Estachian tube catheterization is one of the treatment and diagnostic procedures that allows you to insert a catheter through the nasopharynx into the Eustachian tube. Such manipulation makes it possible to assess the ventilation capacity of the hearing organs, as well as to administer a medicine for the treatment of certain ailments. If there are some violations, then the doctor can carry out the blowing procedure.
Main indications
Estachian tube catheterization performed for:
- Assessing drainage and ventilation functions.
- Treatment of tubo-otitis.
- As an auxiliary procedure if there is no effect of politcerization.
So, the procedure is performed if patients often complain of heavy breathing, especially through the nose. As a rule, this is due to a violation of drainage and ventilation functions.
In the presence of a disease such as tubo-otitis, catheterization of the auditory tube is performed with the introduction of drugs. This procedure allows you to evaluate the work of organs. In this case, the doctor can act directly on the affected area. This greatly speeds up the processrecovery.
Also, catheterization is performed in the absence of the effect of such a procedure as politcerization. This is due to some structural features of the sky, as well as the Eustachian tube.
Preparing for the procedure
Estachian tube catheterization is performed only in the office of a narrow specialist. It is impossible to carry out such manipulations at home. Before the procedure, the doctor must prepare the patient. First of all, the specialist irrigates the nasal cavity with a special solution that has a vasoconstrictive effect. This improves the catheterization result and reduces tissue swelling.
Before the procedure, it is also recommended to clear the nasal passages of accumulated mucus, as it can interfere.
Special tool
How is an Eustachian tube catheterization performed? The technique is quite simple. However, care must be taken during the procedure. All manipulations are carried out in the doctor's office. During the procedure, the specialist inserts a catheter into the nasopharynx, which has a peculiar shape. To perform all the manipulations, the doctor must lift the tip of the patient's nose. Due to the special shape of the catheter, the procedure must be carried out by a doctor with extensive experience, as the mucosa can be damaged in the process. In this case, a high concentration is required.
How the catheter is inserted
As already mentioned, catheterization of the auditory tube shouldcarried out only by an experienced physician. With this procedure, there is a risk of damage to the tissues of the mucous membrane. Therefore, the catheter is introduced gradually, "beak" down. This procedure is not very pleasant. However, if the doctor has sufficient experience, then the patient will practically not experience pain and discomfort. In addition, before the procedure, the tissues of the nasopharynx are irrigated with a 5% solution of novocaine.
Difficulties in catheterization of the auditory tube cause various curvature of the septa. In such situations, the doctor must carefully bypass all obstacles, while turning the device. The risk of tissue damage with a deviated septum is increased.
You should choose a clinic and a specialist in advance to carry out such manipulations. This issue should be approached with all responsibility.
Consequences
When performing a procedure such as catheterization of the auditory tube, rough movements and jerks are not allowed. Such manipulations can lead to a serious rupture of the mucous membrane. And this, in turn, can cause severe bleeding.
A doctor who does not have experience and skill can confuse the mouth of the Eustachian tube with the nasopharynx. It can also cause serious consequences. In this case, blowing or administering the drug will only aggravate the patient's condition. If during the procedure the patient feels severe pain, then this should be reported to the doctor. In such cases, the specialist should stopmanipulation.
If the procedure is performed incorrectly, submucosal emphysema may develop. This leads to pain when swallowing. In addition, it will seem to the patient that there is a foreign object in the pharynx. The presence of such a deviation is indicated by a strong swelling of the palate, which can be detected by visual inspection.
Contraindications
Estachian tube catheterization, which has mostly positive reviews, although patients report discomfort, is performed quickly and with good results. However, there are a number of contraindications. This procedure is not performed when:
- The presence of an acute inflammatory process.
- Neurological ailments.
- Parkinson's disease.
- Epilepsy.
- Psychological disorders.
In such cases, the procedure can cause serious complications. It is for this reason that many specialists rarely resort to catheterization of the auditory tube, but turn to alternative methods.
Flaws of the procedure
Estachian tube catheterization with "Dexamethasone" and other drugs is an effective procedure for a number of diseases. However, it also has some disadvantages. First of all, an invasive method should be distinguished. The procedure is not very pleasant. It is not uncommon for impressionable people to faint during catheterization.
In fact, the procedure is extremely rare, carried out in a hospital. For diagnosticsIn diseases, objective research methods have recently been used, including endoscopy of the internal opening of the auditory tube and otoscopy using a video otoscope.
