Cauterization of the sinuses

Cauterization of the nasal mucosa

Otolaryngology is a medical specialty that combines both therapeutic and surgical focus. During the treatment of pathologies of the nasal area, various methods of influence are used.

Table of contents:

• Cauterization of the nasal mucosa
• Cauterization method
• Silver cauterization
• Laser coagulation
• Features of the procedure
• Cauterization of the nasal mucosa with a laser
• When is cauterization of the nasal mucosa necessary?
• Conchotomy methods
• The essence of laser mucous removal
• Advantages of laser exposure
• Cauterization of nasal vessels: indications, types, complications
• The essence of the method
• Indications for cauterization of vessels in the nose
• Contraindications
• Types of cauterization of nasal vessels and their features
• Laser conchotomy
• Cutting nose loop
• Chemical cauterization
• Thermocoagulation
• Ultrasonic disintegration
• Lateralization
• Cryodestruction
• Radio wave method
• Recovery period
• Possible complications
• Cauterization of the nasal mucosa
• Types of cauterization of the nasal mucosa
• Indications for surgery
• Laser vasotomy and conchotomy
• Zdravie74.Ru
• Cauterization of the sinuses with radio waves
• Cauterization of the nasal mucosa
• About the procedure
• Cauterization of the nasal mucosa
• Types of cauterization of the nasal mucosa
• Cauterization of the nasal mucosa with a laser
• Conchotomy methods
• The essence of laser mucous removal
• Is it necessary to cauterize the vascular structures in the nasal cavity?
• The causes of nosebleeds are general and local.
• How is cauterization treatment performed?
• Methods used during the procedure
• Coagulation using a radiosurgical knife
• Laser
• Other types
• Indications
• Other methods
• When is cauterization of the nasal mucosa necessary?
• Advantages of laser exposure
• Silver
• After the procedure
• Indications for surgery
• Laser vasotomy and conchotomy
• Cauterization method
• Silver cauterization
• Laser coagulation
• Features of the procedure
• How are vessels in the nose cauterized?
• Process algorithm
• Indications and restrictions for the procedure
• Types of coagulation methods
• Possible complications after coagulation

The method of cauterization of the nasal mucosa is intended to stop nosebleeds and can be prescribed for various forms of rhinitis. The appropriateness of its use is determined by the attending physician depending on the clinical situation. For the cauterization procedure, numerous types of chemicals (in particular, silver nitrate), as well as laser radiation, can be used. How is cauterization of the nasal mucosa performed? Is there a risk of unwanted consequences? The patient should know about the advantages and disadvantages of the method.

Cauterization method

Cauterization is also called coagulation or cauterization. The method combines many techniques, the difference between which lies in the method of execution and the means used for this. It is used:

• for persistent, frequently recurring nosebleeds;
• with vasomotor rhinitis;
• with drug-induced rhinitis;
• for chronic hypertrophic rhinitis.

Clinical situations in which nosebleeds occur are quite varied. Cauterization of the nose is one of the most effective treatment methods and is performed by an ENT doctor (otolaryngologist). The essence of the procedure is a chemical or thermal effect on the mucous membrane, which leads to the closure (clogging) of blood vessels and stopping bleeding.

The choice of cauterization method depends on the pathological changes identified during the examination. Silver cauterization is an alternative to outdated methods of sclerotherapy of the mucous membrane. Sclerosing agents cause dryness and crusting, which increases the risk of a repeat bleeding episode and aggravates the symptoms of rhinitis.

Are there any benefits to moxibustion? Experts point out several advantages of the method, which determine its widespread use in various types of pathologies:

1. Possibility of local impact.
2. Quick recovery after the procedure.
3. No need for anesthesia.

Cauterization of nasal vessels is a painful procedure. Since the manipulations performed by the doctor cause pain, anesthesia will be required. The use of drugs belonging to the group of local anesthetics is associated with the risk of an allergic reaction. If you are allergic to any medications, you should inform your doctor in advance - this way you can reduce the likelihood of adverse consequences of the procedure.

Silver cauterization

When is cauterization of vessels in the nose with silver performed? This option of cauterization is indicated for nosebleeds from the anterior sections. The severity of bleeding matters - the procedure is effective when its intensity is low.

