How to treat sinusitis with puncture video

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Nose piercing for sinusitis video

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.

Table of contents:

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:

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:

  1. early childhood;
  2. violation of adequate formation of the paranasal sinuses;
  3. common serious illnesses;
  4. 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.

What consequences can there be after a sinus puncture?

Very often, with a disease such as sinusitis, a puncture procedure of the maxillary sinuses becomes inevitable. This need is due to the fact that the inflammatory process can spread to neighboring tissues, which entails serious consequences. However, often sinusitis does not go away completely after a puncture, so the correct action of a specialist would be to use several treatment methods. This approach sometimes makes it possible to avoid puncture of the maxillary sinuses, but only if treatment is carried out in the early stages of the development of the disease.

When is a puncture really needed?

If there is pus in the maxillary sinuses, puncture is necessary

Puncture of the maxillary sinuses is a surgical intervention aimed at alleviating the patient’s condition when other methods have failed. If you watch a video of a sinus puncture, you can understand that the procedure is quite unpleasant and unsafe, because dangerous complications often arise. The operation is performed to remove accumulated pus from the paranasal sinuses, which can penetrate much deeper, causing irreversible consequences.

At the beginning of the disease, when sinusitis is catarrhal in nature, that is, without purulent discharge, the inflammatory process only causes swelling of the nasopharynx and complicates the breathing process. It can be treated with medication and in such situations a puncture is not required.

It is also important to know that even purulent sinusitis can be mild. But, given the fact that it is difficult to remove purulent contents without medical assistance, it is advisable to use methods such as the “cuckoo” or YAMIK sinus catheter. Using this method and a special device, you can effectively draw out all the pus under the influence of negative pressure that is created in the nasal cavity.

In severe forms of the disease, these methods are contraindicated for use, since strong pressure in the nose can contribute to the deterioration of the patient. Only in this case does nasal puncture become the only way to relieve a person of the symptoms of sinusitis.

Disadvantages and advantages of the procedure

Kulikovsky needle for puncturing the maxillary sinuses

Perhaps the only drawback of puncture is the consequences of puncturing sinusitis, which both doctors and patients are trying in every possible way to avoid. Unfortunately, as medical practice shows, this is not always possible to achieve, since nasal puncture in itself is a rather dangerous operation. To avoid possible consequences after the surgeon’s manipulations, it is important to be able to choose the right doctor. It is also prohibited to perform surgery in the following cases:

  • severe general illnesses;
  • early childhood;
  • pathologies in the formation of the paranasal sinuses;
  • acute infectious diseases.

The most effective method of treating sinusitis is puncture of the maxillary sinuses.

Despite the pain, unpleasantness and danger of performing a puncture, this operation, if all rules and recommendations are followed by the doctor and the patient, gives the best results. Removing the purulent contents of the paranasal sinuses with this method of treatment makes it possible to reduce the duration and dosage of antibiotics.

Usually the operation is successful, and the hole in the bone wall heals on its own in no longer than a month, without causing any complications. After the operation, specialists prescribe antibiotics, anti-inflammatory drugs and antihistamines to their patients. Thus, only with the right approach and positive experience of the ENT specialist, additional methods for treating sinusitis after a puncture will not be needed. Mandatory actions of the person who has just undergone surgery should be proper nutrition and vitamin therapy aimed at correcting immunity.

Possible complications after surgery

Complications during puncture for sinusitis occur extremely rarely, but still, they include:

  1. Nosebleeds. This process occurs as a result of damage to blood vessels during puncture of the paranasal sinuses. As a rule, bleeding is not profuse and stopping it is quite simple.
  2. Puncture of the wall of the orbit or tissue of the cheek. This complication of the operation arises due to the physiological characteristics of the structure of the bones of the patient’s facial skull. This consequence of nasal puncture usually does not entail a deterioration in the patient’s health, since the patient is given antibiotics as a preventive measure for sinusitis after the puncture. It is antibacterial drugs that prevent the spread of infection throughout the human body.
  3. Air embolism. This complication occurs as a result of air entering nearby tissues from the nasal cavity. However, in addition to air, pus can also get into the tissue, which often poses a danger to the patient’s health. This complication is also extremely rare, since the patient is undergoing antibiotic therapy. According to experts themselves, air embolism is considered dangerous only for people with weakened immune systems.

The danger to human health and even life seriously increases if, during puncture, air or pus enters the blood vessels, including the vessels of the orbit. The danger is that the following complications may develop:

  • abscesses and phlegmon of the orbit;
  • blockage of blood vessels;
  • blindness;
  • death of the patient.

