In the article, we will consider reviews about a puncture with sinusitis.
The maxillary sinuses are small cavities that are localized on the sides of the nasal passages. Their main purpose is that they warm and purify the inhaled air. In addition, they are resonators during the pronunciation of sounds. The maxillary sinuses are connected to the nasal cavity with small passages in the amount of not more than 3 mm.
When is a puncture prescribed?
A sinus puncture in most cases is prescribed in the absence of the effectiveness of conservative therapy for sinusitis. The inflammatory process that occurs in the maxillary sinuses can be the result of pathogens entering this area, the occurrence of nasal injuries, or the curvature of the nasal septum. Inflammation is accompanied by accumulation of pus in the sinuses. In this case, a pathology such as sinusitis develops. Reviews about a puncture with sinusitis will be presented at the end of the article.
Signs of sinusitis
If the patient has a stuffy nose, a severe headache is observed, while painful sensations intensify when leaning forward, there is a general malaise and an increase in body temperature, this means that you must definitely consult a specialist, since such symptoms may indicate the development of sinusitis. In some cases, a person’s ear may hurt. The main signs of sinusitis are considered to be a headache, nasal congestion, shortness of breath and the presence of purulent-mucous discharge from the nasal cavity. In childhood, less than four years, such a disease does not develop, which is due to the structural features of the sinuses of the nose.
They are fully formed only by about seven years. In children of this age, acute sinusitis often occurs, which acts as a complication of colds. The chronic form of the disease in children is practically not manifested in any way, it mainly develops in adult patients as a result of untimely and incorrect treatment. Chronic sinusitis is manifested in the same way as acute sinusitis. However, while the pain is not so pronounced, and the patient feels normal. With reviews about the treatment of sinusitis punctures it is better to familiarize yourself in advance.
Sinus puncture target
In order to achieve the necessary drainage of the nasal sinuses (to eliminate the accumulation of purulent secretions in an enclosed space) and to make the anti-inflammatory treatment the most effective, sinus puncture is performed for sinusitis.
After a puncture, bone tissue is restored very quickly. Osteoblasts produce a bone matrix, and if the bone is damaged, its regeneration process is accelerated. The main purpose of the puncture is the mechanical drainage of the sinus, for which bone puncture is performed. After that, the entire contents of the inflamed sinus comes out, and its cavity is washed with antiseptic solutions, which gives an additional therapeutic effect. Reviews of a puncture of the nose with sinusitis confirm this.
The procedure is repeated only in severe stages of chronic sinusitis. In what cases and how many times a puncture is indicated, the doctor determines.
Indications for the procedure
A maxillary sinus puncture is prescribed to patients in the following cases:
- In the absence of the proper therapeutic effect of the conservative therapy. If the patient underwent a course of treatment with antibacterial drugs, and other medical procedures aimed at the treatment of sinusitis did not help normalize the outflow of the contents of the sinuses, then only a puncture can help.
- Severe condition of the patient. For example, if a person has severe headaches or discomfort in the area of the nasal sinuses, which cannot be eliminated with the help of medications.
- Accumulation of blood in the maxillary cavity. This condition is detected by radiography or computed tomography.
- With obstruction of the anastomosis of the maxillary sinuses. Before the treatment procedure, computed tomography or radiography can be prescribed.
With sinusitis occurring in a chronic form, a puncture allows you to take biological material for clinical analysis. Therapy of sinusitis in most cases is carried out on an outpatient basis. It will be necessary to stay in a hospital only if the disease is severe or complications have arisen.
In childhood, the procedure is carried out extremely rarely, since the likelihood of complications is very high. In most cases, children are prescribed drug therapy. After all, it is very painful to make a puncture with sinusitis, according to reviews.
Contraindications
A puncture of the maxillary sinuses is not performed in the following cases:
- in the presence of congenital anomalies of the maxillary sinuses or nasal cavity;
- with hypoplasia of the maxillary cavities;
- the presence of an infectious disease in acute form;
- chronic diseases of severe forms (hypertension, diabetes mellitus, systemic pathologies).
Features
The operation is carried out in several stages. Many patients are interested in the question of whether it is painful to make a puncture with sinusitis. Reviews about this are numerous. According to patients who have undergone such surgery, the procedure is quite unpleasant. In the process of puncture of bone tissue, a strong crunch is heard. This sound is perceived to be very loud, as it is heard, as it were, “from the inside”. The doctor before the procedure gives the patient local anesthesia. For this, vasoconstrictor drugs and anesthetics are used. The swab is moistened with a medication and injected deep into the nasal cavity.