Manipulations are carried out in stages:

Anemization is performed in order to narrow the vessels of the nasal mucosa. This reduces the amount of discharge and simplifies the procedure. The cauterizing substance does not spread, which allows you to control the boundaries of the effect. A drug (Adrenaline, Ephedrine, etc.) is applied to the mucous membrane, which is administered by spraying or lubrication. Anesthesia is carried out using local anesthetics (for example, lidocaine).

The concentration of the silver solution may vary. A strong solution (40 to 50%) is suitable for targeted treatment. A modern transformation of the silver cauterization technique is the use of a cauterizing substance not in the bleeding area, but around it. Since applying silver nitrate directly to the bleeding area can cause damage and increase bleeding, the technique of “surrounding” the problem area provides better results.

What can you encounter after cauterization of the nasal mucosa with silver is performed? Some patients complain of burning, sneezing and watery eyes after the procedure. Many people are bothered by nasal congestion. Although these are temporary phenomena, it is necessary to clarify the likelihood of their occurrence with the attending physician, along with methods of elimination.

Silver cauterization cannot be called a gentle method. Sometimes the procedure is recommended as a component of the treatment of rhinitis of various etiologies. At the same time, cauterization is not always necessary; it can often be replaced by alternative methods of alleviating the patient’s condition. During the procedure, there is a possibility of injury to healthy tissue, so the effect on the mucous membrane using silver nitrate must be justified.

Cauterization of vessels in the nose with silver is prohibited in case of hemorrhagic diathesis.

Hemorrhagic diathesis is understood as a group of pathologies that manifest themselves as a tendency to increased bleeding. Tissue damage during chemical coagulation leads to an increased risk of recurrent nosebleeds, which can be profuse as the boundaries of the affected area become wider.

Laser coagulation

Cauterization of vessels in the nose with a laser can be effective for chronic nosebleeds and various types of rhinitis (in particular, for drug-induced rhinitis that has developed as a result of long-term use of vasoconstrictor nasal drops). This manipulation is considered as a type of surgical intervention, which requires careful justification of the indications.

How are vessels in the nose cauterized? First, local application anesthesia (Lidocaine, Adrenaline) is performed. The necessary manipulations are carried out in the intervention area using laser radiation. Coagulation is carried out along the perimeter of the intended area, then the “problem focus” itself is coagulated.

The operation can be performed on an outpatient basis and does not require hospitalization or long-term recovery. Laser cauterization of the nasal mucosa allows you to eliminate congestion in chronic rhinitis and prevent recurrence of bleeding. After completing the procedure, the patient is prescribed ointments (Actovegin, Solcoseryl, Traumeel S).

For chronic hypertrophic rhinitis, cauterization of the nasal mucosa with a laser is only one of the possible treatment methods. The advantage of laser radiation is the sterility of the intervention and rapid healing of the affected area.

Features of the procedure

What to do after cauterization in the nose? There are several recommendations that are relevant for patients who have undergone a cautery procedure:

1. You can't strain.
2. You can't blow your nose.
3. It is forbidden to remove the crusts yourself.

For several days after the procedure, you need to use Vaseline or sea buckthorn oil. Cotton swabs are soaked in it, which are then inserted into the nasal cavity 2 to 3 times a day. Your doctor may recommend other medications.

Cauterization must be unilateral.

If cauterization is required, it is recommended to perform the procedure on only one side at a time, otherwise there is a risk of traumatic damage, in particular, perforation of the nasal septum. If pathological foci are present in both halves of the nasal cavity, repeat cauterization is indicated several days (from 5 to 8) after the first episode of intervention.

Cauterization of the capillaries in the nose allows you to quickly solve the problem of nosebleeds. However, each cauterization method has features that must be taken into account. Only a doctor can recommend a procedure based on the data of an objective examination and the results of additional examination.

Author: Torsunova Tatyana

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Cauterization of the nasal mucosa with a laser

Conchotomy – cauterization of the nasal mucosa with a laser. This is a surgical operation during which the nasal mucosa is completely or partially removed. To be precise, the middle and inferior turbinates are exposed to the laser. The main goal of surgery is to clear the patient's airway.

Knhotomy is often called turbinectomy. There are a number of other methods for treating enlarged turbinates: ultrasonic disintegration or cryodestruction, using a diatarmocoagulator, etc. But they always have edematous reactions, bleeding, and microcirculation disorders.

When is cauterization of the nasal mucosa necessary?

