Sprays, Irrigation and Other Treatments

Your clogged sinuses can give you pain and pressure above your nose and between your eyes, but the right treatment can bring relief. First, you need to find out if a sinus headache is the cause of your discomfort.

Symptoms

These headaches may give you:

• Pain and pressure around the sinuses — in the forehead, especially behind and between the eyes, and above the nose. These areas may be tender to the touch.
• Pain that gets worse with movement, like bending over or lying down.

If pain is your only symptom, you probably don’t have a sinus headache. Those usually have other symptoms as well, including:

Treatments

Your doctor may suggest treating the pain and the underlying causes of your sinus headache at the same time.

You might try:

Over-the-counter painkillers. Drugs like acetaminophen, ibuprofen, or naproxen sodium may help. Always read and follow the label, and don’t use them for more than 10 days at a time without talking to your doctor.

Continued

Decongestants. These medicines, which you can buy without a prescription, help open your blocked sinus cavities. They do this by curbing the swelling and mucus in your nasal passages.

Follow the instructions carefully. You shouldn’t use nasal decongestant sprays for more than 3 days in a row, or it could make your congestion worse. And don’t use oral decongestants for more than 7 days. If you also take a pain medicine, make sure the decongestant doesn’t have it as well, so you don’t accidentally get too much.

Nasal steroid sprays. In some cases, your doctor may prescribe these sprays and other drugs to reduce your congestion and pain.

Antihistamines. These drugs may help if allergies cause your sinus problems.

Think moist. Dry air can irritate your sinuses, so use a humidifier or vaporizer. Other options include holding a warm, wet towel over your face for a few minutes or using a saline solution nasal spray.

Use salt water. Get a bulb syringe or neti pot and flush out your sinuses with salt water. It moistens and helps clear mucus from your nasal passages, which cuts down on the pressure. 

Continued

Always use distilled, sterile, or previously boiled and cooled water. Rinse the neti pot after each use and let it air dry.

You can also try saline (salt water) nasal sprays to flush out your stuffy nose.

Avoid irritants. Perfume, cigarette smoke, and certain chemicals can irritate your nasal passages and worsen your symptoms.

If home treatments don’t work — or if you have a fever, pain, or swelling of your face or eyes, redness around your eyes or cheeks, severe headache, confusion, or a stiff neck — see your doctor right away.

If your headaches and other sinus problems keep coming back, surgery can sometimes help if nothing else does. Your doctor can tell you if you’re a good candidate, what the risks and benefits are, and what to expect. 

Which Sinus Headache Medicine Should I Use?

If you notice pain or pressure behind your eyes around your sinuses, you may be suffering from a sinus headache. Frequent sinus headaches are certainly a cause for concern, and if you find yourself constantly congested, you should visit an ENT to discover the real root of the problem.

However, in the meantime, you can turn to over-the-counter drugs for a bit of temporary relief. Below, we’ll discuss the three common types of sinus headache medicine and how they can help.

Painkillers:

Medications like ibuprophen (Advil, Motrin IB), acetaminophen (Tylenol), and naproxen sodium (Aleve) keep the body from producing prostaglandins, which are associated with pain and inflammation—hence the name painkiller. They are non-steroidal and function at the cellular level. Painkillers can also be used for migraine headaches, but will not help with the congestion.

Decongestants:

Decongestants, like Sudafed, for example, will help ease the tension in your head by reducing inflammation and narrowing the blood vessels in your nose. They usually come as pills but are also available in liquid form or as a nasal spray.

You can take decongestants a few times a day if you need to. Decongestants are particularly helpful as sinus headache medicine because they target your sinuses specifically; however, they are also stimulants, so you’ll want to avoid taking them right before bed.

Antihistamines:

Most people choose to take either a painkiller or decongestant when suffering from congestion. If your headache is caused by your allergies though, antihistamines might be your sinus headache medicine of choice.

Antihistamines block histamines, the chemical associated with immune and inflammatory responses, thereby stopping your allergic reaction. Because antihistamines are depressants though, so make sure not to take them during the day when you’ll need to be alert.

Sinus Headache Medicine in a Pinch

The best sinus headache medicine is of course plenty of fluids and a bit of TLC. There are many treatments that will help ease your pain naturally; however, if you need some instant relief, you should consider over-the-counter medication.

That being said, if you are taking these medications regularly for ten days in a row, you should consult your physician to find a more permanent solution.

Ear, Nose & Throat Doctors

If you’re suffering from headaches, they could have several different causes, including congestion in your sinuses. You may feel pain and pressure in your face due to sinusitis (sinus infection), and the first step toward effective treatment is an accurate diagnosis.

In this blog, board-certified ear, nose, and throat specialist Dr. Cecil Yeung will explain more about these types of headaches as well as sinus headache treatment.

What is a sinus headache?

A sinus headache is caused by swelling and pressure in your sinuses. These air-filled cavities usually allow mucus to freely drain and air to easily circulate throughout the nasal passages. When they become inflamed, however, mucus becomes trapped and isn’t able to properly drain. This condition is known as sinusitis, and it can be caused several things, including a cold, flu, or allergies.

As pressure builds up, it causes pain that feels like a headache.

What are the symptoms of a sinus headache?

Sinus headaches often cause the following symptoms:

• Pressure and pain in your face or head (often in one specific area, such as behind your eyes, in your cheekbones or forehead, or at the bridge of your nose)
• Pain that gets worse when you bend over, move suddenly, or lie down
• Pain that’s worse in the morning
• Pain that gets worse when you’re exposed to sudden temperature changes
• Swelling in your face
• Congested or runny nose
• Fever
• A sore throat and postnasal drip (the feeling of mucus dripping down the back of your throat)
• Yellow or green nasal discharge
• Fatigue
• Pain in your upper teeth

How is a sinus headache diagnosed?

A sinus headache can sometimes be confused with a migraine or tension headache. If you’ve recently had a cold, allergies, or other symptoms that are usually associated with sinusitis that can indicate that your pain may be from a sinus headache. But if pain is your only symptom, it’s probably not a sinus headache.

If an underlying issue is causing your sinusitis and sinus headaches, your doctor may recommend more testing. For example, if allergies are causing your issues, allergy testing may be recommended.

What are some options for sinus headache treatment?

You can try some at-home lifestyle remedies, including drinking more fluids, using a humidifier or vaporizer to moisten the air, and using a saltwater nasal spray. You may also want to try applying a warm, wet towel to your face to help provide some relief.

In addition, the following are some common types of sinus headache treatment:

• Antihistamines – These can help if your sinus headaches are caused by allergies, since they reduce or block histamines and help reduce inflammation and swelling. They are available over-the-counter and also by prescription and come in tablet or nasal spray form.
• Decongestants – These oral or nasal medications can help reduce the amount of swelling and mucus in your nasal passages. They shouldn’t be used in the long-term, however.
• Nasal steroid sprays – These are available by prescription or over the counter and can help reduce pain and congestion.
• Antibiotics – These can be used if your doctor thinks your sinusitis is caused by a bacterial infection. Most infections, however, are viral, and if this is the case, antibiotics won’t help.
• Pain medication – Medications such as ibuprofen, acetaminophen, or naproxen sodium can be used.

