Intranasal Procedures and Topical Treatments for Nose and Sinuses

Abstract

Intranasal procedures are a basic treatment which enhances the accuracy of diagnosis and effectiveness of topical treatments for nose and sinuses.

For anesthesia for nasal cavity, watch out for the adverse effects resulting from an overdose of Xylocaine and methyl paraben antiseptic when dealing with anesthesia for nasal cavity. For nasal aspiration, remove nasal mucus with a Nelaton catheter. Application of white petrolatum on nasal vestibule is effective for preventing infection and nasal bleeding. For widening the natural ostium of sinuses, carefully use conventional cotton applicator with metal shaft. If saline is used as solution for nebulizer treatment, mucocilliary function will be enhanced. Vasoconstrictors are not needed as nebuliser medicine.

Thermotherapy is safe and can enhance the usefulness of topical treatment for nasal cavity. For a minimary invasive antral irrigation, the use of an endoscope through the middle meatus is recommended. When irrigation of sphenoidal sinus, by selecting an appropriate example case with CT or MRI and an endoscope, it is possible to relieve the symptom quickly, thus to avoid surgical therapy.