In ENT Practice, cauterization (coagulation) of the nasal mucosa is resorted to in cases where conservative treatment methods do not give the desired effect. The procedure helps restore nasal breathing and relieve frequent bleeding.
A chronic runny nose or inflammatory process is accompanied by thickening and swelling of the mucous membrane, an increase in the volume of secreted secretions, and difficulty breathing. The use of nasal vasoconstrictors is often addictive and only makes the situation worse. In this case, cauterization of the mucous membrane gives an excellent result, as it returns the ability to breathe through the nose. During the procedure, the surgeon reduces hypertrophied tissue that prevents the free passage of air. As a result, in just a few minutes the patient gets rid of a problem that has tormented him for years.
Indications and contraindications
An ENT doctor may recommend cauterization for pathologies such as:
- chronic rhinitis of various etiologies (vasomotor, allergic, drug);
- hypertrophy (growth) of the nasal mucosa;
- regular nosebleeds.
It is also used in the complex treatment of chronic sinusitis.
The procedure cannot be performed in the following cases:
- exacerbation of chronic diseases;
- acute respiratory, viral infection;
- blood clotting disorder;
- purulent complications of sinusitis, sinusitis.
Causes of capillary fragility
The walls of the capillaries are very thin and do not have muscle fibers. This is due to one of their main functions - to supply cells only with the liquid component of blood. The nutrients they carry diffuse through the thin walls of the capillaries. But this structural feature makes them very fragile and susceptible to various types of damage both from the outside and from the outside.
Typically, capillaries are damaged by the substances that are carried through them. This is evidence of some kind of disease. Moreover, damaged capillaries themselves cease to perform their function, which is why the condition of the organ they feed worsens. The disease is progressing.
Cauterization methods
The ENT-Praktika clinic uses the most advanced methods of cauterizing vessels in the nose - the radio wave method. Removal of hypertrophied tissue occurs due to radio waves. They painlessly reduce overgrown tissue without affecting the healthy mucosa.
The attending physician selects the treatment method individually, taking into account the patient’s medical history and the severity of the pathology.
Make an appointment online
Without queues and long waits, at a time convenient for you to see any doctor
Sign up
Nosebleeds: causes
Nosebleeds, or epistaxis (epistaxis - from the Greek “drop by drop”) is one of the most common reasons for patients seeking emergency otorhinolaryngological care, as well as the most common type of bleeding in medical practice. Most people have had a nosebleed at least once in their lives.
Where does it come from and what does it threaten?
And then another patient at the appointment joyfully says that her “nose was bleeding again”:
- This is very good, doctor? This means that I am not at risk of a stroke, right? All unnecessary blood has flowed out!
But scientists have a different opinion. There is absolutely nothing “good” about nosebleeds, especially in people suffering from hypertension with frequent surges in blood pressure.
The fact is that with arterial hypertension, in addition to a simple mechanical rupture of blood vessels (much like cracks and tears form in an old watering hose when pinched), the properties of the blood change in patients, microcirculation disorders and damage to the inner wall of blood vessels develop. As a result, blood clots form in the nasal mucosa. Or - in another way - localized intravascular coagulation with necrosis of the vascular wall. It is because of this that patients experience persistent bleeding.
It must be remembered that the cause of bleeding in elderly people can be acquired platelet dysfunction (for example, after using aspirin, other non-steroidal anti-inflammatory drugs, clopidogrel, dipyridamole) and - especially! - in case of accidental overdose of these drugs. Carefully record what medications you were taking before the bleeding and tell your doctor about them.
There are also nosebleeds due to blood diseases, injuries, benign and malignant neoplasms of the nasal cavity. They are especially dangerous because they can quickly lead to significant blood loss or even hemorrhagic shock. That’s why it’s so important to see an otolaryngologist even if you only have a single episode of “a few drops of blood from the nose”! And an elderly family member must be sent to a therapist for tests and selection of the necessary medications.
How to help?
First of all, take a semi-sitting position. In this case, the wing of the nose is pressed against the septum with your hand for 5–20 minutes. To enhance the effect, you can put a cold compress or ice on the affected side of the nose. Tilt of the head forward will prevent blood from flowing into the throat and, as a result, nausea and airway obstruction. If all of the above does not help, then a small cotton or gauze swab soaked in a solution of 3% hydrogen peroxide can be placed in the anterior sections of the nasal cavity.