If medications don’t improve your symptoms, your doctor may recommend surgery depending on the exact cause of your sinusitis and sinus headaches. The goal of surgery is to correct the underlying issue to provide long-term relief.

Surgical options can include the following:

Where can I find the best sinus headache treatment in Housto

n?

Houston ear, nose, and throat specialist and surgeon Dr. Cecil Yeung has more than 20 years of experience in diagnosing and treating chronic sinusitis, which causes sinus headaches. At Houston Sinus Surgery at the Yeung Institute, he has pioneered endoscopic sinus surgery in the area, performing more than 4,000 sinus surgeries with a re-do rate that’s far less than average. He’s a board-certified physician who is known as a leader in his field as well as for his professionalism and precision.

Dr. Yeung will correctly diagnose the cause of your sinus headaches and sinusitis and recommend the most minimally invasive treatment possible that will yield the results you want.

To get relief from the pain and other symptoms of sinus headaches, contact Houston Sinus Surgery at the Yeung Institute today!

Inflamed sinuses: It’s best to watch and wait

Antibiotics often don’t help inflamed sinuses. Take steps to ease symptoms and let the problem heal itself.

The hollow spaces in your facial bones—the sinuses—are prone to infection by microorganisms of various stripes. Usually, the invader is a virus. In response, the sensitive linings of the sinuses swell up and start to pour out mucus, triggering nasal stuffiness, a runny nose, and facial pain.

Once upon a time, many sinus sufferers headed straight to their doctors to get an antibiotic. But we now know that strategy is usually a waste of time. Most cases of sinusitis are associated with viral infections, which are bulletproof to antibiotics. According to a research review by the Cochrane Collaboration, 80% of people with sinusitis improve within two weeks without taking antibiotics.

The best course of action for occasional sinusitis is to use self-care steps to ease symptoms while the body clears the infection.

First, soothe sinusitis symptoms

The initial symptoms of sinusitis are similar to those of a cold. You might also experience fatigue, cough, impaired sense of smell, fullness or pressure in the ears, or headache.

While your body fights the infection, use nasal rinses, decongestants, and pain relievers to ease your symptoms. (See “Soothing sinusitis: Here’s what to do.”) Whatever over-the-counter products you use, read the packaging and follow the directions.

When to see a doctor

Here’s when to consider an antibiotic for acute sinusitis:

The symptoms are prolonged. If you have been doing all the right things for 10 days and it’s not getting better, then it’s totally reasonable to call your doctor and ask about an antibiotic.

The symptoms are severe. Typical alarm signs of a bacterial sinus infection are sharp pain in the cheeks or teeth accompanied by a fever.

The symptoms are getting worse. If you have cold-like symptoms that go away, but then start to have severe pain and fever, antibiotics may be worth considering.

Antibiotics: Don’t expect much

In clinical trials that compared antibiotics to a placebo pill for confirmed bacterial sinusitis, the antibiotic had minimal effect. That suggests that even when you do have bacterial sinusitis, antibiotics often aren’t necessary. Yet you still have to take on the potential side effects, such as stomach upset and diarrhea. In addition, inappropriate use of antibiotics can breed antibiotic-resistant strains of bacteria that are hazardous to all of us.

If you are not getting progressively sicker, give the decongestants, the saline, and the pain relievers a few days to work.

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Sinusitis: Over-the-Counter Medicines | Michigan Medicine

Topic Overview

Medicines available without a prescription may help relieve pain and promote sinus drainage. Be safe with medicines. Read and follow all instructions on the label. You can:

• Try a pain reliever such as acetaminophen or ibuprofen to relieve facial pain and headache.
• Use a nasal spray, gel, or drops to help a stuffy nose. There’s a decongestant kind (such as Afrin, Dristan, or Neo-Synephrine) and a steroid spray kind (such as Nasacort). Don’t use the decongestant kind longer than the label says. Overuse can cause rebound congestion. It makes your mucous membranes swell up more than before you used the spray.
• Try an oral decongestant for a stuffy nose or head. It provides longer relief than the ones that are used in the nose, but it may cause more side effects.
• Try using a medicine that thins mucus and improves sinus drainage (mucolytic). Guaifenesin is a commonly used mucolytic. Mucolytics are often combined with other medicines such as cough suppressants.
• Acetaminophen can be found in many forms and comes in different doses.
• Be safe with medicines. Read and follow all instructions on the label.
• Do not take more than the maximum dose recommended on the label.
• Be careful when taking over-the-counter cold or flu medicines and acetaminophen (Tylenol) at the same time. Many of these medicines already contain acetaminophen. Too much acetaminophen can be harmful.

Be careful with cough and cold medicines. They may not be safe for young children or for people who have certain health problems, so check the label first. If you do use these medicines, always follow the directions about how much to use based on age and weight.

Many doctors do not recommend using antihistamines unless your symptoms are related to having allergies. Antihistamines and decongestants may dry out the mucous membranes in your nose and sinuses and slow the movement of the cilia (the tiny hairs that line the nose, sinuses, and the air passages inside the lungs and that remove irritants). This can make mucus thicker, adding to drainage problems. But other experts believe antihistamines may help treat sinusitis by reducing the amount of mucus that builds up in the sinus cavities. Don’t give antihistamines to your child unless you’ve checked with the doctor first.

Credits

Current as of: December 2, 2020

Author: Healthwise Staff
Medical Review: Patrice Burgess MD – Family Medicine
Kathleen Romito MD – Family Medicine
Martin J. Gabica MD – Family Medicine

Current as of: December 2, 2020

Author:
Healthwise Staff

Medical Review:Patrice Burgess MD – Family Medicine & Kathleen Romito MD – Family Medicine & Martin J. Gabica MD – Family Medicine

What is the Best Medicine For Sinus Pressure?

What Causes Pressure in Your Sinuses?

Sinus pressure is caused by the swelling and inflammation of the membranes inside your sinus passages. This irritation causes the membranes to produce more mucus to try to flush out whatever is causing the inflammation. The excess mucus then adds to the pressure inside the sinus cavities.

Some trigger of sinus pressure include:

• Allergies
• Infection caused by a virus such as the cold or flu
• Infection caused by bacteria
• Fungus
• Tumors

What are Symptoms of Sinus Pressure?

Sinus pressure symptoms may vary depending on which sinus cavities are affected and what is causing the sinus pressure. Symptoms may include:

• Pain and pressure in the forehead, behind and between the eyes, above the nose, the upper teeth, the temples, the back of the neck, or the top of the head
• Pain that worsens with movement like bending over
• Sore throat
• Cough
• Swelling
• Redness
• Tender to the touch
• Nasal discharge (may be clear, opaque, or greenish-yellow)
• Stuffy nose
• Postnasal drip
• Fatigue
• Fever
• Chills
• Swollen lymph nodes

What is the Fastest Way to Relieve Sinus Pressure?

