Nasal block

At the K+31 clinic you can be diagnosed by an otolaryngologist and receive a referral for a nasal block. The manipulation is performed on an outpatient basis and does not cause discomfort to the patient.
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About the service

Intranasal blockade is used to relieve nasal congestion in various ENT diseases. The procedure has a quick and lasting effect. Injections of medications performed directly into the site of swelling bring more pronounced results compared to the use of drops, sprays or tablets.

A nasal injection for nasal congestion is indicated when other forms of endonasal treatment are impossible or do not bring results. The doctor decides to perform a blockade based on diagnosis and taking into account the patient’s medical history. The drug (anti-inflammatory, decongestant, painkillers) is selected depending on the diagnosis and purpose of the procedure.

About the service
doctor examines nose

Indications for the procedure

  • Chronic rhinitis - allergic, vasomotor, medicinal
  • Rehabilitation after nose surgery
  • Some neurological pathologies - trigeminal neuralgia
  • Rhinosinusitis
  • Vascular pathologies of the inner ear
  • Sinusitis
  • Tinnitus, headaches
  • Facial injuries

Contraindications to endonasal blockade

The procedure is prescribed to prevent possible complications, such as headaches or blurred vision.

Injections are contraindicated when:

  • Patient age under 12 years
  • Pregnancy and lactation
  • Allergies to medications used
  • Exacerbation of acute respiratory diseases with swelling of the nasopharynx
  • Bleeding disorders
  • Severe systemic diseases (epilepsy, asthma, diabetes)

Nasal blockade with Dexamethasone is carried out if the patient does not have an allergic reaction. To prevent complications, the doctor may pre-order a drug tolerance test.

General information about the procedure

Advantages of the method

Nasal blockade is much more effective than conventional intranasal sprays or tablets. Relief occurs within the first minutes after the injection. To fully restore nasal breathing, 5 to 10 sessions are required.

Advantages of the injection method of administering drugs:

  • Low invasiveness
  • Quick effect due to the injection of the drug directly into the site of inflammation
  • The result lasts for several months
  • Effectiveness in cases where other treatments do not help
  • An alternative to surgery for mucosal hypertrophy

In case of a nasal injury or during the rehabilitation period after plastic surgery on the nasopharynx, a blockade is the only quick and effective way to relieve swelling of the mucous membrane, pain and inflammation. Also, local administration of the drug reduces the toxic load on the body, since the drug penetrates the mucous membrane, bypassing the gastrointestinal tract.

The procedure is quite simple, it is carried out in a clinic, its duration is several minutes.

When carrying out manipulation, it is important to insert the needle directly into the mucous or submucosal layer, without affecting other tissues and parts of the nose. When performing an injection in the nose, the patient does not experience pain, the discomfort passes quickly.

How to prepare

No special training is required. The doctor issues a referral based on the results of diagnostics performed using a rhinoscope. On an individual basis, the ENT specialist can prescribe preliminary procedures and also select the drug.

Consult
nasal examination

How the blockade works

The procedure is carried out in 3 stages:

  1. The patient is located on the couch. The doctor treats the inner surface of the nostrils with an anesthetic spray. This helps to numb the working area and prevent discomfort from injections
  2. ENT installs a dilator in the nostrils. Then, in turn, inserts the needle of a syringe with medicine into the mucous and submucosal layers of the nasal turbinates. As a rule, processing is required on both sides. The injection is given in small doses into the side wall of the nose or into the inferior turbinates
  3. The patient is under observation for 15 minutes. The doctor monitors the condition and, if there are no complications or negative reactions to the drug, sends you home

In most cases, it is necessary to undergo up to 6 sessions, with a 5-day break between them. In case of complex injury or at an advanced stage of hypertrophic rhinitis, a longer course of 15 procedures is required.

What medications are used

Blockade of the nasal sinuses is carried out using the following groups of drugs:

  • Painkillers - lidocaine, novocaine
  • Hormonal - hydrocortisone, dexamethasone
  • Antihemorrhagic - dicynon
  • Anti-inflammatory and antiallergic - diprospan

The doctor selects the type and concentration of the solution individually in each case.

Effect of the procedure

Immediately after injection, the drug is absorbed into the mucous membrane and affects the nerve endings. As a result, tissue trophism and nasal breathing are restored, anti-inflammatory processes are activated, congestion, pain and dryness of the mucous membrane go away.

In case of swelling due to injury or rehabilitation, after turbinate plastic surgery, injections help relieve swelling and pain, restore blood circulation in the submucosa and eliminate itching. The effect lasts for a long time - up to 6 months.

The next day after the blockade, the patient should come to the doctor for an examination. If an inflammatory reaction occurs, nasal rinsing is prescribed. Repeated procedures are prescribed only in the absence of a pathological process.

Intranasal blockade has the following effects
  • Anesthesia
  • Relief of allergic reactions and inflammation
  • Removing swelling of the mucous membrane
  • Normalization of secretion of intranasal glands
  • Elimination of itching and burning

Our doctors

Sadikov
Ilya Sergeyevich
Head of the Clinic for Otorhinolaryngology, Otorhinolaryngologist
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
All specialists

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Price

Primary appointment with an otorhinolaryngologist
from 4 950 ₽
Repeated appointment with an otorhinolaryngologist
from 4 950 ₽

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