Sometimes drugs are used that cause a narrowing of the blood vessels in the nasal mucosa. Such products are called nasal decongestants (literal translation - “eliminating hyperemia and congestion in the nose”, from the English congestion - blockage, stagnation, hyperemia). These are well-known nasal drops that relieve nasal congestion (oxymetazoline, xylometazoline, etc.). Which of them is best to use for recurrent nosebleeds is best for you - your doctor will tell you.
It is imperative to measure blood pressure and pulse every 10–15 minutes. If this procedure does not stop the bleeding within an hour or the bleeding is very severe (500–700 ml leaked), then the patient must be taken to a medical institution where techniques have been developed to help such patients.
How to treat nosebleeds?
Previously, for persistent nosebleeds, it was recommended to inject sclerosing substances under the bleeding mucous membrane or “cauterize” the vessels (cauterize the bleeding area of the mucous membrane with silver nitrate). Their undesirable effect is the ability to cause dry tissue necrosis, dry nose and the accumulation of crusts, which provoke recurrent bleeding. These methods are not currently recommended.
Treatment of bleeding currently includes correction of local intravascular coagulation. Quite a few medications are used for this, so the decision on whether to take them should be left to the attending physician. For your part, you can take care of increasing the air humidity in your home using humidifiers, and also pay attention to identifying and treating possible allergic diseases.
Valentina Saratovskaya
Photo istockphoto.com
Products by topic: (Sialor rhino), [product strict=”Nazivin”](Nazivin), (Nazol), (Noxprey), [product strict=”Afrin”](Afrin), (Vicks active sinex), (Nesopin) , [product strict=”Xylometazoline”](Xylometazoline), [product strict=”Xymelin”](Xymelin), [product strict=”Septanasal”](Septanasal), [product strict=”Otrivin”](Otrivin), [ product strict=”Rinomaris”](Rinomaris), [product strict=”Evkazolin”](Evkazolin), [product strict=”Galazolin”](Galazolin), [product strict=”Rinostop”](Rinostop), (Rinorus) , (Sanorin), [product strict=”Xilen”](Xilen), (Snoop), [product strict=”Nazik”](Nazik), (Rinonorm), (Asterisk)
How does the procedure work?
Before the operation, the patient undergoes a full examination and receives recommendations from the attending physician for preparation and subsequent rehabilitation. The procedure itself does not take much time and is performed on an outpatient or inpatient basis, using local or general anesthesia.
To carry out radio wave coagulation, special electrodes are used, which are applied inside the enlarged nasal turbinates. When using a laser, a thin beam acts as an electrode. It is generated by a laser installation of a certain power.
Under the influence of laser radiation or radio waves, the tissues of the pathological mucosa heat up and evaporate. At the same time, blood vessels are coagulated, the affected area is disinfected, and pathogenic bacteria and viruses are destroyed. Effective, gentle techniques eliminate the risk of infection.
After removing blood vessels on the face with laser
The condition of the skin after laser treatment depends on many factors. Typically, there will be redness and slight swelling, especially if a large area is treated. When touching the skin, discomfort is possible, which lasts from several hours to 1-2 days. The sensations after a cosmetologist’s work are similar to those that occur after excessively long exposure to the sun. Therefore, you should not plan any activities for the period after the procedure. During this period, it is important to rest and recover.
To relieve discomfort, you can apply a cold compress to the treated area. However, you cannot use ice in this case. In addition, during the recovery period, it is advisable to sleep with your head on an elevation so as not to increase tissue swelling.
After a week, the skin may darken and bluish-purple spots may appear. This is a normal recovery process, so don't be alarmed. You just need to be prepared for the fact that during the recovery period you will have to stay at home, avoiding social events. The use of makeup is also undesirable.
Skin care during the recovery period. Until the skin is completely restored, special care will be required. The doctor will select the specific drug. As a rule, a vaseline-based emollient ointment, such as Aquaphor, is prescribed. It is also necessary to use moisturizers and sunscreens. To avoid complications, it is not recommended to go out in the sun without UV protection for at least a month. It is advisable to select clothing that will protect the treated area from radiation.
Medical contraindications
Although laser systems are considered one of the most effective options for solving the problem of eliminating rosacea, it is not suitable for everyone. If during the preliminary preparation phase the victim was diagnosed with specific chronic diseases, then you will have to look for an alternative way. We are talking not only about the fragility of blood vessels, but also about abnormalities of connective tissues.
Inflammatory diseases and accompanying processes of any location and origin are of particular danger. These can be both acute infectious lesions and dermatological diseases with a focus in any part of the body. Until the patient cures the main ailments, he will not be allowed to use laser help.