The main indications for surgery are diseases that interfere with the patient’s breathing and make his life uncomfortable. The most common diseases:

• pathology of nasal breathing;

Sinusitis, commonly known as sinusitis, is the most common reason for laser cauterization of the nasal mucosa. The nasal turbinates grow greatly and close the openings for the maxillary sinuses in the nose.

A clogged chamber is formed in which infections and bacteria begin to actively multiply, leading to inflammatory processes. Of course, sinusitis can be treated in various ways. Laser conchotomy is a radical method that can restore the physiology of the respiratory process through the nasal cavity.

Conchotomy methods

Until recently, Killian’s technique was widespread in many clinics. It appeared in 1904 and became a popular method of surgical operation of the nasal mucosa. The procedure consists of removing most of the support of the nasal septum - bone and cartilage, and simultaneously destroying the hypertrophied nasal turbinates. As a result, the mucous membrane on the septum was completely destroyed, and in its place a “nasal void” was formed. The operation later had unpleasant consequences.

The air that the person inhaled was not sufficiently warmed and purified. A crust began to form on the nasal cavity. After just a couple of months, the nose had a modified shape: the front part of the septum was retracted, the back was lowered, forming a saddle shape. The resulting crusts began to bleed. The nasal passages became narrower. Nasal breathing became difficult, and it was impossible to eliminate the causes.

Today's surgeons remove overgrown nasal turbinates using the latest technology, using a laser. Laser conchotomy is the most effective method of surgical treatment of sinusitis.

There are several types of laser removal of hypertrophied mucosa:

The essence of laser mucous removal

The operation uses a diode laser that emits beams of a certain power. Operation can occur in pulse mode or continuous mode. The changed surface of the nasal mucosa is exposed to light.

Why does this work? The cells of the human body are 2/3 water. High energy radiation affects them and leads to a slow “evaporation of tissues”. The hypertrophied mucous membrane is subjected to local removal.

In addition to tissue removal, a coagulation film is formed. It completely covers the mucous membrane and prevents bleeding from occurring and does not allow infection to enter the site of injured tissue.

Advantages of laser exposure

Laser mucosal removal has gained widespread use for a number of advantages:

• the mucous membrane is not injured or is completely removed, only the necessary areas are exposed;

• the main causes of runny nose are eliminated, not the symptoms;

• the operation takes only minutes and does not require special preparation;

• surgical intervention occurs under local or general anesthesia, which completely eliminates pain during surgery;

• there are no open wounds, and the vessels do not bleed;

• local impact preserves the mucosa;

• high efficiency, which copes with chronic runny nose and preserves the result for a long time;

• sterility due to the formed crust, which does not allow germs and bacteria to enter the nasal mucosa;

• simplicity – the operation is quite simple and does not require temporary restrictions on performance or lifestyle changes;

• damaged tissues are quickly restored.

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Cauterization of nasal vessels: indications, types, complications

The essence of the method

Breathing problems occur when mucous grows in the lower and middle turbinates. By cauterization, it is removed completely or partially - it all depends on the degree of its growth. Along with the mucous membrane, numerous blood vessels located in it are also cauterized.

Indications for cauterization of vessels in the nose

Cauterization is used in certain cases:

• nosebleeds that cannot be treated conservatively;

Although cauterization is a low-traumatic procedure, it is still an operation. The otolaryngologist prescribes it after all possible methods of conservative treatment have been tried, but have not borne fruit.

Contraindications

Like any other intervention, albeit minor, cauterization of blood vessels has certain contraindications:

• acute infections of the nose or upper respiratory tract;

Types of cauterization of nasal vessels and their features

Several methods are used for cauterization:

• laser conchotomy;

Laser conchotomy

Laser conchotomy means exposure to laser beams. Cauterization of vessels in the nose with a laser can be pulsed or continuous. The effect of the laser slowly evaporates the liquid, and the mucous membrane, like other cells of the body, mainly consists of water. Thanks to the laser, not only hypertrophied tissue is removed, but also a coagulation film is formed. This coating protects the mucous membrane from infection and bleeding.

• removal of only damaged areas;

Laser conchotomy is performed according to a specific algorithm:

• The patient changes into a special gown.

Cutting nose loop

Today, this technique is rarely used, since the operation is a very complex process. With such an intervention, the risk of severe blood loss is very high, and rehabilitation takes a long time.

