus to be washed using medicinal solutions. Accumulated pus and mucus are flushed out of the affected sinuses.

All equipment is removed from the nose.

Once the procedure is completed, the sinuses remain open, allowing them to function normally. It is worth knowing that only a doctor with a certificate and skills in endoscopic surgery has the right to perform this kind of intervention.

It is also important that performing minimally invasive surgery on the sinuses is not an obstacle to other methods of treating sinusitis. It may well be combined with other therapeutic procedures, the decision on the need for which will be made by the doctor.

Watch a visual video of what balloon sinuplasty is:

What diseases can be treated with balloon sinuplasty?

The procedure will be effective against various forms of sinusitis, including:

Ethmoiditis, in which the walls of the ethmoid labyrinth located in front are exposed to inflammation and damage. Often the maxillary, sphenoid and frontal sinuses become inflamed in parallel.

Sinusitis, characterized by involvement of the maxillary and maxillary sinuses in the pathological process. Most often, sinusitis is a complication of a previous infection.

Frontitis, when the frontal sinuses become inflamed. This condition has symptoms similar to sinusitis, but is somewhat more severe.

Sphenoiditis characterizes an inflammatory process, the localization of which is the sphenoid sinus.

Benefits of Balloon Sinuplasty

The procedure has a number of advantages, including:

The natural anatomical features of the nose will not be disturbed;

The nasal mucosa is not damaged, since the procedure is performed under the visual supervision of a doctor;

The sinuses continue to function independently;

The risk of bleeding is minimized;

The patient will not require general anesthesia;

Preparation for the operation does not take more than 90 minutes;

The patient does not require hospitalization after sinusoplasty;

The recovery period is minimal, and the person will be able to return to their normal lifestyle the next day;

The duration of the surgical intervention is minimal; after 2 hours the patient can go home;

Low percentage of disease relapse;

Minimal risk of complications after the intervention.

If the patient seeks medical help in a timely manner, then there is a possibility that the doctor will be able to perform the procedure not in a hospital setting, but in an outpatient clinic.

The effectiveness of balloon sinuplasty has been confirmed by a number of studies. Thus, even before November 2012, there were 75 clinical experiments that confirmed not only the effectiveness, but also the safety of the method.

In addition, it is already possible to judge the positive effect not only of the immediate, but also of the long-term positive effect.

Excellent results allowed the procedure to be introduced into pediatric practice, and now balloon sinuplasty is used to treat children. The technical success of the procedure exceeds 96%.

Author of the article: Lazarev Oleg Vladimirovich, ENT doctor, especially for the site ayzdorov.ru

Treatment of sinusitis involves ensuring the outflow of sinus contents and sanitizing the nasal cavity in order to destroy infectious agents. It is necessary to relieve swelling and inflammation and prevent the spread of pathogenic microorganisms. Conservative treatment of sinusitis includes the use of.

Common symptoms of sinusitis are loss of smell, heaviness in the head, pain in the temples and bridge of the nose, and a fairly high temperature - within 37-38 degrees. But, in addition to all this, a person’s memory deteriorates, performance decreases and fatigue increases.

In this article we will look at the 10 most popular antibiotics for sinusitis, what are their pros and cons? Should I take probiotics after a course of antibiotics? How to prevent the consequences of using antibiotics?

To achieve maximum effect when carrying out the nasal rinsing procedure, without injuring the mucous membrane, you must strictly follow the recommendations of specialists. The administration of medications must be carried out.

Before starting the procedure, the nose must be cleaned. You should not start treatment before or immediately after meals. As for the regularity of the procedures, they can be done twice a day for a few minutes each time. A one-week course of treatment can produce significant results.

Sinusitis in children is a significant problem for both the child and his parents. Sinusitis in a child must be urgently treated before it begins to awaken the adenoids. Often the development of sinusitis in a child is confused with a common flu or cold.

Chronic sinusitis is a disease characterized by a rather long and sluggish course, with alternating phases of exacerbation and remission, manifested in frequent headaches, ailments and a stuffy nose.

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The information on the site is intended for informational purposes only and does not encourage self-treatment; consultation with a doctor is required!

Source: http://www.ayzdorov.ru/Lechenie_gajmorita_yamik.php

YAMIK catheter for sinusitis: stages of the procedure

Catheter structure

The catheter used for sinusitis consists of two latex tubes:

  • Main tube. It has a corrugated working channel in its middle part. Both ends have a free opening. Some have a simple hole, equal in width to the tube itself. The second end is equipped with a special valve for connection to a syringe.
  • Balloon (auxiliary or additional) tube. Its middle part is adjacent (parallel) to the free end of the main tube. There is a thickening here - the “front balloon”. One end of the accessory tube ends in the posterior balloon - its blind thickening. The opposite end is branched into three tubes. Two are designed to inflate the front and rear balloons. A metal rod is inserted into the third.

