Sinusitis is a very insidious disease that does not always pass without a trace for the body. Sometimes the inflammatory process of the sinuses affects neighboring tissues, which can cause very negative consequences in the form of headache, frontal sinusitis and fever. In this case, the puncture of the maxillary sinuses is inevitable. The consequences of a puncture with sinusitis are very different. This procedure does not guarantee a complete cure for the disease, and in some cases the operation must be repeated.
When should I get pierced?
Sinusitis is formed due to an infectious process that takes place in one or both of the maxillary paranasal sinuses. During illness, purulent discharge accumulates in a confined space for a long time, and the treatment of the disease is to ensure the release of nasal secretions from the maxillary sinuses. If adequate drainage cannot be achieved, then a puncture is made.
Puncture of the maxillary sinus is prescribed only aftercareful X-ray examination, when there are all necessary indications for the operation.
During the operation, the thinnest place in the medial wall of the nasal sinus is felt with a needle and a puncture is made. Immediately after this, the nose is washed with antiseptic solutions, which increases the effectiveness of the operation several times.
It is performed quite simply and in several stages a puncture with sinusitis. Does it hurt? This question worries most patients, and therefore they continue conservative treatment to the last. During the puncture, the patient does not experience pain, since the operation is performed only under anesthesia. And the consequences of a puncture with sinusitis are not always as sad as it seems to many patients. If you go through all the procedures recommended by the doctor and proper rehabilitation, then, as a rule, there are no negative consequences.
A puncture for sinusitis is an extreme procedure and is most often used in cases where the patient is in serious condition, and other methods of treatment do not help. At an advanced stage of the disease, the patient feels severe headaches, discomfort in the maxillary sinuses. Sinusitis, which the patient is trying to cure, does not go away for a long time (more than 10 days), despite the ongoing drug treatment. The degree of development of the disease, the level of fluid and the presence of blood secretions are determined by X-ray examination, computed tomography.
Puncture allows you not toonly to facilitate breathing, but also to take material for analysis, which makes it possible to identify the causative agent of the disease, which subsequently helps to conduct effective antibiotic therapy.
At the very beginning of the disease, when the disease is catarrhal in nature (that is, without purulent discharge, the inflammatory process causes only swelling of the nasopharynx and makes it difficult to breathe), sinusitis can be cured by medication, and a puncture in this situation is not required.
Puncture of the maxillary sinuses: how is the operation performed?
Puncture of sinusitis is not a harmless procedure, and it is used only in extreme cases. First of all, local anesthesia is performed before the procedure. Most often, Tetracaine, Lidocaine 4% are used here, a combination of an anesthetic with a vasoconstrictor can be administered.
For anesthesia, a tampon richly treated with medicine is inserted into the nose, and during the procedure the patient does not feel pain, but an unpleasant crunch of bone tissue is felt. After the anesthesia takes effect, the needle of the otorhinolaryngologist Kulikovsky is inserted into the sinus. This device is tubular type with thick walls and a cannula at the end. Curved distally. The cannula is docked with a syringe, then the thinnest place in the maxillary sinus is felt for and pierced.
After subtle and correct manipulations, the surgeon makes sure that the needle is in the lumen of the sinus, after which an antiseptic is injected with a syringe, which dilutes the pus and promotes the secretion. Gaimorovathe sinus is washed until the discharge from the nose becomes clear. The puncture procedure for sinusitis ends with this.
Contraindications for surgery
Do I need a puncture for sinusitis? Such a question can only be solved by a doctor based on the picture of the disease. Contraindications to the puncture are somatic diseases and the early age of the patient (infants). Do not perform surgery for infectious sinusitis, which is in the acute stage of development. Sufficiently unformed bony sinuses serve as a ban for puncture. Also, do not perform surgery for anomalies in the development of the nasal cavity and maxillary sinuses. It is not advised to do a puncture if the patient is in serious condition, which was the result of the development of chronic diseases.
So, whether to pierce sinusitis (or not), only a doctor can decide based on the general condition of the patient.
Consequences of a puncture
Negative phenomena after a puncture are quite rare. Usually these are nosebleeds, which are explained by trauma to the blood vessels during the operation. Often, these phenomena are not long-lasting and disappear within a few days.
Due to the physiological features of the structure of the skull, a puncture of the wall of the orbit, as well as the cheek, may occur. Antibiotics prescribed by a doctor after surgery help prevent deterioration of he alth in this situation and prevent the development of infection.
A complication after a puncture may occur when air enters thenasal tissue. If air enters the maxillary cavity along with pus, then the situation becomes unfavorable for the patient. As in the previous case, taking antibiotics helps here, which prevents negative consequences.
If pus or air enters the blood vessels, including the eye socket, phlegmon or abscess may form, blindness, blockage of blood vessels and even death of the patient may occur.
If the nose is stuffed up after the puncture of sinusitis, then you should use anti-inflammatory nasal agents or rinse the nose. Also, after the operation, you may have a headache or frontal sinusitis. Sometimes the temperature rises. After a puncture of sinusitis, such a picture is observed if there are remnants of pus or if there is an infection in the sinuses. Within three days after the puncture, body temperature drops and returns to normal.
To prevent possible complications, the patient should undergo x-rays of the paranasal sinuses during the operation.
Treatment and rehabilitation of the patient after puncture
What to do after a sinus puncture? This question worries many patients. The answer here is simple: further treatment and rehabilitation is needed.
As a rule, sinusitis after a puncture leaves behind some microbes, and in order to overcome them, the doctor prescribes a course of antibiotics. If there is a temperature, then antibacterial drops and sprays are dripped into the nasal passages. The best are the preparations "Polydex" and "Isofra".