In order to avoid complications during surgery, the patient must undergo radiography of the paranasal sinuses. Based on the results obtained, the doctor will be able to see the individual structural features of the maxillary sinuses and nearby tissues.

Treatment of sinusitis by puncture of the maxillary sinus

In most cases, in case of inflammation of the maxillary sinuses, in which pus is formed, nasal puncture is considered a mandatory procedure. This need is primarily associated with the possibility of inflammation spreading to nearby organs and tissues. If a puncture is not made in time for sinusitis, it is likely that complications such as meningitis, sepsis and even loss of vision may develop.

How is the operation performed?

Puncture of the maxillary sinus is one of the surgical procedures that can be used to improve the patient’s condition and completely get rid of the disease. This procedure is also used for diagnostic purposes, to determine the presence of the disease and its stage, identify the contents and administer the medicine. Many people are interested in how exactly a puncture is made for sinusitis in order to prepare themselves for the upcoming operation.

Puncture of the maxillary sinus

To perform a puncture, no special preparation or much time is required, and given the fact that such a surgical procedure can only be performed by a specialist, it is also considered as safe as possible. Before piercing the sinusitis, anesthesia is used: for this, a piece of cotton wool wound on a thin spatula is moistened in lidocaine. After this, it should be inserted deeply into the nasal passage to freeze the area where the surgeon will make a puncture. If you watch a video of a sinus puncture, you can see that for this manipulation the specialist uses a large, thick needle with a curved edge. It is with this instrument that the bone septum located between the maxillary sinus and the nasal passage is pierced. The advantage of this operation is its painlessness, which is achieved through local anesthesia.

Then, without removing the needle from the nose, the doctor attaches a syringe to it, after which he rinses the maxillary sinuses. Washing out the contents is carried out using a previously prepared saline solution. During the procedure, the patient must sit with his mouth open and his head tilted forward. Such actions are mandatory because they are aimed at preventing leaking contents from entering the patient’s windpipe.

At the end of the procedure for piercing the nose for sinusitis, as a rule, the surgeon injects antibacterial or anti-inflammatory drugs into the maxillary cavity to kill pathogenic microorganisms and relieve the inflammatory process. Sometimes specialists install special catheters for their patients aimed at draining the maxillary sinuses. This action speeds up the healing process and simplifies the administration of the medicine to the site of inflammation.

Patient reviews

Reviews about punctures for sinusitis are so varied that after reading them, it is difficult to draw an unambiguous conclusion about this procedure. Some patients claim that only puncture of the maxillary sinuses is the fastest, most effective and painless procedure to get rid of the disease. Other people are categorically against such a procedure and prefer non-puncture therapy.

However, in order to make the most correct choice, you should focus on the reviews of specialists, not patients. Many people refuse this surgical procedure, believing that it causes a lot of pain to the person. However, this is not the case; pain occurs only during the process of filling the sinus with a special solution, since it is injected into the sinus under high pressure. After the liquid comes out of the nose, all discomfort disappears.

It is also considered erroneous to say that by puncturing the sinus at least once for sinusitis, all the conditions are inevitably created for the development of a chronic form of this inflammatory disease. Otolaryngologists argue that such consequences are indeed possible, but only in a situation where the disease was not completely cured and the inflammatory process continued to develop.

When is a puncture necessary?

Puncture of sinusitis is not always carried out when this disease is detected, because it can sometimes be cured with conservative methods. For its implementation, there are the following indications:

  • with drug treatment there was no recovery, and the patient’s condition only worsened;

Cone-beam tomogram of the maxillary sinuses. The image clearly shows the inflammatory process on the right side

Moreover, there are other indications for puncture, which are determined by the otolaryngologist himself, taking into account the individual physiological characteristics of the patient, his condition and the presence of certain symptoms of sinusitis. Puncture for sinusitis has a number of advantages compared to other methods of treating this disease. These include, first of all, reducing the dosage and duration of the course of antibiotics, which are known to have many side effects. If you refuse surgery and only increase the dosage of the antibiotic, favorable conditions arise for the development of chronic sinusitis. Because, despite the fact that pathogenic microorganisms die, pus will still remain in the maxillary cavity.

If the procedure is carried out by an experienced doctor, it will undoubtedly take place without any complications, and the puncture hole will heal within a month. As you can see in the photo, a puncture of sinusitis leaves a very small hole. Also, do not forget that the patient himself is also responsible for the procedure, so it is important to follow all the instructions of the otolaryngologist in the postoperative period.

When is a puncture prescribed for sinusitis and what are the myths associated with this procedure?

Sinusitis is a fairly common disease these days. Both adults and children are equally susceptible to it.