Curious about what reduces sinus inflammation or how to get ride of a sinus headache? Here are some of the best at home treatments you can try right away:

• Hydrate
• Use a humidifier
• Sleep with your head elevated
• Avoid chlorinated pools
• Use a saline nasal rinse or use a Neti pot
• Avoid triggering irritants
• Use a saline nasal spray
• Try over the counter decongestants

What is the Best Over the Counter Medicine for Sinus Pressure?

There are several over the counter options available to treat sinus pressure:

• Pain relievers such as acetaminophen (Tylenol), ibuprofen (Motrin), or naproxen (Aleve)
• Nasal decongestant sprays, like naphazoline (Privine), oxymetazoline (Afrin, Dristan, Nostrilla, Vicks Sinus Nasal Spray), or phenylephrine (Neo-Synephrine, Sinex, Rhinall)
• Oral decongestants, such as phenylephrine (Sudafed PE) and pseudoephedrine (Sudafed)
• Antihistamines (Claritin)

When to See Your Doctor for Nasal Congestion

See your doctor for nasal congestion if your symptoms last more than ten days, don’t respond to over the counter treatment and lifestyle changes, your nasal discharge is yellow or green, or if you experience a fever.

A fever is an indicator that your symptoms are a result of bacterial infection, which will require prescribed antibiotics.

What is the Best Medicine for Sinus Pressure?

Treating sinus pressure often requires more than one medicine. For example, you may combine a decongestant with a pain reliever to reduce swelling and relieve pain at the same time. Since there are different causes of sinus pressure, the best medicine for will vary for each individual.

If your symptoms do not respond to over the counter treatment options, your doctor may order you a prescription nasal steroid sprays. If your congestion is a result of a bacterial infection, you may be prescribed antibiotics.

Experiencing sinus pressure symptoms? Book an appointment with a PlushCare physician and get started with treatment today.

Read More About Sinus Pressure

Most PlushCare articles are reviewed by M.D.s, Ph.Ds, N.P.s, nutritionists and other healthcare professionals. Click here to learn more and meet some of the professionals behind our blog. The PlushCare blog, or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. For more information click here.

SUDAFED PE® PRESSURE + PAIN FOR SINUS HEADACHES

Liver warning: This product contains acetaminophen. The maximum daily dose of this product is 10 caplets (3,250 mg acetaminophen) in 24 hours. Severe liver damage may occur if you take

• more than 4,000 mg of acetaminophen in 24 hours
• with other drugs containing acetaminophen
• 3 or more alcoholic drinks every day while using this product

Allergy alert: acetaminophen may cause severe skin reactions. Symptoms may include:

• skin reddening
• blisters
• rash

 If a skin reaction occurs, stop use and seek medical help right away.

Do not use

• with any other drug containing acetaminophen (prescription or nonprescription). If you are not sure whether a drug contains acetaminophen, ask a doctor or pharmacist.
• if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.
• if you have ever had an allergic reaction to this product or any of its ingredients

Ask a doctor before use if you have

• liver disease
• heart disease
• high blood pressure
• thyroid disease
• Diabetes
• trouble urinating due to an enlarged prostate gland

Ask a doctor or pharmacist before use if you are taking the blood thinning drug warfarin.

When using this product do not exceed recommended dose.

Stop use and ask a doctor if

• nervousness, dizziness, or sleeplessness occur
• pain or nasal congestion gets worse or lasts more than 7 days
• fever gets worse or lasts more than 3 days
• redness or swelling is present
•  new symptoms occur

These could be signs of a serious condition.

If pregnant or breast-feeding, ask a health professional before use.

Keep out of reach of children.

Overdose warning: In case of overdose, get medical help or contact a Poison Control Center right away. (1-800-222-1222) Quick medical attention is critical for adults as well as for children even if you do not notice any signs or symptoms.

SINUPRET – a time-tested effective remedy for the treatment of sinusitis

Infections of the upper respiratory tract, including sinusitis, are perhaps the most frequent reason for visiting local physicians and pediatricians in the autumn-winter period. Respiratory diseases rank first in the structure of the incidence of children.

Sinusitis, otitis media and tonsillopharyngitis predominate among upper respiratory tract infections. According to American researchers, 4.6% of all visits to a general practitioner are due to sinusitis (Lindbaek M.et al., 1996). Recently, there has been a tendency to an increase in the incidence of sinusitis due to a decrease in local and general immunity, deterioration of the environmental situation, the development of antibiotic-resistant strains of microorganisms (Zabolotny D.I. ta spivavt., 1997).

In 75% of cases, the protracted course of rhinitis in children is caused by sinusitis (Axelsson A. et al., 1970). An urgent problem is the treatment of latent forms of sinusitis in adults, which, according to some foreign authors, account for 57 to 86% of cases of inflammation of the paranasal sinuses (Otten F.W. A. ​​et al., 1989)

In case of upper respiratory tract infections, the edematous mucous membrane of the nasal cavity closes the orifice of the paranasal sinus, as a result of which oxygen from the air located there is gradually absorbed by the cells of the sinus mucosa. Due to a decrease in pneumatization, negative pressure is created in the cavity of the nasal sinuses. This phenomenon promotes the release of the transudate into the sinus, which completely fills it. Transudate is a favorable environment for the development of microorganisms (mainly streptococci, pneumococci, staphylococci, quite often gram-negative bacilli, anaerobic bacteria, and viruses), penetrating through the orifice of the paranasal sinus from the nasopharynx, larynx, tonsil lacunae (especially in patients with chronic tonsillitis) and chronic tonsillitis t.e. A certain role in the development of sinusitis is played by thrombophlebitis of the venous vessels in the mucous membrane of the paranasal sinus. An inflammatory process develops in the blocked cavity, accompanied by hyperemia and edema of the mucous membrane, as well as the migration of lymphocytes to the focus of inflammation. An important role in the pathogenesis of inflammation of the paranasal sinuses is played by the accumulation of viscous secretion, which leads to an increase in pressure in the paranasal sinus and is the cause of pain. In addition, in every third or fourth child, sinusitis is complicated by the development of otitis media.

Therapy of acute and chronic sinusitis is based on the use of antibacterial, antihistamines, physiotherapy, topical effects on the mucous membrane of the nasal cavity and, if indicated, performing puncture of the maxillary sinuses. Antibacterial treatment of acute or exacerbation of chronic sinusitis should be carried out taking into account the results of a study of the sensitivity of the isolated pathogens to the antibiotic. It should be noted that recently, doubts have been expressed about the need for antibiotic therapy for all patients with inflammation of the paranasal sinuses, since in many cases catarrhal sinusitis can be caused by viruses, especially if they develop against the background of ARVI.Patients with latent forms of sinusitis also do not always require antibiotic therapy.

