Tag Archives: non-surgical treatment of sinusitis

Balloon sinuplasty; A non-surgical treatment of sinusitis

Sinusitis is inflammation of sinuses. Mucus collects and blocks the sinus openings.

Symptoms are headache, facial pain,nasal discharge, nasal blockage and post nasal drip.

Aim of treatment is to open up blocked sinus passageways.

balloon-sinuplasty

Balloon sinuplasty is true advance in the field of sinus care. It works on same concept as balloon angioplasty for the treatment of clogged coronary arteries.

A wire catheter (approved by FDA) is introduced through the nostril and moved towards blocked passageways. Catheter has a balloon in the front.Then balloon gradually inflated to open up blocked passageways, then it is deflated and removed. Sinus drainage is restored.

Balloon sinuplasty alone may eliminate the need for surgery in some patients and others may require concurrent endoscopic sinus surgery.

Balloon sinuplasty is safe, effective , minimally invasive, cost effective, takes less recovery time, has less patient discomfort, and has no side effects.

Studies confirm it’s safety and efficacy and high patient satisfaction. But still it is under evaluation for long term success and further studies are needed to see it’s effectiveness in presence of nasal polyp or when ethmoid sinus is involved.

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Nasal douching or “jala-neti” for sinusitis

Originally a yogic tradition nasal wash, nasal douching, nasal irrigation or “jala-neti” is very effective in  sinusitis-allergic or infective, post nasal drip and even post-sinus surgery to clean nasal passages and easy breathing.

 

As an E.N.T. specialist I have witnessed improved quality of life and reduced visits of patients to my clinic. 

Randomized controlled trials (General of family practice by Dr Rabago) shows that it improves smptoms of sinusitis and quality of life, with decreased use of medications.

Alternatively saline nasal sprays can also be used to clean the nose and sinuses.

 

 

  • How it works? 

**Hyper tonic saline used in nasal irrigation improves drainage of secretion by:-

  • Improving mucocilliary clearance ( Sinuses are lined by respiratory epithelium with Goblet cells to secretes mucus (forming mucus blanket) and cilia (fine hair like structure) to help trap and propel pollutant and bacteria outward to nose through osteum (opening) of sinuses.
  • Helps in thinning of mucus.
  • Possibly reduce inflammation.

     

 

 

  •  **Procedure for nasal douching- 

You will find so many articles written on procedure and some are very cumbersome but believe me it is very simple, there is no need of sophisticated equipments-  “It is saline that works not equipment”.

1: Take slightly warm water in a bowl or “jala-neti pot” .

 

 

2: Add 1/2 teaspoonful of salt and a pinch of sodium bicarbonate and mix well.

 

 

3: Pour some into the palm of your hand and sniff into your nose, alternatively you can use “chip syringe or bulb syringe” or “simple 10 cc syringe” to gently push solution into your nose.

 

 

4: Let your nose drain by its own first, you can very gently blow one nostril at a time keeping other nostril closed. Do not blow forcefully.

5: Repeat procedure at least 3 times on each side.