Chemical cauterization

For the purpose of chemical cauterization, silver nitrate is often used - the optimal strength of the solution is 40-50%. This method is optimal for bleeding in the anterior parts of the nose. The procedure is quite simple:

• Vasoconstriction. Adrenaline or Ephedrine are usually used for this.

Thermocoagulation

Thermocoagulation is also called electrocoagulation or electrocautery. This technique is based on the action of direct electric current. The mucosal tissue is cauterized by introducing an electrode under its shell, which heats up and causes a burn. The tissue treated with cauterization is scarred, and as a result, the volume of the nasal concha decreases.

Ultrasonic disintegration

The use of this technique implies a disruption of the established blood supply system in hypertrophied tissues. This is achieved by the action of an ultrasonic waveguide. In the vessels of hypertrophied tissue, the processes of sclerotization and desolation begin. As a result, the mucous membrane contracts and nasal breathing normalizes.

When ultrasound disintegration is carried out correctly, the mucous membrane is not injured and no complications arise. The procedure is performed under local anesthesia in an ENT office.

Lateralization

This method is mechanical damage to tissue. This happens with the help of a surgical instrument. The specialist breaks the concha in the area of ​​its attachment and moves it to the side wall of the nasal cavity. This procedure allows you to increase the space for air entering the body.

Cryodestruction

This method of cauterizing vessels in the nose is based on the action of low temperatures. They are provided by a special cryoprobe. When it comes into contact with the mucous membrane, ice crystals form. As a result, the cell walls of the hypertrophied tissue are destroyed.

Radio wave method

Radio wave (radio frequency) coagulation is a method discovered almost a hundred years ago. It consists of inserting a probe under the mucous membrane of the nasal concha. This probe provides an alternating current that produces radio waves. They heat the surrounding tissues, which leads to their destruction. The venous vessels in the layer under the mucosa become empty, and the shell shrinks in volume.

Recovery period

Recovery after cauterization of the vessels in the nose is fairly quick. The duration of rehabilitation is influenced by the method in which the procedure was performed.

• you cannot visit baths, saunas, swimming pools, or swim in ponds;

As a rule, after cauterization of the vessels, certain treatment of the nose is necessary:

• Saline solutions for rinsing. Typically, experts recommend saline solution, Aquamaris, Dolphin or Aqualor.

Possible complications

Despite the capabilities of modern medicine, complications can occur after any operation. Cauterization of nasal vessels is no exception. After such manipulations, the following may appear:

• Nasal congestion. This complication does not occur often, but it does happen. Symptoms may not only not disappear, but also appear even stronger. The cause is often an allergic reaction or repeated hypertrophy.

Cauterization of vessels in the nose is a necessary measure when conservative treatment does not bring the desired result. Thanks to a sufficient selection of methods for such intervention, specialists can find an individual approach in each case.

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Cauterization of the nasal mucosa

Cauterization of the nasal mucosa is the colloquial name for such surgical interventions as conchotomy and vasotomy.

During the process of conchotomy, partial removal of the mucous membrane of the nasal cavity occurs.

The essence of vasotomy is that during the operation the mucous membrane and the numerous blood vessels located in it are cauterized.

Types of cauterization of the nasal mucosa

Such manipulation is carried out only in cases where all conservative methods have been tried and failed, and restoration of the nasal mucosa can only be carried out in this way.

Currently, there are several methods of similar operations on the nasal cavity. Each of them has a large army of supporters and opponents. They differ in patient reviews, prices and degree of effectiveness. One thing they have in common is that today there is no leading and completely safe method for cauterizing the nasal mucosa.

Therefore, do not be surprised if, while undergoing parallel examinations with several otolaryngologists in different medical centers and clinics, you receive referrals from them for different operations.

So, currently there are such operations for cauterization of the nasal mucosa:

• laser exposure (laser conchotomy or vasotomy);
• exposure to silver nitrate solution 40%;
• radiosurgery;
• ultrasonic disintegration.

All of the above operations have their pros and cons. When reading reviews posted on various online medical portals, you will come across both positive and negative for each of them.

We won’t be surprised if you still have a question: “How to choose the right type of cauterization of the nasal mucosa?” There can only be one answer. Find a qualified doctor whose opinion you can trust, and strictly follow his recommendations.