Treatment of both bacterial and viral sinusitis should be aimed at restoring adequate drainage of the sinuses, which provides an effective effect on a number of important links in the pathogenesis of the disease. It should be noted that the implementation of full drainage of the paranasal sinuses can be difficult due to their anatomical features. Steam inhalation, which causes vasoconstriction of the nasal mucosa and promotes drainage, is not always effective.Local use of vasoconstrictors, although effective, but their long-term use can lead to the development of side effects.

A number of specialists, as an alternative for the treatment of sinusitis, suggest the use of combined naturopathic drugs based on medicinal plants. One of these combinations of medicinal herbs is part of the SINUPRET preparation (Table 1), which was developed by the German company Bionorica more than 60 years ago and has a long history of practical use.

Table 1

Composition of the preparation SINUPRET

* SINUPRET drops contain 19 vol.% ethyl alcohol.

SINUPRET effectively regulates secretion and normalizes mucus viscosity, eliminates mucostasis and restores mucociliary clearance. A decrease in the viscosity of the secretion occurs due to the stimulation of the secretory cells of the mucous membrane of the upper respiratory tract, which produce neutral mucopolysaccharides. SINUPRET has an anti-edematous and anti-inflammatory effect on the mucous membrane, thus reducing edema in the area of ​​the sinuses.

According to the results of numerous scientific studies, the drug restores the protective function of the epithelium.In addition, the primrose flowers and verbena herb included in the preparation have an antiviral effect (Marz R.W. et al., 1999; Table 2). The high efficiency of SINUPRET in combined treatment, including antibiotic therapy, has been proven (Schmidt W. , 1975).

Table 2

Pharmacological properties of the active ingredients of SINUPRET

In addition to the treatment of sinusitis, the drug, due to its pronounced expectorant effect, is indicated for bronchitis and tracheitis – diseases accompanied by the formation of viscous sputum.In ENT practice, SINUPRET is also effective in the treatment of otitis media, adenoiditis, post-traumatic and postoperative edema in the area of ​​the ENT organs.

On the basis of the otorhinolaryngology clinic of the National Medical University. A.A. Bogomolets conducted research on the therapeutic efficacy of SINUPRET in the treatment of patients with various forms of sinusitis, both in combination with antibacterial drugs and as monotherapy.

Group 1 consisted of 16 patients with acute purulent sinusitis, 8 with chronic purulent sinusitis, 9 with chronic polypus-purulent sinusitis.Patients of this group, along with traditional therapy (antibiotic therapy, decongestants, vasoconstrictor drugs, puncture of the paranasal sinuses, sinusotomy, polypotomy), received SINUPRET therapy.

The 2nd group included 6 patients with chronic polyposis sinusitis who took only SINUPRET in the postoperative period.

The control group consisted of 20 patients with sinusitis who did not receive the drug.

SINUPRET was administered orally, two pills 3 times a day for 8-16 days.

According to the results of the study, all 39 patients who took SINUPRET achieved a positive effect, compared with the control group, the duration of treatment was reduced.

In acute purulent sinusitis, the sinuses were sanitized on the 4-5th day, the composition of the discharge from the nasal cavity returned to normal on the 3rd day, the function of the ciliated epithelium recovered on the 7-8th, nasal breathing, according to rhinomanometry data, – on the 5-6th th day. In chronic purulent and polypous-purulent sinusitis, the sinuses were sanitized on the 6-7th day, the nasal discharge stopped on the 5th day, the improvement in the function of the ciliated epithelium was noted on the 8-10th day, the restoration of nasal breathing – on the 6-7th day. th day.As monotherapy, SINUPRET was administered to patients with polyposis sinusitis in the postoperative period. There were no complications caused by bacterial infection, inflammation in the nasal cavity disappeared on the 3-5th day after the removal of tampons, the restoration of the mucous membrane function (mucociliary transport) was observed by the 8-10th day, the restoration of nasal breathing – by the 6th day. 7th day.

During the treatment with SYNUPRET, no side reactions, in particular allergic reactions, caused by individual intolerance to the drug, were detected.

In Germany, a double-blind, placebo-controlled study was conducted on the efficacy of SINUPRET tablets in combination with an antibiotic and vasoconstrictor nasal drops in the treatment of sinusitis. The results of the study indicate that within 14 days 64% of patients receiving ancillary secretolytic therapy were completely cured, in 23.1% of cases there was an improvement. In the group of patients receiving placebo, respectively, 36.4 and 33.8%. There was a significant increase in the effectiveness of concomitant antibiotic therapy in the group of patients receiving SINUPRET (Neubauer N.and März R., 1990). Similar data were obtained in Russia.

There are no contraindications to the administration of the drug, with the exception of rare cases of hypersensitivity to medicinal plants that are part of the drug. Over the past 13 years, a total of 17 cases of intolerance have been described in the literature out of a total of 2561 examined, which is 0.66%. The drug is safe during pregnancy, provided that the dosage regimen is observed.

For children under 5 years of age, the drug is prescribed 10-15 drops orally 3 times a day, over 5 years old – 25 drops or 1 tablet 3 times a day, older children and adults – 50 drops or 2 tablets 3 once a day.Drops are taken undiluted, pills are swallowed without chewing, with a little water.

Prof. Yu.V. Mitin,
Cand. honey. Sciences L.R. Dzhurko,
Department of Otorhinolaryngology
National Medical University. A.A. Bogomolets, Kiev

90,000 Treatment and prevention of acute sinusitis

In most cases, acute sinusitis does not require treatment as it is caused by a viral infection (runny nose).As a rule, self-medication is sufficient for a speedy recovery and smoothing of symptoms.

Treatment to relieve symptoms

A doctor may recommend medication that will ease the symptoms of sinusitis. For example, drugs such as:

• Saline nasal spray to be injected into the nose several times a day to flush the nasal passages.
• Corticosteroids for the nose. Corticosteroid nasal sprays can prevent or reduce inflammation.Examples of drugs: fluticasone (Flonase), mometasone (Nasonex), budesonide (Rinocort aqua), triamsinolone (Nazacort AQ), beclomethasone (Beconase AQ).
• Decongestants. These drugs are available over the counter and without a prescription and include drops, tablets, and nasal sprays. These medications are used for several days or they can make the nasal congestion worse.
• Over-the-counter pain relievers include aspirin, acetaminophen (Tylenol et al.), And ibuprofen (Edvil, Motrin et al.). Aspirin should not be given to children.

Antibiotics

• Antibiotics are not usually required to treat acute sinusitis.
• Antibiotics cannot cure acute sinusitis caused by a viral or fungal infection.
• Most cases of acute bacterial sinusitis can be treated without antibiotics.
• Antibiotics are usually used to treat severe, recurrent, or lingering bacterial infections.
• Antibiotics for acute sinusitis caused by a bacterial infection: amoxicillin, clarithromycin, etc. If the prescribed drug does not work against the infection or the sinusitis recurs, your doctor may prescribe another antibiotic.
• If your doctor has prescribed antibiotics for you, you need to complete the full course of treatment. This means that you need to take them for 10 to 14 days, even if the condition has already improved. If antibiotics are stopped early, symptoms may return.