Indications and contraindications

The procedure for treating sinusitis with a catheter is one of the most minimally traumatic interventions in the nasal cavity. It is indicated in the following cases:

  • Acute sinusitis of the nasal sinuses of the upper jaw, frontal, ethmoid and sphenoid bones.
  • Therapy of chronic sinusitis. But here treatment with the YAMIK catheter is used as an auxiliary procedure.
  • Preoperative preparation before interventions on ENT organs.
  • Prevention of sinusitis after surgical manipulations in the nasal cavity, middle ear and larynx.

Contraindications for the treatment of sinusitis without an injection using a YAMIK catheter are based on the procedure itself. They are divided into absolute and relative. In the first case, treatment without a puncture cannot be carried out under any circumstances. Relative contraindications do not prohibit the procedure. However, it can only be carried out after they have been eliminated.

Relative contraindications are as follows:

  • Inflammation of the nasal mucosa and vasculitis. Due to the risk of injury and bleeding.
  • Nasal polyps. The procedure is also contraindicated due to the risk of compromising the integrity of the vessels of the nasal mucosa.

Preparation

Any nasal catheterization is carried out after special preparation. Before performing treatment with YAMIK, the doctor performs several procedures:

  1. Irrigation of the nasal cavity with an anesthetic and a vasoconstrictor (in hospital practice, a solution of adrenaline is used).
  2. Modeling a catheter depending on the structure of the patient’s nose.

Carrying out the procedure

After completing the preparation, the doctor immediately begins to perform the procedure. It can be divided into several stages. It is important to note that this treatment method should always be started with the patient in a sitting position:

  1. Nasal catheterization.
  2. Creation of tightness.
  3. Execution of the procedure.
  4. Removing the catheter.

The catheter is inserted under the control of direct rhinoscopy. The catheter is given rigidity by a special metal guide. After the posterior balloon reaches the vestibule of the nose (choanus - the place where the nasal passages exit into the nasopharynx), the administration of YAMIK is stopped.

The rear balloon inflates. This cuts off communication with the nasopharynx. After which air is injected into the front cuff. Thus, the entire nasal passage becomes hermetically sealed.

After ensuring tightness, the patient's head is tilted in the direction opposite to the catheterized nasal passage. The cannula of the syringe is inserted into a special cuff. It should have a capacity of 20 cubes and already contain 10 ml of air. After which the doctor begins to pull the piston towards himself. This creates negative pressure in the nasal passage. All its contents, including the secretions of the paranasal sinuses, rush into the syringe. The procedure is performed with smooth movements for 2 minutes.

After pumping out the pus, the patient lies on his side on the side of the catheterized nasal passage. The head lowers, bending below the shoulder in the same direction. The syringe is replaced with another one that contains medicine. The doctor introduces it slowly.

When the sinuses are filled with medication, the syringe is detached. The back and then the front cuffs are deflated. The catheter is carefully removed. The following procedure can be repeated no earlier than after 2-4 days. In this case, everything depends on the individual patient and the nature of his disease.

Advantages and disadvantages

An important advantage of the YAMIK catheter is its low invasiveness. With skillful use, it can be successfully used at home. The procedure does not violate the integrity of tissues. Therefore, there is no condition for the spread of microorganisms from the sinuses.

The main disadvantage of the catheterization procedure is the lack of direction of action. During treatment, the effect occurs on all sinuses communicating with one or another nasal passage. Therefore, if the procedure is carried out ineptly, as well as the lack of systematic therapy, you can get chronic inflammation in the cavity of healthy sinuses.

Cost of the procedure

The price for treatment using a YAMIK catheter (excluding its cost) varies from 1000 to 2000 rubles. It all depends on the specific region, the experience of doctors and the clinic. The catheter itself is sold in pharmacies and costs from 750 to 900 rubles.

If you carry out treatment at home, you can count on a maximum amount of rubles. But here we must make a reservation that if it is used ineptly, the treatment of possible complications can be much more expensive.

Treatment of sinusitis without a puncture has proven itself in many aspects. This is not only low trauma, but also a low relapse rate.

The ease of use of the YAMIK catheter allows you to carry out the procedure at home. But, as practice shows, this approach does not always give the desired effect. More often, after treatment at home, patients come to the doctor with complications. Therefore, despite the availability of a catheter, it is better to entrust your health to professionals.

Source: http://moylor.ru/nos/gaimorit/yamik-kateter/