As a rule, sinusitis develops against the background of acute respiratory diseases and is one of the forms of sinusitis localization.

Sinusitis is characterized by inflammatory processes in one or more paranasal sinuses.

It often happens that drug treatment does not bring the desired results and then the patient is prescribed a puncture for sinusitis. As a rule, this measure is associated with a high probability of the spread of inflammatory processes to other organs and the development of complications such as meningitis or blood poisoning.

In severe cases of the disease and the development of dangerous complications, a procedure such as surgery on the maxillary sinus may be necessary.

There are a number of indications for punctures for sinusitis, including:

  • Lack of any improvement during two weeks of treatment for sinusitis.
  • Lack of a positive effect from medications prescribed by a doctor, lack of improvement even when treating sinusitis with antibiotics and carrying out various procedures for sinusitis.
  • Acute pain in the sinuses, aggravated by tilting and turning the head.
  • High body temperature of the patient (from 38 C).
  • The patient complains of an unpleasant odor in the nose.
  • Areas with pus in the area of ​​the maxillary sinuses are clearly visible on the x-ray.

Of course, these are not all the factors based on which a specialist prescribes a puncture for sinusitis. Each case must be considered individually.

Factors to be taken into account include:

  • general condition of the body;
  • the presence of individual contraindications;
  • absence/presence of certain symptoms of the disease.

It often happens that a patient who is indicated for a puncture for sinusitis refuses the procedure, arguing that his refusal is due to fears for his health.

Unfortunately, there are many myths that relate to punctures for sinusitis. One of the biggest misconceptions regarding puncture for sinusitis is the myth that after this operation, sinusitis becomes chronic and with a new exacerbation of the disease a puncture will be required again. However, according to experts, if we take into account the factors causing inflammation of the maxillary sinuses, then after a puncture for sinusitis, the disease returns only as a consequence of incomplete treatment.

Is it painful to get a puncture for sinusitis: how to pierce the sinuses for sinusitis

Many people refuse to have their sinuses pierced for sinusitis because they are afraid.

As a rule, this fear is caused by the possible presence of painful sensations during the operation to puncture the sinuses for sinusitis.

Patients constantly ask otolaryngologists whether it hurts to get a puncture; many patients refuse the procedure of piercing the nose for sinusitis only because they are extremely impressionable.

In some clinics, in such cases, the patient may be offered an operation to puncture the sinuses under general anesthesia.

Although, when performing the procedure of piercing the sinuses for sinusitis under local anesthesia, there is practically no reason for fear, pain is effectively relieved with powerful medications. The only thing that can cause discomfort to the patient is rinsing the sinuses with saline, which must be carried out after the puncture.

It is worth noting

During rinsing, there is an unpleasant sensation in the sinus area, as if there is a foreign object under the skin, however, these sensations are short-lived.

Therefore, when asked whether it hurts to get a puncture for sinusitis, experts, as a rule, answer that the procedure is practically painless and is well tolerated even by small children.

Also, many patients are interested in how the sinuses are punctured for sinusitis. In fact, this operation is extremely simple in its execution, although it requires special training from an otolaryngologist.

Let's look at how the sinuses are punctured for sinusitis, step by step:

  • The doctor inserts a cotton swab, generously soaked in an anesthetic composition, into the patient’s nasal passage.
  • The doctor uses a special needle to puncture the maxillary sinus through the nasal passage.
  • Using a syringe, the doctor removes mucus and pus accumulated in the maxillary sinus.
  • The doctor begins to rinse the sinus with saline; this procedure is also carried out through a syringe.
  • After freeing the sinus from saline, the doctor fills it with anti-inflammatory and antibacterial medications.
  • The needle is removed from the sinus (in some cases, a catheter is left inside the sinus at the puncture site, through which, if necessary, the sinus can be washed every day until the end of treatment).

Complications that may arise in a patient after a sinus puncture procedure for sinusitis, of course, exist, but the likelihood of their development is extremely low.

  • cheek abscess (occurs when bacteria enters the sinus cavity);
  • otitis (occurs as a result of incomplete treatment);
  • swelling (most often occurs as a reaction to surgery; with proper treatment, swelling is quite easy to stop);
  • meningitis;
  • vascular embolism;
  • accumulation of air or gases in the tissues of the cheek or eye socket;
  • inflammation due to accumulations of cellular elements mixed with blood and lymph in the soft tissues of the face.

Experts note that in most cases, after an operation to pierce the sinuses for sinusitis, the patient becomes much better almost immediately after the procedure, the general condition improves, body temperature normalizes and recovery occurs much faster. You can see how a puncture is done for sinusitis in the video below.