Antifungal drugs

In rare cases, acute sinusitis is caused by a fungal infection. Then intravenous drugs such as amphotericin B or voriconazole must be used. The dose of the drug, as well as how long you need to take it, depends on the severity of the infection and how quickly the symptoms of the disease are alleviated.

Immunotherapy

If sinusitis is accompanied by allergies, the doctor may prescribe allergen-specific immunotherapy, which will reduce the body’s response to allergens and help improve the condition.

Recommendations for home treatment

The following guidelines can help you ease the symptoms of sinusitis:

• Observe bed or home rest. This will help your body fight infection and heal sooner.
• Drink plenty of fluids such as water or juice. This will make the mucus thinner, which will help it drain. Avoid drinking drinks that contain caffeine or alcohol as they dehydrate your body.In addition, alcohol can worsen the condition of swollen sinuses and nose.
• Steam your nose. Breathe in the steam over a bowl of hot water, covering your head with a towel, keeping your face directly above the steam. Or take a hot shower (if you don’t have a temperature) breathing in warm, humid air. This will help relieve pain and help mucus pass.
• Apply warm compresses to your face. To relieve facial pain, cover your nose, cheeks, and eyes with a towel dipped in warm water.
• Flush the nasal passages. Use a specially designed spray bottle (such as Sinus Rinse) to rinse the nasal passages.
• Sleep with your head raised. This will help to improve the passage of the sinuses and reduce nasal congestion.

Prevention of acute sinusitis

To reduce the risk of acute sinusitis:

• Avoid upper respiratory tract infections.Minimize contact with people with colds. Wash your hands often with soap and water, especially before eating.
• Track your allergies. Track allergy symptoms by visiting your doctor.
• Avoid smoky or polluted areas. Tobacco smoke and other pollutants can irritate and inflame the nasal passages and lungs.
• Use a humidifier. If the air in your home is dry, for example, you have air heating, then using a humidifier will help prevent sinusitis.Keep the appliance clean and free of mold.

For more information on the treatment and prevention of acute sinusitis, please contact the otolaryngologists of the Zdorovye 365 clinic in Yekaterinburg.

Otorhinolaryngology Department of the Inter-Road Otolaryngology Center

Otorhinolaryngologist of the highest category, head of the department of otorhinolaryngology.

Graduated from Rostov State Medical University in 1999.

1999-2000 Internship at the Department of ENT diseases of Rostov State Medical University.

2005 – Advanced training on the basis of the Department of ENT diseases of Rostov State Medical University.

2000-2005 work in the ENT department of the emergency hospital in Gukovo, Rostov region.

2005 – 2008 work as an otorhinolaryngologist in the ENT department of the Road Clinical Hospital at Rostov-Glavny station, also as an audiologist in the audiology room of the Road Hospital.

In 2007 – Member of the Executive Committee of the VII Congress of the Russian Society of Rhinologists in St.Taganrog.

Since October 2008 – Head of the ENT department of the Inter-Road Otorhinolaryngology Center of the Road Clinical Hospital at st. Rostov-Glavny in Bataysk.

In 2009 passed the cycle “Selected issues of functional rhinosinusurgery” in the Russian Medical Academy of Postgraduate Education, Moscow.

In 2010, the certification cycle “otorhinolaryngology” at the Kirov Military Medical Academy, St. Petersburg.

2011 – immunological aspects of inflammatory diseases of the upper respiratory tract. Rostov-on-Don.

2011 – modern standards for the diagnosis and treatment of diseases of the ENT organs in children. Rostov-on-Don.

In 2012 – Member of the Executive Committee of the III Congress of Doctors of Railway Transport of Russia.

In 2014, he underwent a cycle of endoscopic rhinosinus surgery at ANO “Endosurgery Center” based on the KORL clinic under the guidance of prof. Reddened.

In 2014, a participant of the conference on the basis of the Road Hospital “Treatment and diagnosis of snoring and apnea. The main aspects of polysomnology ”.

2014 course “Endoscopic rhinosinusurgery”, Center for Endoscopic Surgery, ENT clinic KORL, Kazan

In 2015 passed the certification cycle “otorhinolaryngology” on the basis of the Black Sea Medical Chamber in conjunction with the “Novokuznetsk State Institute of Advanced Training2 2017 VI Russian master class with international participation “Modern Functional Rhinosurgery” Moscow Federal State Budgetary Institution “Clinical Hospital No. 1” (Volynskaya) Administrative Department of the President of the Russian Federation

2018 Course of innovative pediatric endoscopic rhinosurgery with international participationMoscow, FGAU “National Medical Research Center of Children’s Health”, Ministry of Health of the Russian Federation

Proficient in all types of functional ENT surgery using modern (endoscopic, radiosurgical, ultrasound technologies), endoscopic functional rhinosinus surgery, surgical treatment of chronic sinusitis, removal of cysts, polyps, ENT neoplasms, surgery lymph rings of the pharynx (including under general anesthesia) in adults and children, endoscopic sparing correction of the nasal septum, restoration of nasal breathing.Removal of adenoids under gentle general anesthesia. Shaver endoscopic adenotomy is a sparing modern technique for removing adenoids. Conservative treatment of all types of diseases of the ear, throat and nose (including non-puncture treatment of sinusitis (sinusitis) with the YAMIK sinus catheter). Emergency otorhinolaryngology: nosebleeds, abscesses, boils of ENT organs. Reduction (reduction) of the nasal bones in fractures under general anesthesia.

90,000 Why nasal preparations are dangerous and what German doctors advise | Culture and Lifestyle in Germany and Europe | DW

When a stuffy nose is caused by a cold, many immediately go to the pharmacy for nasal drops or spray.Preparations for the common cold eliminate swelling: breathing is restored, the sinuses are freed from secretions. Such quick and effective help does not cause complaints from medical specialists as long as the patient does not abuse nasal drugs. Because some sprays and drops can cause side effects. For example, addiction. “But, of course, these are not psychotropic drugs that cause addiction,” reassures physician Thomas Deitmer of the German Society of Otolaryngology.

Most nasal drops and sprays contain xylometazoline or oxymetazoline. They belong to the so-called sympathomimetic drugs, which cause narrowing of the blood vessels. If such drugs are used too often and for a long time, the mucous membrane will get used to the dose and begin to demand the beneficial drug even more and more often. A vicious circle arises: the more often we use a nasal agent, the faster its vasoconstrictor effect decreases and the sooner we need a new dose.And at some point, the opposite effect occurs: the swelling does not disappear, and a feeling of constant dryness or burning appears in the nasopharynx. A runny nose can become chronic.

Drops and sprays: habit or addiction?

