How to make a puncture in the sinus: photo, video, effects
As to me doing a puncture of the nose
Being is not a simple disease, inflammation of the maxillary (maxillary) sinuses is breaking all records for the number of cases among the other types of sinusitis. Most often, the starting point is becoming a common viral infection, affecting the nasal cavity. But sinusitis may be independent of the original disease, which is caused by falling on the mucous membranes of the alien microorganisms. Under certain circumstances, such as prolonged use of antibiotics or frequent and prolonged acute respiratory viral infections, immunity can not cope with their own, familiar body, people. In some cases developing a variety of complications in the form of sinusitis or other respiratory system. And along with medication, may require a puncture of the nose in the sinus, which is nothing other than a puncture.
The necessity of the procedure
The majority of patients are concerned not only how to make a puncture in the sinus (photo process can be found in the gallery), but why is this even necessary. The reason is very simple: when purulent inflammation, severe outflow of mucus from the sinuses so corrupt that there is a very real risk of getting the infected fluid in the brain. What this means, of course, even far from the medicine people. To prevent the spread of infection by ENT specialists use a pericardiocentesis. Sometimes punctures are used for diagnostic purposes.
There are some specific signs that indicate the need to conduct a puncture of the sinuses when sinusitis:
- the absence of improvement within 14 days;
- not observed the effect of conservative measures;
- strong arching and pressing pain in nose, cheeks, and observed one or both sides;
- fever steadily kept;
- purulent masses are not come out even with extensive washing;
- indications radiography in combination with complaints and a long course of the disease;
- the appearance of putrid smell from the nasal passages or mouth, which may indicate odontogenic disease (related to teeth).
All of these symptoms in isolation or in combination talking to doctors and patients about the need to attract «heavy artillery», although in each individual case there may be additional readings.
As it happens
Any interference in the human body takes with fear, whether it is dental manipulation or full abdominal surgery. Therefore, before the procedure patients usually fill up doctor questions, and the shortage of answers turn to third-party resources detailing the puncture sinusitis (video and photo gallery).
Puncture adult patients is performed under local anesthetics. This ENT doctor using a thin medical forceps inserts into the nostrils (or one, if one assumes treatment of unilateral lesions) cotton swab soaked in anesthetic. After anesthesia through the hole of the middle or lower nasal passage is introduced ultra-thin needle, which accurately produce puncture of the sinuses. Through the resulting hole mucus and purulent mass is extracted using a special syringe. If necessary, the allocation obtained using the drainage is sent for laboratory analysis.
If a puncture of the nose while sinusitis (video posted in the appropriate section) has fulfilled its purpose the first time, the patient has thoroughly washed the cavity with saline and drugs, and then go home. This procedure using a flexible thin tube, introduced into the sinus via a special device-adapter – trocar. If the same manipulation is not enough cleansing, a tube is left in the nasal cavity for the subsequent processes, which are executed in the specified schema:
- abundant lavage of the sinuses with saline with the mandatory removal of all introduced fluid;
- re-infusion into the affected area of saline 20 ml;
- the adoption of the patient «lying» on the side of the puncture for 60 seconds;
- another washing with a solution of sodium chloride;
- the introduction of antibacterial drugs in the focus of infection.
Treatment sinusitis after a puncture includes preventive measures protection against recurrence, antibiotics and, temporarily, pain medication, normalization of life. If the control lavage was not carried out with saline, and yodinolom, additional antibiotic therapy is required.
Fears real and mythical
Many patients, especially «newbies» ENT Department, I doubt whether to me to do the puncture. And the question of postoperative complications, puncture refers to the surgical manipulation, not in last place.
If conservative methods and sparing therapy the sinus-catheters has not coped with the disease and the patient’s condition is poor, the puncture is clearly needed. Outpatient treatment, when to leave the drainage tube in the cavity of the nose is not possible there may need to be repeated punctures. When observing in the hospital is the need in most cases is eliminated.
As for complications, the risk is always there. A chance encounter with difficulties after the manipulation is directly proportional to the severity of disease and level of the procedure. A puncture in the sinus, whose consequences associated with negligence in matters of disinfection of instruments, storage and use of drugs is not uncommon. This can reduce the entire treatment effect to a minimum. So you should go to the checked state and private medical facilities who work more than 3-5 years and with a large number of patients.
But the fears associated with the transition of the acute form of the disease in the chronic type due to puncture held, are unfounded. The consequences of a puncture in the sinus to the formation of chronic inflammation of the paranasal sinuses have no relationship. It occurs because of delay in treatment, non-compliance with medical recommendations, frequent recurrent disease in the nasopharynx and other factors.
But there are legitimate concerns, as in some cases, fortunately very rare, can develop a very dangerous condition:
- embolism of the blood vessels;
- phlegmon of the orbit;
- allergic manifestations.
Therefore, if after a puncture of a sinus headache, cheeks, nose doctor more than the agreed deadline or has other unpleasant symptoms, re-and as quickly as possible to meet with the ENT specialists.
The question of pain during the puncture and the prevention
The vast majority of patients are interested in does it hurt to make a puncture in the sinus (reviews posted below). All patients have a different threshold of sensitivity to pain. Someone can easily withstand the procedure is almost «alive». And another slaughter of anesthesia is not enough. So this question is purely individual.
In most cases, the patient during the procedure, accompany the sensation of a foreign object in the nasal cavity. If the puncture is quite possible the crunch, but this should not scare the patient. Short headaches and a mild discomfort is also a natural phenomena after puncture.
Prevention of sinusitis after a puncture is reduced to a reasonable and accessible to everyone:
- avoidance of crowded places during seasonal exacerbations of viral respiratory infections;
- regular airing of the premises;
- eat fresh fruit or vitamin complexes on prescription;
- timely treatment of dental and ENT diseases;
- lavage of the nasal cavity for colds;
- use saline drops or saline after visiting crowded events;
- frequent hand washing and wet home cleaning.
Inflammation of the paranasal sinuses is an insidious disease that suddenly a light from catarrhal form can be transformed into infection of the whole of the nasal cavity and neighboring organs. And it, in turn, is able to trigger more severe consequences. So if you have severe bilateral maxillary sinusitis, on the question «whether to agree to a puncture?» to ponder is not necessary. If conservative measures are not able to eliminate the disease, you need to act as quickly as possible, as delay could cost more than short-term discomfort at the puncture.