Puncture for sinusitis: why you shouldn’t be afraid to do a puncture

Symptoms of sinusitis in the form of headaches, impaired nasal breathing, and nasal discharge affect not only the quality of life - this disease is fraught with serious consequences.

In advanced cases, when traditional methods do not help, a puncture is performed for sinusitis.

Puncture for sinusitis has only one contraindication - if there is no possibility for the natural outflow of purulent secretion from the nasal sinuses.

If there is no purulent discharge in the maxillary sinuses or the patient has a large amount of purulent nasal discharge that comes out on its own, puncture for sinusitis is not justified. The patient may well use other, more traditional methods of treatment - treating sinusitis with antibiotics or using drops or spray. But what to do if, with sinusitis, the pus does not come out on its own?

A puncture for sinusitis is recommended depending on the severity of the disease and the general condition of the patient.

Indications for puncture for sinusitis are as follows:

  • When traditional treatment methods do not produce a therapeutic effect and the patient’s condition only worsens.
  • When nasal congestion is accompanied by severe headaches, aggravated by tilting the head forward.
  • When an unpleasant odor emanates from the patient's nose.

If these conditions are accompanied by a body temperature above 38 C against the background of nasal congestion that does not go away, there is only one way out - surgical intervention. Before performing the procedure, it would not hurt to take an x-ray reading, which will confirm or refute the absence of pus in the anastomosis.

It is worth noting

A fairly common misconception about puncture for sinusitis is that after this procedure you cannot get rid of sinusitis and any congestion will have to be treated only with a puncture of the nose.

The puncture involves not only drawing out purulent secretions from the nasal sinuses, this procedure is accompanied by the introduction of anti-inflammatory and antibacterial agents that help restore normal nasal breathing. If you do not seek help in time and do not stop the inflammatory process, the disease will become chronic. In the future, this threatens the curvature of the nasal septum and the development of sensitivity to dust and gas.

Puncture for sinusitis helps to achieve recovery, but it is recommended to use this method if traditional therapy is ineffective.

How to perform a puncture for sinusitis - the sequence of actions and what happens after the puncture

How is a puncture done for sinusitis?

A puncture of the maxillary sinus is performed by an otolaryngologist in an inpatient setting under general anesthesia. It is given not only to adults, but also to children in cases where traditional treatment methods fail. This procedure does not require special preparation.

Sequence of actions during puncture:

  • A cotton swab is moistened with an anesthetic.
  • This swab is inserted into the nasal sinus, which is planned to be pierced, so as not to feel pain.
  • An otolaryngologist makes a puncture of the maxillary sinus through the middle or lower nasal passage with a special needle.
  • After the puncture, the purulent secretion that has accumulated in the sinus is sucked out with a syringe.
  • After drawing out the pus, the sinuses are washed with anti-inflammatory and antibacterial agents.

It is important to know

To prevent pus from leaking into the respiratory organs, when puncturing you need to sit with your mouth open and your head tilted forward.

After puncture of the sinuses during sinusitis, the pus drains away, the pressure on the walls of the nasal sinuses decreases and the patient becomes able to breathe easier. As a result, pain goes away, body temperature drops, swelling goes away, and breathing through the nose is restored.

In addition to the therapeutic effect, a nose puncture for sinusitis is sometimes done for diagnosis, in order to exclude the disease or to identify the contents of the sinuses and administer a medicine.

Painful puncture during sinusitis - truth or myth

To the question of whether it is painful to perform a puncture for sinusitis, the answer can be unequivocal - no!

Nowadays, with the availability of new technologies and painkillers, this procedure is almost painless.

Of course, there is little pleasant in this, but the painful sensations during this procedure are felt at the stage of filling the nasal sinus with a medicinal solution for rinsing.

The effectiveness of nasal puncture for sinusitis is manifested in the fact that after the procedure the dosage of antibiotics and the duration of the course of treatment are reduced. This procedure is also low-traumatic.

Consequences for sinusitis are possible only if the procedure is performed by an inexperienced specialist.

Nasal puncture for sinusitis has its contraindications, including:

  • severe condition of the body;
  • deformation of the paranasal sinuses or disruption of their formation;
  • infectious processes in the acute phase.

It is important to know

Puncture is also contraindicated for children at an early age.

After a nasal puncture for sinusitis has been performed, you need to take an x-ray, which will show the presence or absence of pus in the sinuses. After the procedure, it is recommended to rinse the nasal passages with medicinal solutions for six months. A solution of furatsilin or potassium permanganate is suitable for this.

It will not hurt to rinse your nose and gargle with anti-inflammatory and antiseptic agents. After nasal puncture, the doctor may recommend traditional methods of treating sinusitis.