The lines between habit and addiction are often blurred, says Heino Stöver of the Institute for Addiction Research in Frankfurt: “Nasal sprays have a pleasant effect that is certainly easy to get used to.” Now the 64-year-old sociologist himself, in his youth, as he says, abused nasal medications: “Two or three times a day for about two years.The result was a dry nasal mucosa, which has not disappeared until now. “

Heino Stover did not yet know about the side effects of nasal drugs at that time. Today we know that using them for more than two weeks is fraught with long-lasting negative consequences.” However, in the ranking of addictive substances, I would place them at the very bottom, “says the expert. The drug itself does not yet form addiction. But the constant use of nasal sprays should be alarming, warns Heino Stover.”These drugs do not have psychotropic effects, such as cocaine, cannabis or alcohol. Over time, the effect of their use diminishes,” explains otolaryngologist Thomas Daytmer. “This leads to people using sprays or drops not three times a day. , and, for example, eight “.

Employees of German pharmacies always warn buyers of nasal drugs about side effects and recommend not using them for more than one week.

The effect of a nasal drug gradually decreases until it stops working at all.Dryness appears in the nose, and the mucous membranes can no longer fulfill their protective function. In order for them to protect us from germs, moisture is needed. Dry nasal cavities can no longer moisturize, warm, and purify the air we breathe. “A crust appears in the nose, in which bacteria multiply,” explains Thomas Daytmer. The bad smell from the nose, explains the doctor Thomas Daitmer, is caused by bacteria.And here nasal drugs for a runny nose and nasal congestion will not help, because they are not a solution, but a reason.

Nasal preparations: from addiction to withdrawal

“When you are not feeling very well, you quickly notice how important this drug has become in your life, how difficult it is to do without a nasal spray,” says sociologist Stover. And yet you can refuse it. One strategy for breaking a dangerous habit is to knowingly use less nasal medications.You can keep a diary and record the time of taking the next dose and your observations of your well-being, and then trace whether there were any signs of the disease or you took the drug out of habit, explains Heino Stover. In hospitals, this habit is not cured. Everyone has to deal with it himself.

Sea salt, that is, preparations containing it, can help to wean oneself from nasal preparations. If you experience symptoms of nasal congestion or dryness, it is advisable to see a doctor. Because dry mucous membranes can signal serious diseases.”We need to try to figure out why the patient has a stuffy nose. He may have polyps that can be surgically removed,” explains otolaryngologist Daytmer. “Or the patient has an allergy that causes a stuffy nose.” In this case, you need to take a test. Another possible cause of persistent nasal congestion is a deviated nasal septum. Doctors can straighten it surgically. Tumors in the nose are also possible, but this is extremely rare, notes Thomas Daytmer.

Living with a permanently stuffy nose is extremely unpleasant.”The mouth is dry, snoring at night and restless sleep,” the doctor lists the symptoms. However, overuse of nasal medications is not the answer. Paracelsus knew already 500 years ago that everything is poison and everything is a medicine, both are determined by the dose.

See also:

• How to resist colds

  Hat, scarf and warm socks

  Although there is no 100% guarantee of “flu resistance”, there are some useful tips that have proven themselves in practice.Let’s start with the essentials, suggests Angelika Rieger, a physician from Ratingen, in an interview with DW. During the cold period of the year, the head and legs must be kept warm, and dress according to the “onion” principle, removing warmer clothes if necessary.

• How to resist colds

  Keep your distance

  During the next epidemic of influenza and colds, you should, if possible, avoid crowds of people (large events, crowded public transport), as well as close contact with carriers of the infection.Oddly enough it may seem to others, but it is better to greet each other during this period without shaking hands, the doctor insists.

• How to resist colds

  Ventilate the room more often

  To help the body cope with viral attacks, it is important to ventilate the room from time to time. Optimum humidity (35 to 55%) can be achieved by placing a cup of water next to the radiator, advises physician Ulrike Roth.Dry air adversely affects the mucous membrane of the larynx and nasopharynx, reducing the body’s resistance to viruses.

• How to resist colds

  Anti-cold drink

  Drinking regularly is equally important. Together with the liquid, the body receives the necessary vitamins and minerals, explains the doctor Angelica Rieger. An excellent preventive drink is prepared, for example, from freshly squeezed carrot and orange juice with the addition of a grated piece of fresh ginger, a tablespoon of sea buckthorn juice and a few drops of pumpkin seed oil.

• How to resist colds

  Wash hands thoroughly and often

  Viruses lie in wait for us everywhere – on doorknobs, keyboards, handsets, ballpoint pens of sick colleagues. Some types of viruses survive on various surfaces for up to 17 days, warns industrial medicine expert Ulrike Roth, a physician in Cologne. This is how we transfer viruses to the face, eyes … There is only one way out – to wash our hands more often with soap and water and for at least 60 seconds.

• How to resist colds

  Good nutrition

  A varied diet is the key to stable immunity. You should not overload the body at this time, advises Angelica Rieger. If possible, it is better to eat more often, in small portions, paying attention to the energy value of the food. Vitamins C, B, D, as well as zinc will help reduce the risk of disease. It is important to combine meat, fish, eggs with vegetables, root vegetables, nuts and legumes, the doctor emphasizes.

• How to resist colds

  Eintopf against influenza

  The best example of such a complex dish, according to the doctor, is typical for German cuisine Eintopf (Eintopf). In the cold season, this dish warms up, satisfies hunger for a long time and strengthens the immune system. The German version of the thick borscht (pictured) is boiled with beans (or lentils) and quince. Meat can be substituted for fish or tofu.

• How to resist colds

  Walk at lunchtime

  Sports, jogging, walking are the main movement in the fresh air and in any weather.It’s important to keep moving, insists industrial medicine expert Ulrike Roth. In this case, you should breathe through the nose so that the air enters the throat at the correct temperature. And a half-hour walk during lunchtime increases efficiency.

• How to deal with colds

  Foot baths

  Regular warm foot baths help relieve stress, relax and improve blood circulation. Baths with the addition of sea salt, pine oil and aromatic herbs Angelica Rieger recommends to take 3-4 times a week in the evenings.

• How to deal with colds

  Bath or sauna?

  Regular use of the sauna for those who are not contraindicated in it is an excellent method to maintain health, support the cardiovascular system and strengthen the immune system. Hot baths with the addition of essential oils are also recommended for preventive purposes. But in no case, if the temperature has already risen, warns the therapist from Ratingen.

• How to resist colds

  Tea warms and prevents

  Tea is good at any time of the day, says Angelica Rieger.The liquid in the form of hot tea from medicinal herbs is better absorbed by the body, preventing excessive dryness of the nasopharyngeal mucosa. A good effect, according to the doctor, is provided by linden, elderflower, chamomile, sage and ginger teas, which should be drunk alternately.

• How to deal with colds

  Sleep well, sex and no stress

  Staying healthy requires getting enough sleep and getting regular rest. You should learn to take short pauses, master the technique of relaxation and stress relief, because it is he who blocks the body’s ability to regenerate. Doctors also consider regular sex to be an effective means of preventing colds, which promotes the growth of protective antibodies in the blood.

  Author: Inga Wanner

90,000 Sinusitis: how to be treated so that it does not get worse | SITUATION | HEALTH

A runny nose seems to most of us to be an everyday trifle that is not worth attention. But in vain. So it is close to sinusitis. Have they let themselves go and sinusitis? The case may end in meningitis.