Pregnancy and the lactation period are added to the relative prohibitions. Here you just have to wait for more favorable circumstances. But oncological neoplasms of a benign or malignant type are more serious contraindications, since they require long-term therapy.
It will be impossible to carry out the plan correctly if a person at least two weeks before the appointment exposed his own skin to chemical or thermal active effects. We are talking about peeling, tanning or visiting a solarium.
Best materials of the month
- Coronaviruses: SARS-CoV-2 (COVID-19)
- Antibiotics for the prevention and treatment of COVID-19: how effective are they?
- The most common "office" diseases
- Does vodka kill coronavirus?
- How to stay alive on our roads?
Care will have to be taken to exclude from therapy medications that increase sensitivity to light. But before removing them from your treatment regimen, you should first consult with the doctor who prescribed them. It is likely that it will be more effective to wait until the end of the main course of treatment and then go to an aesthetic medicine center.
How else to remove capillaries on the nose
Medications
They are usually prescribed in addition to hardware therapy.
Askorutin
Vitamin preparation. Reduces the permeability and fragility of capillaries, helps to strengthen the walls of blood vessels. Has antioxidant properties. Increases local immunity.
Gingko biloba
The drug contains a large number of macro- and microelements, as well as components that have a relaxing effect on the walls of blood vessels. Other effects provided by the drug include: general tonic, improves blood flow, prevents blood clots, and antioxidant.
Alpha-linoleic acid
Help restore skin protective barriers, replenish the lack of fatty acids, enhance skin regeneration, provide improved cell nutrition, and have anti-inflammatory properties.
Pinogen
Cleanses blood vessels, acts as an antioxidant, removes metabolic products.
Ointments and creams
Special ointments with algae extracts, calendula and chamomile, badyaga.
Traditional medicine in the fight against dilated capillaries
- Masks made from raw chopped parsley with sour cream,
- Decoction of chamomile, calendula, plantain,
- Raw potato compress,
- Masks of fresh berries with starch and egg yolk.
Stage-by-stage development of the disease
In order for the effect to be most productive, during the first appointment, the dermatologist must first determine at what stage of development the disease is.
Schematically, the entire course of the pathology can be divided into several steps:
- Elementary. The phase is characterized by pronounced irritation of the affected area, which is accompanied by characteristic itching. The patient will also experience redness and burning. They appear as a result of the influence of cold, mechanical damage or hot water on the problem area.
- Middle. Here, the dilation of small vessels simultaneously leads to a loss of vascular elasticity.
- Adding to the second level symptoms is also redness. The faster and stronger the anomaly progresses, the brighter the redness will be.
- Penultimate. Already here the same spider veins appear in a person.
- Final. The state of vasodilation is fixed, since they have been in it long enough to secure a lasting effect. The stage is called telangiectasia.
The intervals between stages for all victims are of different times, which depends on the heredity and individual characteristics of each organism.
What are the dangers of protruding vessels on the nose?
Content:
- What are the dangers of protruding vessels on the nose?
- Stage-by-stage development of the disease
- Sources of damage
- Advantages of the laser approach
- Medical contraindications
- Removal and postoperative period
In most clinical situations, victims of localized rosacea are those with light, thin, especially sensitive skin. Moreover, even after such a deviation occurs, they continue to believe that this is only an aesthetic problem.
Doctors recommend that before you go to remove the lesion with a laser device, be sure to find the source of the disease. Only after working on its neutralization will it be possible to record a successful external result for a long time. Otherwise, the percentage probability of subsequent relapses will be too high, making all the efforts of the victim completely in vain.
Some people try to remove unsightly areas using tinting agents. But such amateur activities will not lead to anything good. The deficiency must be cured from the inside, and then gradually get rid of external negative symptoms.
It is worth remembering that if the area of inflammation has a large area, this increases the risk of affecting the stable functioning of deep vessels. In the future, this will negatively affect the functioning of the blood circulation in general, and not just the affected area.
Due to the fact that the skin will no longer receive sufficient oxygen and will not be able to take in nutrients, it will begin to age an order of magnitude faster. A person faces wrinkles even at an early age, and he is also plagued by an unhealthy complexion that does not add aesthetics.
To avoid the most unfortunate turn of events, experts recommend using laser treatment for rosacea on the nose. Today, this method is called practically the only option that allows you to radically and quickly solve the problem that has arisen.
What adds to its popularity is the fact that the device successfully copes with both small isolated expressions of the disease and extensive lesions. The device will cope even in situations where several lesions have merged together due to a long-term ignoring of the problem on the face.
