Nasal rinsing

Flushing the maxillary sinuses is an effective procedure in the treatment of sinusitis and other respiratory viral infections, allowing you to clear the nasopharynx of mucus and pus. Painless and safe cleaning helps eliminate unpleasant symptoms and speeds up the healing process. Below we will describe in detail how the process of washing the maxillary sinuses is carried out at the K+31 clinic, for whom the procedure is indicated and contraindicated.
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Indications

Rinning the sinuses is an effective method of treating and preventing infectious diseases.

Doctors prescribe this procedure in the following cases:

  • For prolonged runny nose, when symptoms persist for more than two weeks
  • Inflammation of the adenoids
  • For acute forms of sinusitis, including sinusitis, sinusitis and others
  • In the initial stages of chronic polypous rhinosinusitis

Also, cleansing the sinuses eases the course of allergic rhinitis and serves as an effective prevention of viral diseases during periods of increased morbidity.

Contraindications

Despite the benefits of rinsing the sinuses, there are a number of contraindications for the procedure.

These include:

  • Problems with blood coagulation
  • Tendency to nosebleeds
  • Acute period of chronic diseases
  • Severe arterial hypertension
  • Anatomical features of the structure of the nose (complete blockage of the passages due to polyps, significant curvature of the nasal septum or chronic rhinitis with thickening of the mucous membrane)
  • Epilepsy or serious mental disorders
  • Decompensated diabetes mellitus

Sinus rinsing is also contraindicated for children under 3 years of age.

Symptoms of sinusitis

Sinusitis is characterized by the following symptoms:

  • Nasal congestion and difficulty breathing through the nose
  • Pain and pressure in the cheeks, forehead, between the eyes
  • Green or yellow nasal discharge
  • Deterioration of smell
  • Headache
  • General malaise
  • Fatigue
  • Increased body temperature
  • Pain in the upper jaw and teeth

With a complicated course of sinusitis, the infection spreads to the surrounding tissues, including the orbit of the eye, which leads to orbital cellulitis, as well as inflammation of the meninges - meningitis. In rare cases, a brain abscess may form.

Methods for rinsing the sinuses for sinusitis

"Cuckoo" method

The “Cuckoo” method is a common technique for cleaning the nasal passages, performed by an otorhinolaryngologist with an assistant. Before starting the procedure, the nasal mucosa is treated with vasoconstrictor drops (Nazol, Naphthyzin) to reduce swelling. If the patient is highly sensitive to medical manipulations, local anesthetics (novocaine, lidocaine) are used.

Before rinsing the sinuses, the patient assumes a lying position with his head slightly tilted back. A warm antiseptic (furacilin, miramistin) is injected through one nostril, and mucus is removed from the second nasal passage using a vacuum aspirator. Then the actions are repeated with the other nostril. During the procedure, the patient says “ku-ku,” which helps isolate the nasopharynx and prevent the solution from entering the mouth.

Balloon sinuplasty

Balloon sinuplasty is a minimally invasive procedure used to restore normal ventilation and drainage of the sinuses in cases of chronic sinusitis, including sinusitis. During the procedure, a flexible catheter with a microscopic balloon at the end is inserted through the nasal passage into the sinuses.

Once the balloon reaches the blocked area of the sinus, it is inflated, causing the narrow or blocked passages to widen. This facilitates the natural outflow of sinus secretions and improves sinus ventilation. After widening the passages, the balloon is carefully removed, and the patency of the sinuses is noticeably improved.

General information about the procedure

Benefits of the procedure for sinusitis

Sinusitis is one of the most common types of sinusitis - inflammation of one or more sinuses.

The disease occurs due to the following reasons:

  • Infections (bacterial, viral, fungal)
  • Allergic reactions
  • Polluted air and environmental factors
  • Anatomical features of the structure of the nasal passages and sinuses
  • Polyps and other neoplasms in the sinuses
  • Diseases of the teeth and gums, especially the upper jaw, contributing to the spread of infection into the maxillary sinuses
  • Weakened immune system

According to statistics, a significant portion of the population experiences sinusitis: about 5–15% of adults and 5% of children experience one form or another of this disease. Sinusitis is detected in approximately 10% of the population. Most often it occurs with an untreated cold. In addition, inflammatory diseases of the paranasal sinuses account for up to 25–30% of all diseases of the ENT organs requiring hospitalization.