Indications for surgery

It is quite natural that only a doctor can prescribe such an operation.

Cauterization of the nasal mucosa is practiced for the following chronic diseases and pathological conditions:

• vasomotor rhinitis (runny nose);
• drug-induced rhinitis;
• chronic hypertrophic rhinitis;
• regular nosebleeds;
• severely difficult nasal breathing.

Like any other operation, cauterization of the nasal cavity is a last resort. Before resorting to it, the attending ENT doctor will try out the entire available arsenal of conservative treatment methods. Only if the use of medications and physiotherapeutic procedures do not produce a positive effect, surgical intervention is prescribed.

Many patients are very worried that they will be forced to undergo cauterization of the nasal mucosa. Yes, the operations are ambiguous, but often there is no other choice and they have to be done.

To be fair, it should be noted that negative reviews on Internet portals are still somewhat exaggerated. Yes, side effects from cauterization of the nasal mucosa are possible, but they are not obligatory. And they can almost always be overcome.

But refusal to undergo surgery clearly threatens with serious consequences for the patient’s health. Difficulty in nasal breathing negatively affects the general condition and well-being of an adult or child. Unfortunately, not all people understand why it is important to breathe through the nose.

Laser vasotomy and conchotomy

Currently, cauterization of the mucous membrane with a laser is used more often than other operations mentioned above.

The operation must be performed under local or general anesthesia.

The essence of such an operation is to expose the nasal mucosa to a directed beam of light. Laser exposure can be either constant or pulsed.

There are three types of such operations:

Let's look at the advantages of laser cauterization of the nasal mucosa:

• high accuracy - only planned areas of the nasal mucosa are exposed to the light beam;
• as a result of surgical intervention, the cause of the disease is eliminated, not its symptoms;
• short duration of surgical intervention (20-35 minutes);
• absence of any pain during such cauterization;
• healthy areas of the nasal mucosa are not affected or in any way damaged;
• after its completion there are no open wounds;
• fairly rapid regeneration of damaged nasal tissues.

Remember, your doctor will never prescribe cauterization of the nasal mucosa if it is not necessary. If this cannot be avoided, then when choosing a technique, he will take into account the individual characteristics and stage of the disease, and select the most suitable and safe technique in your case.

Thank you for the article! I’m currently collecting information on this matter, so it was very helpful.

When I had hypertrophic rhinitis, my ENT said that I needed to do such a mini operation. I was terribly worried. I can’t speak for other methods, but laser treatment turned out to be not scary at all. It's done quickly and you recover quickly. So whoever has to do it, don’t be afraid.

Initially, I was afraid - but problems with a runny nose and a constantly stuffy nose were above all - the medications did not help (they tried to approach it more than once), before the operation to straighten the nasal septum, I was dripping drops for 5 years, and after the operation for 7 years, I was blaming everything on the septum and even thought that The doctor performed the operation poorly, it turned out to be rhinitis and enlarged turbinates - as I understand, one of the reasons for the drop. Today they did this operation, which is basically a trifle, they stuck pieces of gauze in some kind of yellow anesthesia solution and then they adjusted some kind of device on wheels from which some tweezers or something come off on a wire, but with a handle similar to that of a file - only smaller in circumference, they stuck these tweezers into the nostril and began to perform cauterizing manipulations; at the same time, the sound of an electric discharge was heard, and smoke came out of the mouth, as I understood - because there was a desire to exhale and the doctor, ahead of me (apparently understanding), said exhale. When we climbed deep into the nasal concha, pain was felt after anesthesia and the doctor added anesthesia. The result is that at the moment the nose is not breathing, there is a slight permanent swelling around the nose. Expect full results in about a month. But at the first stage, even with a stuffy nose, it doesn’t feel so bad - since snot and various snot-clumps interfered more! After the operation I had a severe runny nose, but after 3 hours it was almost gone. The hospital was a day hospital and after the operation I went home.

Yes, you will breathe after this operation...always....drops are no longer needed....only when passing by homeless people or people with different specific odors, your body will not be able to fight the infection because the mucous membrane is damaged. I have been suffering for many years... it would be better if I dropped drops...

