Otolaryngology is a medical specialty that combines both therapeutic and surgical focus. In the course of treating pathologies of the nasal region, various methods of exposure are used. The method of cauterization of the nasal mucosa is intended to stop nosebleeds, it can be prescribed for various forms of rhinitis. The appropriateness of its use is determined by the attending physician, depending on the clinical situation. For the moxibustion procedure, numerous chemical options (in particular, silver nitrate) can be applied, as well as laser radiation. How is cauterization of the nasal mucosa performed? Is there a risk of unwanted consequences? The patient should be aware of the advantages and disadvantages of the method.
Moxibustion method
Moxibustion is also called coagulation or cauterization. The method combines many techniques, the difference between which is the way of implementation and the means used for this. It is used:
- with persistent, often recurring nosebleeds;
- with vasomotor rhinitis;
- with medication rhinitis;
- with chronic hypertrophic rhinitis.
The clinical situations in which nosebleeds occur are quite varied. Cauterization of the nose is one of the most effective methods of treatment, carried out by an ENT doctor (otolaryngologist). The essence of the procedure consists in a chemical or thermal effect on the mucous membrane, which leads to the closure (clogging) of blood vessels and the cessation of bleeding.
The choice of cauterization method depends on the pathological changes identified during the examination. Silver cauterization is an alternative to the outdated methods of mucosal hardening. Sclerosing substances cause dryness and crusting, which increases the risk of a recurrence of the bleeding episode, and aggravates the symptoms of rhinitis.
Are there any benefits of moxibustion? Experts point out several advantages of the method, which determine its widespread use in various pathologies:
- Possibility of local impact.
- Fast recovery after carrying out.
- No need for anesthesia.
Cauterization of the vessels of the nose is a painful procedure. Since the manipulations carried out by the doctor cause painful sensations, anesthesia will be required. The use of drugs belonging to the group of local anesthetics carries the risk of an allergic reaction. If you are allergic to any medications, you should inform your doctor in advance - this way you can reduce the likelihood of adverse effects of the procedure.
Silver Cauterization
When is the burning of blood vessels in the nose performed with silver? This cauterization option is indicated for nosebleeds from the anterior sections. The severity of bleeding matters - the procedure is effective when its intensity is low.
Manipulations are carried out in stages:
- anemization of the nasal mucosa;
- anesthesia (anesthesia);
- spot cauterization with silver nitrate solution.
Anemization is performed in order to narrow the vessels of the nasal mucosa. This reduces the amount of discharge and simplifies the procedure. The cauterizing agent does not spread, which makes it possible to control the limits of exposure. A drug (Adrenaline, Ephedrine, etc.) is applied to the mucous membrane, which is injected by spraying or lubricating. Anesthesia is performed with local anesthetics (eg, lidocaine).
The concentration of the silver solution can be different. For point exposure, a strong solution (from 40 to 50%) is suitable. A modern transformation of the silver cauterization technique is the use of a cauterizing agent not in the bleeding zone, but around it. Since the application of silver nitrate directly to the bleeding area can cause damage and increased bleeding, the technique of “surrounding” the problem area allows for better results.
What can you face after the silver cauterization of the nasal mucosa is performed? Some patients complain of burning, sneezing and watery eyes after the procedure. Many are worried about nasal congestion. Although these are temporary phenomena, it is necessary to clarify the likelihood of their implementation with the attending physician, along with methods of elimination.
Silver cauterization is not a gentle method. Sometimes the procedure is advised as a component of the treatment of rhinitis of various etiologies. At the same time, cauterization is not always necessary; it can often be replaced by alternative methods of alleviating the patient's condition. During the procedure, there is a possibility of injury to healthy tissues, therefore, the effect on the mucous membrane with silver nitrate should be justified.
Cauterization of blood vessels in the nose with silver is prohibited in case of hemorrhagic diathesis.
Hemorrhagic diathesis is understood as a group of pathologies that are manifested by a tendency to increased bleeding. Tissue damage from chemical coagulation increases the risk of recurrent epistaxis, which can be profuse as the lesion becomes wider.
Laser coagulation
Cauterization of blood vessels in the nose with a laser can be effective for chronic nosebleeds, various types of rhinitis (in particular, with a drug-induced rhinitis, which developed as a result of prolonged use of vasoconstrictor nasal drops). This manipulation is considered as a type of surgical intervention, which requires a thorough justification of the indications.
How are the vessels in the nose burned? First, local application anesthesia is performed (Lidocaine, Adrenaline). In the intervention area, the necessary manipulations are carried out using laser radiation. Coagulation is carried out along the perimeter of the target area, then the "problem focus" is coagulated directly.
The operation can be performed on an outpatient basis, does not require hospitalization and long-term recovery. Laser cauterization of the nasal mucosa allows you to eliminate congestion in the chronic course of rhinitis, to prevent recurrence of bleeding. After completion of the procedure, the patient is prescribed ointments (Actovegin, Solcoseryl, Traumeel C).
In chronic hypertrophic rhinitis, cauterization of the nasal mucosa with a laser is only one of the likely treatment methods. The advantage of laser radiation is the sterility of the intervention, rapid healing of the affected area. To take advantage of the offers of the Vulcan casino with a quick withdrawal of money, you need the client's desire, reaching the age of majority and simple registration. There is a great choice of entertainment - slots, jackpots, live and table games, video poker, lotteries, as well as interesting incentive offers, distributed according to the status of the players.
Features of the procedure
What to do after moxibustion in the nose? There are several recommendations that are relevant for patients who have undergone the cauterization procedure:
- You can't strain yourself.
- You can't blow your nose.
- It is forbidden to remove the crusts by yourself.
For several days after the procedure, you need to use vaseline or sea buckthorn oil. They are soaked in cotton swabs, which are then injected into the nasal cavity 2 to 3 times a day. The doctor may recommend other medicines as well.
Cauterization must be one-sided.
If there is a need for cauterization, it is recommended to simultaneously carry out the procedure on only one side, otherwise there is a risk of traumatic injury, in particular, perforation of the nasal septum. If pathological foci are present in both halves of the nasal cavity, a repetition of cauterization is indicated several days (from 5 to 8) after the first episode of intervention.
Cauterization of the capillaries in the nose allows you to quickly solve the problem of nosebleeds. However, each cauterization method has its own characteristics that must be taken into account. Only a doctor can recommend the procedure, who relies on the data of an objective examination and the results of an additional examination.