At high temperature prescribedantipyretic drugs such as Nise, Nurofen and Paracetamol. Often, antibiotics of the penicillin series, which have a wide spectrum of action, are used in the treatment. In order to remove inflammation in the nose, vasoconstrictors are prescribed. Remains of mucous and purulent secretions are removed by washing the sinuses with antiseptic solutions.
The rehabilitation period after the sinusitis puncture is simply necessary for patients, and at this time all the doctor's instructions must be followed. It is necessary to actively strengthen the immune system, avoid overwork and hypothermia. Eat right and fully, try to avoid possible complications.
Prevention of sinusitis after a puncture
The consequences of a puncture with sinusitis are very rarely negative, basically this procedure helps people, makes breathing easier and relieves constant nasal congestion. To prevent the return of this disease in the future, preventive measures should be taken after the puncture.
You should not start the treatment of the common cold, and you should try to get rid of it at the first sign. In this case, rinsing with saline solution helps well. They are recommended to be carried out after work, when the whole day was spent in a dusty room. Do not forget that after the puncture of sinusitis, before instillation of vasoconstrictor drops, the nose should be washed.
It is worth paying attention to the condition of the tooth enamel and treat your teeth in time, as an infection from the oral cavity can easily enter the nose. Particular attention should be paid to immunity, correctly and balancedeat, include foods rich in vitamins and minerals in the diet, drink multivitamin complexes in spring and autumn. Physical activity, proper breathing, swimming, skiing will help.
After agreement with the doctor, you can use folk remedies to prevent sinusitis. Use herbal decoctions and freshly squeezed onion juice for washing. It is useful to bury aloe or Kalanchoe in the nose. Smell horseradish and garlic. Rub the bridge of the nose and wings of the nose with mustard oil.
Good and bad sides
The consequences of a puncture in sinusitis can have both positive and negative sides. The disadvantages of this operation include the likelihood of negative consequences. Both doctors and patients try to avoid them, but sometimes they appear. The best way out in this situation is to consult a qualified doctor.
If the puncture was made successfully, and the treatment and rehabilitation took into account all the doctor's recommendations, then the patient's condition noticeably improves. Removal of pus from the sinuses reduces the course and dosage of antibiotics used, and the patient recovers faster. A hole made in the bone wall takes about a month to close and usually does not cause complications.
A course of antibiotics, antihistamines and anti-inflammatory drugs helps to avoid side effects and does not require additional treatments.
Treatment of sinusitis without punctures
Sinusitis, like many other diseases, should be treatedin a timely manner. If the disease is in the chronic stage, then the treatment of sinusitis without punctures will not do. Another thing is when the disease is in the initial stage of development, in this case, you can safely try drug treatment. Its duration depends on the symptoms of the disease.
Topical treatment is based on the use of vasoconstrictor drugs that relieve swelling of the sinuses and improve the ventilation system in them. These drops include "Rinostop", "Galazolin", "Nazivin", "Xilen" and other means. Nasal preparations are dripped into the nose 3 to 5 times for no more than five days. You can abundantly soak cotton swabs with these products and put them in your nose for 5 minutes. Such treatment is prescribed if sinusitis occurs as a result of complications after suffering respiratory diseases.
Also, with sinusitis, you can use a number of ointments, such as oxolinic, ichthyol or Vishnevsky ointment. Antibiotics are able to overcome the microorganisms that caused the development of the disease. The most common are: Macropen, Azithromycin, Isofra, Augmentin. It must be remembered that only a doctor should prescribe antibiotics, taking into account the characteristics of the course of the disease.
You can treat sinusitis with home remedies. These are, first of all, inhalations, regular washing of the nose, the use of oil and plant-based drops, the application of compresses, massage of the maxillary sinuses.
Reviews of people about the puncture with sinusitis
As noted by many patients, a puncture with sinusitis is very effectiveprocedure, especially in cases where the disease has acquired an advanced form. Patients feel relief almost immediately. The procedure relieves them of headaches, pus and other congestion.
Before the operation, the patient is given anesthesia, and if there are no complications, the patient is allowed to go home with all the necessary recommendations. For some, the puncture is painless, for others, negative phenomena occur after the operation, they are worried about chronic sinusitis, frontal sinusitis. There are people who have been pierced several times in a row after surgery.
Someone notes the illiteracy of doctors and the operation at a time when pain relief has not yet worked. In general, if the puncture is performed correctly, in compliance with all necessary rules, there are no side effects.
Sinusitis without puncture
Many people treat sinusitis without a puncture (patient reviews describe the methods by which they achieved a positive result). To do this, they use antibiotics, vasoconstrictor nasal drops. The preparations "Sinuforte", "Polydex", "Klacid 500" and "Sinupred" help. They do rinsing with s alt water, the cuckoo method is especially popular. Often, in the treatment of sinusitis, physical therapy, hirudotherapy are prescribed, and a pit catheter is used. Folk remedies are especially effective. They bury beet juice, aloe, Kalanchoe, mad cucumber juice, chicory tincture. Other methods of treatment are also used.
If the disease is not left to chance, but treated from the very first days, then sinusitis can beremove without puncture. Most people, using modern medicines and folk remedies, managed to defeat sinusitis and avoided a puncture. Some only once did a puncture, but without negative consequences. These patients were satisfied with the results. A certain part of the patients claims that after they had the operation, punctures had to be done almost every year.
Is it possible to do with sinusitis without a puncture? Of course, yes, if the treatment is carried out in a timely manner, in an advanced stage, it is simply impossible to do without a puncture. In any case, the decision must be made by the attending physician.