Source: http://neb0ley.ru/gajmorit/prokol-nosa-pri-gajmorite-video.html

Puncture for sinusitis: indications and contraindications of the procedure, technique

Sinusitis is a type of sinusitis. This diagnosis can be heard with inflammation of the maxillary sinus. The disease can affect one side or two at once. The disease can affect both children and adults. In this case, there is copious secretion of mucus. The difference from a simple runny nose is that it lasts for at least a week.

Severe inflammation can cause toothache and headaches. When conservative treatment does not produce results, the doctor recommends giving the patient a puncture to remove the accumulation of mucus from the maxillary sinuses.

The essence of the procedure

A puncture is a minor surgical intervention in which purulent accumulations are cleared from the sinuses, followed by washing and medicinal treatment of the cavity. Often this manipulation can be used to diagnose a disease. Thanks to it, the doctor is able to study the nature of the discharge and, if necessary, remove it.

The photo shows the puncture technique

Indications for performing the manipulation

A puncture may be prescribed when it is necessary to identify the causative agent of the inflammatory process. A puncture is taken from the maxillary sinus. Needling is the only treatment option for:

  • Acute form of sinusitis
  • Prolonged runny nose (more than 2 weeks)
  • Lack of improvement from antibiotic therapy
  • Severe pain in the sinus area
  • Temperature above 38.5 degrees, which lasts more than 3 days
  • Horizontal arrangement of fluid in the sinuses
  • Pus leaking out
  • An unpleasant odor from the nose
  • Collections in the blood sinus

Forced drainage of mucus is mandatory in case of severe inflammation of the nasal cavity and accessory chamber, in which the resulting severe swelling completely blocks the anastomosis.

When a puncture is needed for sinusitis, says Dr. Komarovsky:

Carrying out manipulation

In children, the puncture is performed under general anesthesia, in adults - under local anesthesia. The manipulation does not require special preparation. The puncture is done based on the results of the x-ray. The procedure follows the following scheme:

  1. The patient sits in a chair.
  2. He is given anesthesia. Under local anesthesia, a cotton swab soaked in anesthetic is inserted into the nasal passage using surgical tweezers.
  3. A Kulikovsky needle is used to puncture the maxillary sinus in the lower or middle passage. During this manipulation, the patient may hear a characteristic crunch of bone tissue.
  4. Mucus is removed through the hole formed with a syringe. Afterwards she is sent to the laboratory for research.
  5. After complete cleansing of the sinus, it is washed with antibacterial drugs and then removed from the cavity. If necessary, the procedure is repeated.
  6. After cleansing and disinfecting the cleaned sinus, the patient is prescribed antibiotics or vasoconstrictors.

The special needle used for puncture is a tubular instrument with a cannula (hollow tube), which is used to suck out pathological fluid and introduce drugs into the cavity. The puncture thickness varies from 5 to 7 mm.

Rehabilitation period

Treatment of sinusitis does not end with a puncture. The fight against the infectious disease continues. A repeat image is taken, which allows the doctor to determine the cleanliness of the maxillary sinuses.

This is followed by a fairly long recovery period. The patient will have to:

  • Rinse the nasal cavity with antiseptics
  • Take antibiotics to suppress pathogenic microorganisms
  • Use vasoconstrictors to relieve residual nasal congestion
  • Soften the mucous membrane with oil drops or saline solutions
  • Attend physiotherapeutic procedures (UHF, microwave, electrophoresis, phonophoresis, mud therapy).

This will not only allow you to fully restore your health, but also avoid the unpleasant consequences of sinusitis. It is during this period that the infectious agent is destroyed.

How to pierce the maxillary sinus, see our video:

Myths about the procedure

For those who believe that such manipulation poses a health hazard, doctors say with confidence that the development of complications is minimal. If the puncture is performed correctly, observing technique and sterility, then the procedure will not cause any unpleasant consequences. On the contrary, the patient will feel relief immediately. The rest depends on the patient himself: he must follow all medical instructions during the recovery period, since treatment does not end after cleaning the maxillary sinuses.

Puncture is a painless procedure. The patient may experience discomfort from its implementation when performed under local anesthesia at the time of manipulation with the insertion of the needle. The operation takes little time, so the patient will not have time to feel much stress.

First of all, the doctor tries to treat with conservative methods.

Is it possible to treat sinusitis without a puncture?

When purulent accumulations are lodged in the nasal sinuses and do not come out on their own, they should be forcibly sucked out. Otherwise, the presence of pathological fluid in close proximity to the brain and organs of vision can cause serious health problems. In addition to difficulty breathing through the nose and pain in the nose, the patient risks earning:

In addition, during night sleep, attacks of temporary respiratory arrest are increasingly occurring. The infection can spread throughout the body through other fluids (eg, blood, lymph). A significant weakening of the immune system at this point exposes a person to the risk of regular infection with respiratory diseases.