Let's see, my problem is much more complicated than yours and I can tell you I never dreamed of it. The drops are not easy for me and I went through 2 operations on the nasal septum and in general on all the bones of the nose, somehow I ended up in a trauma center and my nose was set by a maxillofacial surgeon out of necessity in the absence of ENT skills, and after a while a crooked septum was discovered and I was already breaking the lore, but the point is that for now this Yasha - they were pulling on Yasha, I was suffocating and in drops I burned everything I needed. The point is that everything was so “screwed up” that the ENT doctor did what he could, calling my partition criminal. And now I made a computer where they saw that, in principle, there is still a curvature, but not of the septum, but of the bones or cartilage that are below the septum, but the ENT (already new) based on miscalculations voiced that if one nostril breathes 100%, and the second 80% - for example, this is quite enough, or you need to pay 3000 euros and crush your entire nose, collecting everything bit by bit + one of the reasons is rhinitis, which we corrected, in principle, now I can breathe, but not so easily, more like sniffling, I’ll wait until the end after the operating period and if the result If it doesn’t make me happy, I’ll go with the disk to the capital to see the professor who once signed me up for an operation and gave a subordinate to the ENT specialist a job. But at the moment, when the nose closes and the two nostrils breathe evenly, it means that the septum is normal and the nostrils have no errors when inhaling. I'm afraid that there are some irregular bones in the nose and they, like a filter, do not allow the whole mother to inhale. On the other hand, the drops cause the shells to swell and maybe after throwing the drops everything will return to normal. In general, you have to wait a month anyway!

I hasten to share, 2 days ago I had a vasotomy and conchotomy.

In consultation with a doctor, we decided that we would do it using the classic method, that is, with a scalpel; the effect of such an operation would last much longer than cauterization with cold plasma or laser. To say that I was very afraid is to say almost nothing, since the operation is quite traumatic, compared to others, the healing period is longer. In the morning I went to the hospital, at lunchtime they operated on me, under general anesthesia, they gave me an injection into a vein and I fell asleep. I woke up when they were already taking me back to the room. Of course, the first day after the operation and the first night is the worst thing you have to endure, your mouth is dry, your nose hurts, you were bleeding a little, you were still hungry all day. After the operation, they pushed a fingertip with some kind of sponge inside my nose. Apparently it will not dry out or stick from the blood, by the way, then everything was removed without pain at all. But the next morning they took everything out of my nose, washed it out and LOOK, I can breathe.

To everyone who cannot decide to have this operation, DO IT!! It’s worth waiting for 1 day, but then breathing through your nose without drops.

By the way, the operation was performed under voluntary medical insurance at the 1st clinical hospital for the management of the president’s affairs, on Starovolynskaya street 10, they call it Baglynka. A very good hospital, clean, good rooms, TV, own toilet with shower in the room.

Garlic, ginger tea, no infection.

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Health of your nose

Cauterization of the sinuses with radio waves

Cauterization of the nasal mucosa

About the procedure

In the classic version, cauterization of the nasal mucosa is carried out using a solution of silver nitrate with chromic anhydride and trichloroacetic acid, which is applied with a cotton swab. The concentration of the mixture is 40-50%. Chromic anhydride has the form of crystals. It is collected with a special metal probe and held over the flame of an alcohol lamp until the crystals are completely melted. They turn into a kind of “pearl”. The mucous membrane is pre-lubricated with an anesthetic solution (lidocaine with adrenaline).

The final step is to lubricate the nasal passages. Vaseline, olive or any other oil can be used for this purpose. The doctor also prescribes oil drops in the nose, which should be instilled over the next three days. This will help eliminate reactive phenomena.

Currently, ultrasound and laser technologies are an alternative treatment option for vasomotor and hypertrophic forms of chronic rhinitis, but traditional cauterization of the nasal mucosa remains the method of choice.

Otolaryngology has in its arsenal other methods of treating the mucous membrane, which include galvanocaustics. The basis of the procedure is electric current, which is supplied through a transformer. Cauterization occurs using a special tip with a handle, which can be made in a needle or flat shape. As part of local anesthesia, the mucous membrane is lubricated or irrigated with a solution of lidocaine and adrenaline. Then a cold galvanocauter is inserted into the nasal cavity, and current flow begins. The doctor moves the tip gradually, the movements are smooth, from back to front. After treatment, the tip is removed very carefully, without touching the skin of the vestibule of the nose, so as not to damage it. The patient is in a sitting position all the time. Visualization of the process is achieved through the use of a nasal speculum.