How to protect yourself from the formidable complications caused by a banal rhinitis? We asked the head of the ENT department of the Perm regional hospital, Sergey Grigorievich OSTANIN , to tell about this.

– Sinusitis is sometimes called sinusitis. Does the same disease have two names?

– Sinusitis is an inflammation of the paranasal sinuses (or sinuses) – air cavities that lie in the thickness of the bones of the skull around the nose. In total, a person has seven such sinuses. Most often, the maxillary, or maxillary, sinuses are affected – their inflammation is called sinusitis. So sinusitis is a type of sinusitis .

IT IS NECESSARY TO TREAT

– How does sinusitis begin?

– As a rule, any damage to the paranasal sinuses is a consequence of a banal rhinitis.The man blew his nose incorrectly. As a result, mucus flew into the ear – here you have otitis media, got into the maxillary sinus – sinusitis began. There may be anatomical reasons that prevent the sinus from draining normally: curvature of the nasal septum, congenital structural features. If air exchange is disturbed in the sinus, stagnation occurs, a mucous secret accumulates, a secondary flora joins – inflammation occurs. Meanwhile, in our time, a variety of drugs are readily available that allow you to cure the root cause – a runny nose – in five to seven days.If left untreated, it becomes a chronic problem and causes a lot of trouble.

– If a runny nose does not go away after treatment, how long does it take to sound the alarm?

– When there is no improvement after five to seven days of ARVI, you need to contact an ENT doctor. Do not hesitate in the presence of high fever, purulent nasal discharge, headache (usually in the forehead), swelling of the lower eyelid, swelling in the cheeks.

EXTREME

– Is it possible to do with sinusitis without puncture (puncture)?

– If an acute purulent process has developed and the doctor suggests doing a puncture of the maxillary sinus, there is no point in refusing.There is an opinion among patients that it is worth piercing the sinus once – and the process will become chronic. This is not true. A puncture performed on time will in no way lead to further repeated punctures. There are many entrance holes in the sinus, and the hole that is obtained during the puncture is not at all larger than the natural entrance hole. Moreover, on the third or fifth day, it overgrows. But a puncture that is not performed on time will indeed lead to a chronic process, and then punctures will have to be done very often.

Puncture is done in order to pump out pus from the sinus, rinse it, inject antibiotics and anti-inflammatory drugs there.

– How good are folk remedies for treating sinusitis?

– I don’t know what sage came up with to roll boiled eggs in the face. It is extremely dangerous to warm a stuffy nose. A thermostat is already formed there, microbes multiply at a breakneck speed. If you add thermal procedures, a dangerous complication can occur within a few hours.No baths! No instillation of Kalanchoe juice! The less chemical invasion of the nasal mucosa, the better. You can warm your feet in mustard, but be sure to drop a vasoconstrictor so that your nose can breathe well.

Complications of sinusitis can be very formidable. The upper wall of the maxillary sinus and the wall of the orbit are one and the same formation. But there are blood vessels, the infection spreads rapidly … Necrotic processes often occur due to the fact that a stuffy nose has not been treated.

AT SEA

– Is it true that one of the best doctors treating sinusitis is the sea?

– Being at sea will certainly contribute to your recovery. But I would not advise you to abuse the heat. The climate cannot be drastically changed. People return after New Year’s tours from hot countries and come straight to us. No wonder: a sharp acclimatization strains all the forces of the body, cripples the immune system.

In fact, our body is amazingly smart.There is a very effective self-defense system. The ciliated epithelium of the nose fluctuates in a very coordinated manner at such a rate that does not allow settled microbes to invade our body. Like a carpet, gel and sol creep on vibrating eyelashes – a very fragile, but very strong system is obtained, practically impervious to any kind of microbes. The main task of prevention is to maintain the physiological condition of the nose. At least not interfere with the work of the body’s defenses.

HOW TO DIFFERENT GAYMORITIS FROM STRONG SUSPENSION?

Acute sinusitis develops in stages.A relatively mild form (catarrhal) begins with characteristic pain in the paranasal (maxillary) sinuses, pain above the eyes and the bridge of the nose. The nose is stuffy, you feel unwell and heaviness in the head, the temperature is slightly increased. The face becomes swollen, watery eyes may appear. If you do not start treatment, then catarrhal sinusitis can turn into purulent, and this is already more serious. The temperature rises, the headache intensifies, purulent discharge from the nose appears.

RECOMMENDATIONS:

1) when blowing your nose, each half of the nose should be freed separately, closing the other nostril so that mucus does not in any case get from the nose into the auditory tube or middle ear;

2) you need to bury it in the nose while sitting or lying on your back, throwing your head back a little and turning it in the direction from which the drops are instilled. In this position, the medicine enters the middle nasal passage, which contributes to a better outflow of the contents from the maxillary sinus. If this simple rule is not followed, the drops will immediately fall into the nasopharynx, the treatment will be reduced to zero.

See also:

90,000 Why healthy teeth hurt and ache: reasons

Toothache can have a variety of causes, including hot and cold food or drinks. Another – albeit not the most common – factor that can cause sore teeth is a cold or sinus infection.The increased pressure in the sinuses can cause discomfort in the area of ​​the teeth, since the roots of the latter are located close to the sinuses. One way or another, it is important to find out if this discomfort has more serious reasons that require medical intervention.

How to find out why your teeth hurt

If you have symptoms of a cold, flu, or sinus infection, such as nasal congestion and sinus pressure, it is likely that the toothache is related to this.Frontal sinuses are located close enough to the roots of the teeth and their nerves, which can transmit pressure and pain in the sinuses to the structures of the oral cavity. As otolaryngologists explain, sore teeth in the upper jaw is a common symptom of sinusitis. Talk to your doctor about treatment for sinusitis or other respiratory condition that can cause nasal congestion. On the information site “Medportal” you will find a detailed description of many respiratory diseases and their symptoms, including a runny nose, sore throat and frequent dry cough.

Often, with colds and flu, ear congestion, obstruction of the Eustachian tubes are observed, otitis media develops. Pressure in the ear can cause discomfort in the chewing teeth and palate. If your ear and teeth hurt at the same time on the same side of your head, the cause of the toothache may be the irradiation of the pain from the ear, experts from the Pavlov St. Petersburg State Medical University explain. In the absence of an ear infection, ear congestion is treated in the same way as sinus or nasal congestion.If your ears ache and appear to be full of fluid, and you feel pressure on your eardrums and hear frequent clicking sounds, see your doctor to rule out middle ear inflammation, which may require antibiotics to treat.

If your teeth hurt, and there are no symptoms of a common cold, and you do not know what is the cause of the pain, then the best thing to do is to visit a therapist or dentist for an accurate diagnosis. Some conditions that provoke toothache are fraught with serious consequences and require immediate medical attention.Dental diseases and conditions such as periodontitis, tooth decay, enamel erosion, loss of dental hard tissue and involuntary teeth grinding during sleep (bruxism) can of course also be direct or indirect causes of toothache.