Reviews about the treatment of sinusitis without a puncture, the pros and cons of the procedure:

Contraindications

The puncture is not performed on children whose maxillary sinuses are not yet fully formed. In such cases, puncture is carried out in case of urgent need for surgical intervention only in a hospital and under general anesthesia. The list of contraindications also includes patients with:

  • Acute infectious diseases
  • Congenital disorders of the structure of the paranasal sinuses
  • Diabetes mellitus
  • Tuberculosis
  • Hypertension

The decision to perform a puncture must be balanced and justified. The specialist takes on great responsibility.

The photo shows methods of treating sinusitis without puncture

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In the absence of contraindications to performing a puncture, sinusitis can be treated quite well through such an intervention. When patients follow the recommendations established during the recovery period, relapse of the disease is minimized.

The puncture site is quickly restored. In some cases, the tissue may become scarred, but with the use of special ointments and creams, traces of manipulation on the skin can be avoided.

Source: http://gidmed.com/otorinolarintologija/lechenie-lor/hirurgiya-lor/prokol-pri-gajmorite.html

Puncture for sinusitis: surgery in 2 stages

A puncture for sinusitis is done only by a qualified specialist in a hospital. Sinusitis can be called a very insidious disease that rarely goes away without leaving a trace in our body. Sometimes the inflammatory process that appears in the nasal sinuses can affect the tissues in the neighborhood, which subsequently leads to such sad manifestations as headache, sinusitis and fever. In this situation, it becomes inevitable to perform a puncture operation. As for the consequences of such an action, they can be different. In addition, this procedure cannot guarantee a complete cure and then everything will have to be done again.

Nose piercing for sinusitis: when is it necessary?

Why does sinusitis appear?

Sinusitis is a consequence of the appearance of an infectious process that occurs in one or more sinuses of the maxillary type.

During the course of the disease, pus begins to secrete, which has accumulated in a small space for a long time. Treatment of the disease is to ensure the release of these accumulations from the sinuses. If this cannot be done by drainage, a decision is made to make a puncture.

The puncture itself is possible after thorough X-ray examinations have been carried out and all indications that the operation is necessary have been established.

The operation is as follows:

  • The specialist finds the thinnest place on the medial wall and makes a puncture with a needle;
  • After this, the sinuses are washed with an antiseptic, which increases the positive results of the operation several times.

As you can see, the operation is quite simple and does not take much time. Many people are interested in how painful the process is. It is precisely because of the fear of pain that many do not dare to take such a step and, until the very end, engage only in conservative treatment. Let’s say right away that during the puncture process, the patient does not feel pain, since everything takes place under anesthesia.

Nose piercing for sinusitis is needed in advanced cases

In addition, postoperative consequences are not always sad, as most patients think. If all recommendations are followed and all prescribed procedures are performed, then, as a rule, no negative consequences arise.

Carrying out a puncture not only gives the patient the opportunity to breathe with ease, but also allows the doctor to take material for analysis. This makes it possible to establish which pathogen affected the disease and to find out what antibacterial therapy is subsequently necessary.

How to make a puncture for sinusitis

A puncture for sinusitis cannot be called a harmless action, so this method is used exclusively in extreme situations. Before deciding on this treatment, the patient must know what awaits him.

The whole operation consists of the following steps:

  1. To begin with, local anesthesia must be administered. To do this, use the drug Tetracaine or Lidocaine. Most often they are administered with a vasoconstrictor anesthetic.
  2. In order for the painkillers to take effect, it is applied to a tampon and injected into the nostril. During the procedure, the patient does not feel pain, but may feel a rather unpleasant crunch that will come from the bone tissue.
  3. When the anesthesia begins to take effect, the doctor will begin to insert a special Kulikovsky needle into the sinus. This is a distally curved, tubular needle that includes a cannula at the tip and thick walls. The cannula is connected to the syringe, then the thinnest place in the sinus is found and a puncture is made.
  4. After these subtle manipulations are carried out, the doctor makes sure that the needle is in the right place and begins to inject the antiseptic. This helps to liquefy the pus and bring it out. Rinsing occurs until the liquid becomes clear.

This concludes the procedure; then the patient should consult a doctor on further actions. If you are interested in how sinusitis is pierced, you can watch an explanatory video.

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

  • 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.

In order not to develop sinusitis and not lead to a puncture, you need to contact a specialist in time

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.

Puncture for sinusitis: possible consequences

There are practically no negative consequences after a puncture, and if there are, they are very rare. Most often, nosebleeds occur, which can be explained by injury to blood vessels during surgery.

Basically, such manifestations are not systematic and disappear within a few days after the puncture.

Rarely, a puncture of the eye socket or cheek can occur, this is due to the structural features of the skull. To prevent the situation from worsening, the doctor prescribes antibiotics that prevent the infection from developing.

Other postoperative complications include:

  • Air entering the nasal cavity;
  • Pus getting into the blood vessels or eye sockets.

Such consequences can lead to the formation of phlegmon, abscess, blindness, blockage of blood vessels, and even the death of the patient. To prevent this from happening, the patient must be prescribed antibiotics, which will prevent the development of negative consequences.

If after the operation your nose is stuffy, try using drops and rinsing your nose. If this procedure does not help, and a fever has been added to the congestion, contact the clinic. Such phenomena can be caused by residual pus in the sinuses. If the result is positive, most often, all symptoms disappear within a few days. Well, in order to avoid all sorts of complications, we recommend that you visit a specialist in a timely manner and have an x-ray performed.

In some cases, puncture of the maxillary sinuses may be necessary a second time. Piercing the sinusitis a second time may be necessary due to the fact that not all of the infection was removed. Many reviews indicate that people get sinusitis every year, some get by just once.

Puncture for sinusitis (video)

To summarize, a disease such as sinusitis cannot be left to chance. If treatment is provided in a timely manner, then most likely you will be able to do without a puncture. If you believe the statistics, a large percentage of people were able to cope with this diagnosis without surgery, simply by taking medications, but let's not forget that a positive result with the help of medications can only be obtained in the early stages. Is it possible to avoid a puncture? Yes, but for this you need to promptly seek help from doctors.

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Puncture for sinusitis: how to puncture the maxillary sinus, video, reviews

Today, puncture of the maxillary sinus causes a lot of controversy. Is it worth performing this manipulation, what is its effect, what complications can there be, is it painful to do a puncture with sinusitis, and how long is the recovery period after the intervention.

A puncture of the maxillary sinus is indicated for purulent sinusitis - an extremely unpleasant and dangerous disease that occurs very often these days. It is not very common in childhood due to the paranasal sinuses not being fully formed, but it affects adults quite often. The pathology is characterized by the active proliferation of bacteria in the maxillary sinuses, which provoke an inflammatory process there. Typically, the development of the disease begins after viral infections - adenovirus, influenza, rhinitis and is considered as their complication.

There is often a situation where conservative therapy does not produce the desired positive effect. This necessitates intervention in the sinus in order to remove purulent contents from it and wash it out. In most cases, people are afraid of manipulation due to rumors that the procedure is painful. But this fear is not at all justified by the possibility of developing dangerous complications of the pathology.

Indications for puncture

The period of the height of sinusitis is characterized by a violation of the outflow of mucus from the maxillary sinuses due to pronounced swelling of the mucous membrane. This process can have many unpleasant complications due to the close anatomical proximity of this cavity to the brain and its membranes. That is why the presence of purulent inflammation is a direct indication for performing a puncture for sinusitis. It allows you to eliminate the contents of the sinus, rinse it with an antiseptic solution and introduce medications into it, thereby speeding up the healing process.

In addition to the therapeutic purpose, a nasal puncture for sinusitis can also be performed for diagnostic purposes in order to determine the presence and nature of the contents of the maxillary sinuses. This facilitates the diagnosis and is called a diagnostic puncture.

The manipulation is prescribed and performed exclusively by a doctor.

Sometimes conservative therapy for purulent sinusitis is possible; the following drugs are used for this:

  • antibacterial agents;
  • vasoconstrictor drops or sprays;
  • solutions of local antiseptics for rinsing the nose;
  • anti-inflammatory drugs for physiotherapeutic procedures.

The prescription of medications does not exclude a piercing of the nose for sinusitis.

Treatment of sinusitis through a puncture is mandatory in the following situations:

  • lack of positive dynamics with two weeks of conservative therapy;
  • persistent and severe hyperthermia from 38°C;
  • the presence of pressing or bursting pain in the projection of the location of the maxillary sinuses. Marked increase in pain when changing head position;
  • the presence of a level of pus or fluid on an x-ray of the maxillary sinuses;
  • lack of outflow of contents from the sinuses;
  • the presence of an unpleasant odor from the nose, which can be felt by other people.

In the case of the development of odontogenic sinusitis, a puncture is necessarily made or surgical treatment is performed with the participation of facial surgeons - a sinusotomy, which involves opening the sinus and cleaning it, which is an alternative to a puncture for such sinusitis. This intervention should be performed exclusively in a hospital setting.