The choice of the optimal method for treating the nasal mucosa occurs at a preliminary consultation with an otolaryngologist. In this case, the doctor pays attention to the severity of the clinical signs of rhinitis, the duration of the disease, as well as the physiological characteristics of the structure of the patient’s nose.

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Cauterization of the nasal mucosa

Types of cauterization of the nasal mucosa

Such manipulation is carried out only in cases where all conservative methods have been tried and failed, and restoration of the nasal mucosa can only be carried out in this way.

Currently, there are several methods of similar operations on the nasal cavity. Each of them has a large army of supporters and opponents. They differ in patient reviews, prices and degree of effectiveness. One thing they have in common is that today there is no leading and completely safe method for cauterizing the nasal mucosa.

Therefore, do not be surprised if, while undergoing parallel examinations with several otolaryngologists in different medical centers and clinics, you receive referrals from them for different operations.

So, currently there are such operations for cauterization of the nasal mucosa:

We won’t be surprised if you still have a question: “How to choose the right type of cauterization of the nasal mucosa?” There can only be one answer. Find a qualified doctor whose opinion you can trust, and strictly follow his recommendations.

But refusal to undergo surgery clearly threatens with serious consequences for the patient’s health. Difficulty in nasal breathing negatively affects the general condition and well-being of an adult or child. Unfortunately, not all people understand why it is important to breathe through the nose.

Currently, cauterization of the mucous membrane with a laser is used more often than other operations mentioned above.

The operation must be performed under local or general anesthesia.

The essence of such an operation is to expose the nasal mucosa to a directed beam of light. Laser exposure can be either constant or pulsed.

Like any other operation, cauterization of the nasal cavity is a last resort. Before resorting to it, the attending ENT doctor will try out the entire available arsenal of conservative treatment methods. Only if the use of medications and physiotherapeutic procedures do not produce a positive effect, surgical intervention is prescribed.

Many patients are very worried that they will be forced to undergo cauterization of the nasal mucosa. Yes, the operations are ambiguous, but often there is no other choice and they have to be done.

To be fair, it should be noted that negative reviews on Internet portals are still somewhat exaggerated. Yes, side effects from cauterization of the nasal mucosa are possible, but they are not obligatory. And they can almost always be overcome.

Laser vasotomy and conchotomy

There are three types of such operations:

Let's look at the advantages of laser cauterization of the nasal mucosa:

For several days after the procedure, you need to use Vaseline or sea buckthorn oil. Cotton swabs are soaked in it, which are then inserted into the nasal cavity 2 to 3 times a day. Your doctor may recommend other medications.

Cauterization must be unilateral.

If cauterization is required, it is recommended to perform the procedure on only one side at a time, otherwise there is a risk of traumatic damage, in particular, perforation of the nasal septum. If pathological foci are present in both halves of the nasal cavity, repeat cauterization is indicated several days (from 5 to 8) after the first episode of intervention.

Cauterization of the capillaries in the nose allows you to quickly solve the problem of nosebleeds. However, each cauterization method has features that must be taken into account. Only a doctor can recommend a procedure based on the data of an objective examination and the results of additional examination.

Author: Torsunova Tatyana

How are vessels in the nose cauterized?

Cauterization of the turbinates represents a number of basic procedures for eliminating severe pathologies developing in the nasal cavity. The cause of atrophy of the mucous membranes in the maxillary sinuses is a disruption of the functioning of the vessels located in this area.

The optimal solution to this problem seems to be this safe and useful procedure.

Process algorithm

The behavior pattern of the cauterization procedure has a certain sequence of actions and is the same regardless of what equipment and method of exposure is used. The following stages of the coagulation process are distinguished:

1. Inspection by a qualified specialist. who will assess the general condition of both nasal sinuses and recommend the most suitable method of treatment.
2. After the examination, the treating otolaryngologist decides to perform the procedure.
3. Introduction of a tool for direct implementation of the process. In accordance with the chosen coagulation method, cotton swabs, laser radiation or electrical cauterization are used. The choice depends on the individual characteristics of the patient and the severity of the pathology.

The average duration of the cauterization operation is 10–30 minutes, depending on the chosen coagulation method. In most cases, the procedure does not cause severe pain and is well tolerated by patients!

After cauterization, you should perform several simple manipulations: