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Removal of a foreign body from the nose

Maxillary sinus puncture is a safe and effective diagnostic and curative procedure. With sinusitis, sinus puncture is performed to examine the pathological process and quickly stop the inflammatory process.

In what cases is the procedure performed, contraindications

Indications for the puncture of the nasal sinuses are the following factors:

  • severe clinical picture of the disease (pronounced symptoms that are not stopped by medications);
  • treatment of acute sinusitis;
  • prevention of relapse of chronic sinusitis;
  • restoration of passability of the nasal passages.

Puncture of the sinuses is not performed in the following cases:

  • anomalies in the structure and development of the nasal passages;
  • infectious diseases occurring in the acute stage;
  • decompensated diabetes mellitus;
  • hypertension;
  • childhood;
  • chronic diseases of a somatic nature.

How is it carried out?

Nasal puncture is a simple medical manipulation performed for patients with sinusitis. Before carrying out a nasal puncture, special preparation is not required. The patient’s nasal sinuses are cleaned of mucus and irrigated with Lidocaine or Dicainum for local anaesthesia.

Puncture of the nose with maxillary sinusitis is carried out by a special medical instrument – the Kulikovsky needle. A needle is inserted into the lower part of the nasal concha. In this area, the thickness of the medial wall is minimal, so the insertion of a needle does not present any particular difficulty. The needle should be pointed toward the outer corner of the eye.

If the doctor performs the manipulation correctly, the needle will enter without much effort, when it reaches the desired site, a dropping will be felt. After the puncture, the doctor makes a few more small punctures with a needle to facilitate the procedure for collecting fluid from the maxillary sinuses.

After puncture, the doctor instils the maxillary sinuses with an antiseptic solution. In some cases, repeated puncture is required. Depending on the severity of the case, after a puncture, a special drainage can be installed, with the help of which further medical manipulations are performed.

Possible complications

Puncture of the maxillary sinuses, despite the simplicity of the procedure, carries possible risks of complications. In patients after this manipulation, bleeding may occur, which is associated with damage to small blood vessels. Blood volume is insignificant, bleeding easily stops.

Today, despite the effectiveness of puncture, doctors are increasingly talking about the feasibility of puncture of the maxillary sinuses. With this disease, it is possible to carry out effective drug treatment, and the puncture procedure, although local anaesthesia is used, is not particularly pleasant, causing discomfort. Also, it is not recommended to conduct it in children.

Although it is not possible to avoid a puncture in some cases. With severe stuffiness of the maxillary sinuses, when there is a plug of mucus in them, medications will not help to dissolve it and bring out the accumulated mucus.

Today, there is a tendency to carry out a range of measures in the treatment of maxillary sinusitis – first, drug therapy is carried out, followed by a puncture of the maxillary sinuses, after which the patient is again prescribed medications that help restore the body faster and prevent the risk of relapse.

Antibiotic drugs are used after a puncture to destroy pathogenic infectious microflora and help to completely recover from sinusitis.