Execution method

The puncture is prescribed and performed exclusively by an otolaryngologist. In childhood, it is performed extremely rarely, because the sinuses are not fully formed and there is a high risk of complications from this manipulation. The procedure itself takes place in a hospital or clinic under local anesthesia. Many patients are afraid of a puncture because they are afraid that they may be hurt, and there are also reviews among the people that if they had to perform a puncture, then sinusitis can become chronic.

The intervention itself is absolutely safe, harmless and virtually painless, and does not require any preparation.

How is a puncture done for sinusitis? The technique for performing the procedure is quite simple. The doctor inserts a cotton pad into the nasal passage, previously wound on tweezers and soaked in an anesthetic solution. Typically, Lidocaine or Novocaine is used for these purposes. After the patient has inhaled this solution, cotton wool is inserted into the nasal passage. After the patient feels that it seems to be “frozen” somewhat above the nose, the manipulation itself begins with the help of a special needle. It should be noted that if the puncture site is chosen correctly, piercing the sinus does not hurt.

There are many videos on the Internet that talk in detail about the puncture. They also contain information about who the manipulation is indicated for, how it will happen, and may also contain answers to the question “how many times should it be performed.”

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After the puncture, the doctor uses a syringe to suck out the purulent contents of the sinuses. In order to select the right antibiotic after the procedure, part of the pus is taken for examination in the laboratory. When the pus is completely removed, the maxillary sinuses are washed using the following method:

  • A saline solution is injected into the cavity and then removed. And this is done several times until fluid free of pus comes out of the sinus;
  • Then solutions of local antiseptics are injected into the sinuses and removed from there;
  • The patient is placed on his side, corresponding to the side of the puncture, and lies for several minutes;
  • After this, the patient is seated again and the sinus is washed again with saline; sometimes rinsing with a solution of Nystatin and Iodinol is permissible to prevent fungal infection. If the sinus has been flushed with Iodinol, antibiotics are usually not prescribed. If washing was done without it, broad-spectrum antibacterial drugs are prescribed for a course of up to two weeks.

Accompanying sensations during puncture may be short-term headaches and dizziness, which pass fairly quickly. An unpleasant crunching sound is also usually heard, which is very frightening for patients. A sensation of a foreign body in the nasal cavity and nasal congestion may develop.

Often, having contracted sinusitis and then performing this manipulation, the patient’s condition improves significantly. In this case, doctors usually limit themselves to one puncture. The chronic form of sinusitis has no connection with the procedure, and its onset depends on a large number of associated factors.

The lack of proper treatment of the pathology (and puncture is considered as a therapeutic procedure and sometimes cannot be avoided) can lead not only to chronicity of the process, but also to complications.

Complications

Sinus puncture for sinusitis, like any other medical procedure, can have its unpleasant consequences. If the procedure is performed poorly or is performed incorrectly, complications also develop. For example, the introduction of medicinal substances into the subcutaneous tissue of the cheek, which is fraught with a pronounced inflammatory process.

When performing a puncture in childhood with unformed sinuses, an error during manipulation is fraught with swelling of the paraorbital tissues (tissues that are located around the eyes and orbits - the areas where the eyes, their vessels and nerves, as well as subcutaneous fatty tissue) are located.

These complications arise due to damage to such an anatomical formation as the ethmoid labyrinth.

Among the negative consequences, fainting states of the patient are quite common. They can develop for various reasons - fright from a crunching sound, a sharp drop in blood pressure from fear, and others. This is one of the situations that usually does not depend on the incorrect actions of the doctor, but requires emergency assistance, since fainting is associated with severe hypotension (low blood pressure).

Among the complications of puncture of the maxillary sinus, the most common are the following:

  • otitis;
  • swelling of subcutaneous fat;
  • development of infiltrates, abscesses and phlegmons of adjacent areas;
  • meningitis and encephalitis;
  • development of subcutaneous emphysema;
  • thrombosis and embolism of damaged blood vessels.

Shocking statistics! It has been established that almost 50% (!) of problems with the respiratory tract, as well as chills, Fever and temperature are caused by infection with various types of parasites (Ascaris, Giardia, Toxocara). Worms cause enormous harm to the human body, and our immune system is the first to suffer, which, in turn, must protect the body from various diseases. People taught by bitter experience use this to get rid of all types of parasites.

Such complications are extremely rare and require mandatory hospital treatment. In most cases, after a puncture, sinusitis is cured fairly quickly without any negative consequences for the patient’s health.

Source: http://stoporvi.ru/protsedury/prokol-pri-gajmorite.html