Sinus Drainage
Question:
"NBoles613" <nboles…@aol.comnojunk> wrote in message
news:20010428151336.02997.00000784@ng-fn1.aol.com… – Hide quoted text — Show quoted text -> I have a question about a procedure called sinus drainage. I’ve had an > infection that was going around the hospital where I work. I was on three abx > and now my ENT wants me to just try irrigation and a new spray called Astellin. > The problem is only in the right maxillary and he scoped in there and did some > suctioning. He said the drainage holes are open so given time it should drain > and heal. > He said if I’m still having problems in a month I should come in and he will > numb the sinus and clean it out. I think this is the same as having a > "drainage". Can anyone tell me all the details of this procedure? I’ve heard > its painful. But after major surgery 2 years ago and having the sponges pulled > out and then the debridings, how much more painful could this really be? > Nadine
The procedure you are referring to is called an antral lavage. A topical decongestant will be initially sprayed into your right nasal cavity. After 5-10 min., the ENT will pack and freeze the nasal cavity with pledgets (gauze) soaked in 4% xylocaine. Once the area is anaesthetized, the gauze will be removed and a large needle will be inserted through the bony medial wall of the right maxillary sinus. The maxillary sinus will then be flushed out with saline injected directly through the needle under pressure. The saline along with any inflammatory exudate will run out through the natural ostium. Your ENT may also decide to add an antibiotic to the saline. This procedure can sometimes help dislodge a persistent infection or break up a mucus retention cyst given that the natural sinus opening is patent. Once frozen, you should only feel moderate to heavy pressure on the bone when the needle is inserted. There should be very little pain if the procedure is done properly. Michael M.
Response:
Yes, astelin can make you sleepy and we advise against using it for scuba divers. Murray Grossan, M.D. http://www.ent-consult.com http://www.TinnitusRelief.net
Response:
> the ENT will pack and freeze the nasal cavity with pledgets >(gauze) soaked in 4% xylocaine. Once the area is anaesthetized, the gauze >will be removed and a large needle will be inserted through the bony medial >wall of the right maxillary sinus.
Holy Shit!!!! Up to how many times a day can I irrigate — (in a desperate attempt to clear this out myself and avoid this procedure) — without doing harm to my sinuses???? Nadine
Response:
A spray of a solution of Benadryl also leaves a bitter taste but may be more acceptable to your taste buds. Murray Grossan, M.D. http://www.ent-consult.com http://www.TinnitusRelief.net
Response:
ENTconsult wrote: > A spray of a solution of Benadryl also leaves a bitter taste but may be more > acceptable to your taste buds.
unfortunately, i’m allergic to diphenhydramine hcl. i prefer to keep my distance. ;) thanks for the thought, though. ygg
Response:
In article <3AEE16BF.27F83…@starpower.net>, eye of newt <kras…@starpower.net> wrote: > ENTconsult wrote: > > A spray of a solution of Benadryl also leaves a bitter taste but may be more > > acceptable to your taste buds. > unfortunately, i’m allergic to diphenhydramine hcl. i prefer to keep > my distance. ;) > thanks for the thought, though. > ygg
Out of pure curiosity, what are the allergic symptoms that you experience when using diphenhydramine? Larry
Response:
In article <300420012153124205%LPre…@provide.net>, Larry Preuss <LPre…@provide.net> wrote: > Out of pure curiosity, what are the allergic symptoms that you > experience when using diphenhydramine?
hives, projectile vomiting, throat swelling, difficulty breathing… the usual. ygg — ~*~ flip the net for email ~*~
Response:
I have a question about a procedure called sinus drainage. I’ve had an infection that was going around the hospital where I work. I was on three abx and now my ENT wants me to just try irrigation and a new spray called Astellin. The problem is only in the right maxillary and he scoped in there and did some suctioning. He said the drainage holes are open so given time it should drain and heal. He said if I’m still having problems in a month I should come in and he will numb the sinus and clean it out. I think this is the same as having a "drainage". Can anyone tell me all the details of this procedure? I’ve heard its painful. But after major surgery 2 years ago and having the sponges pulled out and then the debridings, how much more painful could this really be? Also has any one else used Astellin? I want to use Nasonex because its always given me the best results but he says I absolutely should not use it because it can worsen the problem. Nadine
Response:
Astelin is a liquid topical antihistamine and what’s nice about it is that it isn’t cortisone. Your doctor is concered that using a cortisone product will reduce the body’s defense against infection. Murray Grossan, M.D. http://www.ent-consult.com http://www.TinnitusRelief.net
Response:
NBoles613 wrote… > Also has any one else used Astellin? I want to use Nasonex because its always > given me the best results but he says I absolutely should not use it because it > can worsen the problem. > Nadine
I have severe year-round allergies, and for a long while experienced fairly severe congestion. I have used Astelin as part of my medication regimen for nearly 3 years. It seems to start working as soon as you squirt it into your nose. On the downside, as it drains, it can leave a bitter taste in your mouth — nothing that a few swallows of fruit juice won’t cure, though. Also, it seemed to make me feel a bit sleepy at first, but that resolved within several days. Definitely recommend it. It works. — Karen
Response:
karen writes: > On the downside, as it drains, it can leave a bitter taste in your mouth > — nothing that a few swallows of fruit juice won’t cure, though. Also, > it seemed to make me feel a bit sleepy at first, but that resolved within > several days.
unless one is part of the small subset of folks who will get a severe bitter taste in the mouth that *nothing* will clear. one spray of astelin and i was vomiting for several hours and couldn’t sleep b/c i heaved for the next 24 hours… i had to keep horehound and licorice (ick) lozenges in my mouth to supress the gag reflex. i don’t have a strong gag reflex, either. that was when it first came out. i tried it two more times after that (different times of the year, different sinus situations) and decided that the two repeated session were just sadistic and i didn’t need to go through it anymore. it’s worth a try… just about anything is. ;) nasal irrigation helps keep me infection free… and i’ve had sinusitis for several years. just lucky to stumble upon something that works, i guess. it’s not nearly so icky if i do it *before* i put my contacts in. ;) i also make sure i take antihistamines when allergen levels are high (year round, except for january, when it’s too cold for local molds) and on high pollen days, i take a shower before bed. mite covers, twice-weekly launderings of bedclothes (more often if hubby won’t shower before bed when pollen counts are up), dusting in the bedroom… it all helps me significantly. :) i have yet to find a simple sinus spray (prescription or OTC) that doesn’t make me break out or give me adverse side effects… even Ocean made me break out in hives. i really wish my docs would stop pushing them. ygg — ~*~ flip the net for email ~*~
Response:
Filed under: Nasal irrigation
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