Kulikovsky Needle
To carry out a puncture, a special device called the Kulikovsky needle is used. This is an elongated tube that is curved in the distal section and is provided with a cannula through which the tube connects to the syringe. The needle is inserted into the sinus and after the surgeon determines the thinnest area in the bone wall, he punctures it with a sharp movement. Then the doctor must make sure that the end of the needle is located in the lumen of the maxillary sinus. Then he proceeds to rinse the affected area. To do this, the specialist connects a needle to the syringe and directs an antiseptic solution into the sinus. The contents of the maxillary cavity under the action of a medicinal solution begins to liquefy and is excreted. Blood and pus from the punctured sinus drain into the tray. Washing is carried out until the washings become transparent without additional impurities, after the needle is removed.
Consequences of a puncture
According to reviews of a puncture in sinusitis, the strengthening of the inflammatory process is the main and most common consequence. To prevent the development of this pathological phenomenon, antibiotics are prescribed to the patient. In the treatment of sinusitis, antibacterial medicines of the following categories are used: macrolides, cephalosporins, penicillins. Without these drugs, treatment of purulent inflammation will be ineffective, since the main purpose of their use is to influence pathogens that cause the onset of the inflammatory process.
According to reviews, the consequences of a puncture with sinusitis can be very serious.
Preparations
When treating after the procedure, the following medications are also prescribed:
- Antihistamines that eliminate puffiness and reduce the amount of discharge from the nasal cavity.
- Corticosteroids. Medicines from this group in most cases are prescribed after antibiotic therapy is completed, and the inflammatory process with the formation of pus is eliminated.
These pharmacological agents can eliminate inflammation and swelling, get rid of the development of an allergic reaction. They are used for a long period.
Cons and pros of the treatment
A puncture of the maxillary sinuses or one of them makes it possible to quickly purify their cavities from purulent contents, and to avoid many negative consequences. This procedure helps to eliminate a headache and a pressing sensation, and cure the disease faster. Reviews of sinus puncture with sinusitis also confirm this.
In addition, the collection of biological material during puncture is necessary to establish the causative agent of the pathological process, which is required for the proper selection of antibiotics. Puncture is also needed as a mechanical drainage of the sinus, for which bone tissue is pierced. After a puncture, the contents of the affected cavity comes out, and it is washed with antiseptics, which gives a good therapeutic effect. The hole formed after the puncture heals quickly and painlessly. All of the above refers to the number of pluses from the implementation of a puncture.
According to reviews of a nasal puncture with sinusitis, the main disadvantage of the procedure is its soreness. A negative consequence may be an increase in the process of inflammation. In order to prevent its development, antibiotics are used, which the patient takes orally, or they are injected intravenously or intramuscularly. Antibiotics have many side effects, for example, negatively affect the functionality of the intestines, upsetting the balance of beneficial microflora and provoking diarrhea.
How to cure sinusitis without a puncture?
Reviews confirm that this is entirely possible.
But for this it is necessary to consult a doctor at the first symptoms of pathology. Timely and adequate therapy gives a positive effect in almost 90% of cases of the development of the disease.
The most common reason for prescribing a puncture is a delayed therapy of pathology. There are situations when, without puncture and excretion of pus, serious complications that threaten the patient's life can begin within a few hours. Nevertheless, if a puncture is made in a difficult situation, complications may also appear, however, they are a consequence not of the procedure itself, but of the patient’s neglected state.
Sinusitis can be cured without a puncture, however, only at the initial stages of the development of pathology. To do this, you can use medicines or alternative recipes. Among the drugs that are used for this disease, it should be noted:
- Sinuforte;
- Polydex
- "Sinupret."
It is important to apply a comprehensive treatment, which involves the use of vasodilators, drops with an antibiotic, as well as nose washings.
Among the folk methods for the treatment of sinusitis without a puncture, the most popular is instillation of Kalanchoe juice, diluted onion juice in the nose, etc.
How effective is a maxillary sinus puncture?
This therapeutic measure is most effective in cases where pus has filled the sinuses and has nowhere to go. In such a situation, this procedure is vital and can significantly alleviate the patient's condition.
After a puncture of sinusitis, according to reviews, recovery is very fast.
If the question is, treat sinusitis medically or operatively, it is recommended that you first try to eliminate the disease with medication.
Reviews about a puncture with sinusitis
Patients who have had sinusitis note that in some cases, without a maxillary sinus puncture, unfortunately, can not do. The operation, according to patients, is rather painful, however, they indicate that the pain is observed only for a few minutes, immediately when the needle penetrates the sinus cavity. When washing, slight pain is noted. After the puncture, the patients felt much better, their headaches that often accompany sinusitis disappeared, and nasal breathing returned to normal.
In reviews of a nasal puncture for sinusitis, patients advise people predisposed to the development of this disease to take timely preventive measures. If, for example, in case of a runny nose, regularly rinse the nose with special solutions, remove the mucus accumulated in it, then such a complication of a cold will not follow.
Only a doctor can decide whether to make a puncture with sinusitis. Reviews should be read for informational purposes only.