Endolaryngeal infusion

Endolaryngeal infusion is a medical procedure that involves the targeted administration of medications directly into the larynx using specialized instruments. This method is used for the local treatment of inflammatory diseases, infections and other pathologies of the vocal cords and larynx, providing a high concentration of the drug in the affected area for a more effective therapeutic effect.
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Using medications directly into the larynx

Sometimes conventional methods such as gargles or tablets are ineffective to combat sore throat. In such cases, a method of direct administration of drugs into the larynx, known as endolaryngeal administration, is used. This approach involves the use of special devices to spray medications aimed at treating and eliminating inflammatory processes directly in the larynx area. Agents most commonly used for this route of administration include antiseptics, antibiotics, antivirals, and others that help reduce inflammation and fight infections.

Intralaryngeal infusion is especially valued for its ability to deliver drugs directly to the site of inflammation, which significantly increases the effectiveness of treatment. The procedure is recommended for various throat diseases, including acute and chronic forms of laryngitis, as well as for diseases associated with professional activities that require active use of the voice.

The use of the endolaryngeal method allows for significant improvement in the condition without pain and discomfort for the patient. Depending on the diagnosis, specific medications can be selected to reduce swelling, eliminate allergic reactions and alleviate symptoms of diseases. The course of treatment and the need for repeated procedures are determined by an otolaryngologist, which ensures high effectiveness of therapy.

Using medications directly into the larynx

The need for the endolaryngeal method for various diseases

Endolaryngeal irrigation is a key method for a variety of diseases, including:

  • Acute and chronic inflammation of the larynx and trachea
  • Laryngotracheitis
  • ARVI
  • Different forms of laryngitis
  • Voice disorders
  • Laryngeal spasms
  • Allergies
  • Ear inflammation
  • Pharingitis
  • Sore throat

And also diseases associated with the professional use of the voice. These conditions can manifest themselves through dry throat, burning, coughing, voice changes, and other symptoms.

Neglected cases of these diseases can lead to serious consequences. Therefore, at the first signs of discomfort, it is important to consult a doctor. Early diagnosis and properly selected treatment speed up the recovery process.

The endolaryngeal irrigation procedure has its limitations. Among them:

  • Pathologies of the thyroid gland when its functions are impaired
  • Malignant neoplasms of any location
  • Intolerance or allergic reaction to drugs used during treatment

Doctors recommend different approaches to treatment, depending on the stage and severity of the disease. After a thorough examination and tests, the specialist develops an individual plan, which may include endolaryngeal irrigation as one of the effective methods of therapy.

General information about the Endolaryngeal Infusion procedure

Preliminary steps before endolaryngeal administration

No special preparation is required. The doctor, based on the examination results and an accurate diagnosis, determines the number of sessions required and sets the time for them. The patient should report to the clinic at the scheduled time to undergo the procedure under the guidance of a specialist.

The process of endolaryngeal irrigation

To begin with, the patient is placed on a chair or lounger. The doctor then begins pain relief to prevent gagging. This is achieved by applying anesthesia to the base of the tongue, the back of the throat and the soft palate.

Next, a special tool is used - a syringe with a flexible and tissue-safe needle about 13 cm long. Through the epiglottis, the needle is carefully guided to the vocal cords. The medicine is injected directly into the area between them. Correct delivery of the drug is accompanied by a short-term cough in the patient.

An important point is that the medication is administered slowly, at the moment of inhalation, with a volume of no more than 1 ml at a time. This avoids contact with soft tissue and ensures the safety of the procedure. If the medicine gets into the trachea and the resulting severe cough, the procedure is suspended to avoid discomfort.

The frequency and number of procedures depend on the diagnosis, but usually the course consists of at least five sessions. The patient experiences no pain and each procedure lasts only 15-20 seconds. Among the drugs for administration, naphthyzine, hydrocortisone and other hormonal agents, selected depending on the disease, can be used.

The importance of the endolaryngeal method in medicine

Infusion of medications into the larynx plays a key role in the treatment of diseases of the throat and vocal cords. This procedure helps:

  • Restore the functioning of the vocal apparatus and the health of the larynx
  • Stop the development of inflammation
  • Reduce pain
  • Reduce swelling and prevent its occurrence due to allergies
  • Protect tissue from excessive swelling during inflammation
  • Improve blood circulation in the affected area, accelerating the removal of fluid
  • Restore normal speech and improve the sound of your voice
  • Prevent the development of complications associated with ENT diseases
  • Get rid of the feeling of a foreign object in the throat
  • Reduce the manifestations of the disease
  • Prevent choking by preventing throat tissue from sticking together
  • Destroy pathogenic microorganisms at the site of inflammation

Endolaryngeal irrigation is an effective procedure prescribed in courses depending on the disease. This method does not cause pain and does not lead to side effects. Performed within 20 seconds, it is often used to administer hormones.

In cases of voice disorders, the doctor injects medicine into the throat when the patient makes the sound “and”, while fixing the tongue with a napkin. Using a special syringe under the control of the laryngeal mirror, the medication is sprayed onto the vocal cords with a volume of up to 1 ml. The effect comes quickly, but if the product touches the larynx, a cough may occur. With a strong pharyngeal reflex, difficulties may arise that are eliminated by local anesthesia, reducing sensitivity and the reflex.

The administration of the drug is divided into stages synchronized with the patient’s breaths - 1 ml at a time. This method does not harm the mucous membrane, ensuring safety. If the medicine enters the trachea, causing coughing, this serves as a protective reaction aimed at clearing the airways. In such a situation, the procedure is stopped.

The therapy is carried out without physical contact: the syringe does not touch the tissue, acting through the liquid. Depending on the patient’s condition, the course may include from three to ten sessions.

The procedure is performed on an outpatient basis by an otolaryngologist or nurse, under the direction of a physician. If all rules are followed, the patient does not experience discomfort.

Results of endolaryngeal treatment

Endolaryngeal irrigation is actively used to eliminate inflammatory processes in the throat and vocal cords. Here are the main positive changes that are observed after the procedure:

  • Reducing swelling of the mucous membranes and surrounding tissues of the pharynx, which makes breathing and swallowing easier
  • Reduction of the area of inflammation, which promotes rapid recovery
  • Reduction of allergic reactions due to the antiallergic effect of drugs
  • Relaxation of the vocal cords, leading to a decrease or elimination of spasms
  • Suppression of viral activity in the affected area, helping to accelerate the healing process

The main advantage is stimulation of the immune system, strengthening the body’s overall resistance to infections.

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

Our doctors

Tetzoeva
Zalina Muratovna
Head of the department of otorhinolaryngology, otorhinolaryngologist
Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Lopatin
Andrew Stanislavovich
Chief Specialist in Otorhinolaryngology
Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
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