Rinning the sinuses during sinusitis helps remove mucus, pus and pathogenic microorganisms, relieves symptoms of congestion and pain. The procedure also improves drainage and ventilation of the sinuses, prevents further development of infection and promotes a speedy recovery.

Preparing for sinus cleansing

Before cleaning the maxillary sinuses, you should consult with an ENT doctor. He clarifies the diagnosis and checks for contraindications. For a detailed assessment of the patient's condition, rhinoscopy, X-ray, CT or MRI are performed.

Immediately before cleansing the sinuses, it is important to stop using vasoconstrictors. To facilitate the removal of inflammatory exudate, the doctor treats the nasal mucosa with a product containing sea salt. It moisturizes the mucous membrane and thins the mucus.

Also, before rinsing the nasal sinuses, it is possible to use antiseptic solutions to reduce inflammation and destroy pathogenic microorganisms. In some cases, drugs with anti-inflammatory and regenerating effects are required.

Side effects after cleaning the sinuses

Despite the safety and high efficiency of flushing the maxillary sinuses, patients may experience the following side effects:

  • Mild nosebleeds
  • Feeling of stuffiness in the ears
  • Headaches
  • Discomfort in the sinus area

In rare cases, allergic reactions to the antiseptic are observed. Typically, 3 to 7 sessions are needed to achieve complete cure. The exact amount is determined by the attending physician.

Results after cleaning the maxillary sinuses

Rinsing the sinuses effectively removes mucus and pathogenic microorganisms and relieves inflammation. After rinsing the nose, the patient feels much better: headaches decrease, the feeling of pressure in the sinuses disappears, and breathing improves. Treatment is selected individually and promotes rapid regeneration of the mucosa.

Recommendations after the procedure

Immediately after washing the maxillary sinuses with sinusitis, the remaining solution may leak out of the nose. It is recommended to stay in the clinic for 30 minutes after the procedure, especially during the cold season.

Specific rehabilitation after rinsing the nose for a runny nose is not required, it is enough to follow the instructions of the ENT specialist. Your doctor may recommend using saline solutions for daily nasal hygiene. They moisturize the mucous membrane and prevent the formation of crusts. Also often after the procedure, medications with anti-inflammatory and antiseptic effects are prescribed, for example, sea water sprays or medications to improve sinus drainage and ease breathing.

Flush your sinuses at home

To make breathing easier when you have a runny nose, it is useful to rinse the nasal cavity at home. To prepare a medicinal mixture, dissolve one teaspoon of salt in a liter of boiled water at a comfortable temperature. Be sure to use high-quality water to rinse your sinuses and make sure the salt is completely dissolved. If necessary, strain the resulting solution.

Before rinsing your nose with a runny nose, it is important to blow both nostrils. If you have difficulty breathing, 3-5 minutes before rinsing, it is recommended to drop drops into your nose to narrow the blood vessels. To carry out the procedure, you will need a tool without sharp corners, for example, a syringe, a syringe without a needle, or a specialized cleaning device. Lean over a sink, gently push the solution into one nasal passage and wait until it flows out of the other. Then blow your nose and repeat the procedure for the second nostril.

For the convenience of rinsing the nasal cavity during a cold at home, you can also use irrigation devices with a “soft shower” attachment. They do not require you to lean your head over the sink, but they are less effective than traditional cleaning methods.

Prevention of sinusitis

To prevent the development of sinusitis, it is important to adhere to several basic rules:

1
Clean your sinuses regularly with saline solutions or seawater sprays.
2
Avoid exposure to allergens and pollutants
3
Treat respiratory infections promptly
4
Maintain optimal indoor humidity levels
5
Strengthen your immune system with a balanced diet, exercise and enough sleep

Regular examinations with an otolaryngologist will help to promptly identify and treat possible viral diseases.

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
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