How to reduce toothache caused by a cold

If nasal congestion caused by a cold, flu, or sinusitis is causing your toothache, try relieving the pressure in your sinuses. To do this, you can use OTC vasoconstrictor and mucus-thinning drugs.Toothache can also be relieved by rinsing the mouth with a decoction or tincture of sage, chamomile and other herbs. You can also use over-the-counter pain relievers. In addition, help to reduce toothache:

• Rest and extended sleep
• Warm drinks and soups
• Cold medicines that thin the mucus that causes nasal congestion
• Cough drops or honey tea for reducing sore throat caused by sinus discharge

As additional means for use at home, specialists from the Scientific Research Clinical Institute of Otorhinolaryngology named after L.I. Sverzhevsky recommend using a humidifier and rinsing the nose. In case of painful sensations in the sinuses, a feeling of strong pressure in them when the head is tilted in different directions, you should definitely consult a doctor, especially if the pain does not go away for a long time and / or is accompanied by an increase in temperature – this may be a sign of a serious sinus infection, or sinusitis.

Teeth can also hurt due to increased sensitivity. If pressure and contact with cold or hot foods and drinks cause acute short-term pain in the teeth, a special toothpaste for sensitive teeth may help.If your toothache is not related to a cold or sinus infection, be sure to consult a dentist who can make the correct diagnosis and recommend appropriate treatment.

Otorhinolaryngology | DENTALROOM

ENT and dentistry. Common problems – joint solution.

For 22 years of work, our specialists have repeatedly encountered a situation when a patient has an unresolved problem in the ear-nose-throat system, which entailed problems in the dental part and vice versa.

In recent years, against the background of actively developing technologies in therapeutic and surgical dentistry, as well as endoscopic technologies in ENT practice, there has been an increase in the number of patients with various forms of odontogenic sinusitis. Odontogenic sinusitis is an infectious and inflammatory process in the maxillary paranasal sinus (in the maxillary sinus), which develops as a result of pathology of the roots of the teeth, bone tissue or gums of the upper jaw.

In this regard, we came to the conclusion that the combination of these areas is simply necessary and will bring the quality of medicine in DENTALROOM to a fundamentally new level.

Now, in our clinic, high-quality diagnostics and effective treatment of diseases of the ENT organs are available. Receptions are conducted by otorhinolaryngologists of the highest category, pediatric and adult specialists with over 18 years of experience.

For accurate differential diagnosis of dental and ENT pathologies, the clinic is equipped with a modern computer 3 D KaVo OP300 tomograph with a cephalostat (Germany) , which allows you to obtain a three-dimensional image of the entire maxillofacial apparatus and identify various pathological conditions, including number before the onset of clinical manifestations.

In addition to high-precision X-ray equipment, a unique premium ENT combine ATMOS (Germany) with soft endoscopy is used for diagnostics and treatment in the clinic, which allows diagnosing the state of the sinuses with high accuracy and comfortable for the patient.

What is an ENT combine and in what cases is it used?

ENT harvester is an automated multifunctional installation that allows for a thorough diagnosis of pathologies of the throat, nose, as well as diseases of the middle and outer ear, using endoscopic examination. Endoscopic method allows for a qualitative examination of the mucous membranes under magnification, to determine the presence of chronic respiratory diseases and the occurrence of neoplasms.

Using a video system makes it possible to obtain a high-quality color photo or video, this function is necessary for monitoring in dynamics.

Endoscopic examination of ENT organs is required in the following cases:

– Consulting patients in the preparation, as well as at the stages of dental implantation

– Diagnosis of odontogenic (associated with pathology of the dental-jaw system) sinusitis

– Management of patients after surgery on the sinuses

– Diagnostics for any problems from the nasal cavity and sinuses

And also, in the presence of the following diseases:

– rhinitis

– sinusitis

– pharyngitis

– sinusitis

– frontal

– hay fever

– adenoiditis

In addition, indications for diagnostics are trauma to the soft tissues of the face and curvature of the nasal septum.

With the help of the ENT combine, it is possible to carry out practically all the necessary manipulations as much as possible comfortably and painlessly :

– removal of sulfur plug

– aspiration of the nasal passages and paranasal sinuses

– washing the maxillary sinuses

– spraying drugs: irrigation of the nasopharynx and ear, lavage of the tonsils.

Cryotherapy

Cryotherapy is a method of treatment based on exposure to ultra-low temperatures.

Indications for cryotherapy

This method of treatment is used for such diseases that were previously considered incurable or were an indication for surgical treatment:

• Chronic tonsillitis

Tonsillitis is a disease manifested by inflammation of the tonsils, an important organ of our immune system. In the absence of proper treatment, the disease gives complications to the heart, kidneys and joints.Cryo procedures for tonsils avoid their removal. During cryotherapy, the blood supply to the tonsils is activated, tissue trophism improves, local immunity is stimulated, and the regeneration process starts.

• Chronic rhinitis

Rhinitis is an inflammation of the nasal mucosa. Cryotherapy is used to treat many forms of rhinitis, including allergic and vasomotor rhinitis. A cryotherapy session lasts only a couple of minutes. There may be some slight discomfort at the end of the procedure.A few days after cryotherapy, full nasal breathing is restored.

• Chronic pharyngitis

Pharyngitis is an inflammatory process that affects the tissues of the pharynx. During the cryo procedure, the patient is in a sitting position. Local anesthesia is performed before direct exposure. For a stable therapeutic effect, two or three treatment sessions need to be carried out, after which the condition of the pharynx is normalized, dryness, perspiration and pain during swallowing disappear.

Pathologically enlarged pharyngeal (nasopharyngeal) tonsil, causing difficulty in nasal breathing, hearing loss and other disorders. Cryotherapy of this area is carried out using a special nozzle, which is inserted into the nasal cavity for just a few seconds. The procedure is painless and usually two or three sessions are enough for nasal breathing to be restored, and the adenoids are reduced in size.

During cryotherapy, an otorhinolaryngologist acts on tissues with liquid nitrogen, freezing them.The frequency of procedures and the depth of exposure depends on the area of ​​the lesion and the reactivity of the tissues. After a while, the tissues die off, begin to be torn away, and in parallel, the regeneration process takes place. The positive effect does not end only with local changes.

The result of cryotherapy is also increased immunity, improved microcirculation, increased oxygen uptake by erythrocytes, activation of immunity – both local and general.

Advantages of the method

• Local impact, t.i.e. only on the pathological focus – healthy tissues remain intact and continue to function
• The effect of cold has an anti-inflammatory, analgesic and disinfecting effect
• No bleeding after procedure
• No stitching required
• No scars and scars remain
• No need for special treatment of the treatment site and special preparation before the session
• Treatment is carried out on an outpatient basis – no need to take sick leave
• There is no need to take antibacterial drugs after therapy
• No side effects
• The procedure is absolutely painless.

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