This is an automatically translated article.
The article was professionally consulted by Specialist Doctor Ear, Nose Throat Doctor - Department of Medical Examination and Internal Medicine - Vinmec Ha Long International Hospital
Proetz sinus lavage is a fairly common method of sinus lavage. The Proetz procedure helps to remove pus from the sinuses with negative pressure, causing no pain or bleeding during the procedure, suitable for mild cases of sinus disease.
1. What is the Proetz Sinus Cleaning Procedure?
Proetz sinus rinse, also known as the substitution method. Proetz helps in the treatment of posterior sinus disease (ethnic sinus and sphenoid sinus), by administering a solution into the anterior and posterior ethmoid sinus tracts by means of an air vent between the nasal cavity and the sinuses, through an aspirator to relieve pressure on the patient's sinus area.
The drugs used to enter the nasal sinuses by proetz method are Hydrocortisone (0.5ml) + Gentamycin (1 vial) or Chloramphenicol (0.4%) + physiological saline (1ml). Compared with other methods of rinsing the sinuses, Proetz has a superior therapeutic effect.
Conventional methods need to poke into the sinus wall to introduce drugs, then washing the sinuses with the Proetz method brings the drug directly into the sinuses without needing to conduct a puncture. However, this method can only be performed when the sinus mucosa is not overgrown and when there are no polyps in the nose.
2. Proetz method implementation process
Procedure for performing the Proetz method is as follows:
Place vasoconstrictors on both sides of the nasal cavity to clear the nasal passages. The patient lies in a flat position with the maximum supine position. Next, seal one side of the nose. Ask the patient to call "Presentation ..." repeatedly so that the jaw sail covers the way down the throat or the tongue closes the back of the nose, making it easier to suck all the air out. The other side of the nose will be inserted into a suction tube fitted with an ambu that fits snugly into the nasal cavity, injects isotonic saline solution and conducts nasal aspiration to collect rinsing solution and secretions. Next, the doctor will slowly drip about 10-20 drops of the drug into the inside of the nose and do the same. Do the same movement for the nose that is being sealed, each nostril is washed and aspirated about 4 times is enough. Wash once a day and wash continuously for about 2 weeks. Finally, the patient must remain in this position for 10-15 minutes so that the medicine does not run down the throat or spill out of the nose. Washing the sinuses with the Proetz method helps to reduce the symptoms of sinus disease 6 to 8 times faster. At the same time, the inflammation and purulent fluid are also quickly pushed out, the drug inserted also helps to clear the sinuses and feel more comfortable.
3. Advantages and disadvantages of sinus lavage using the Proetz method
3.1 Advantages of sinus washing by Proetz method
This method is effective after 6-8 times. Kill the parasites, prevent inflammation, reduce pus in the sinuses. Helps the hairs move in the cells of the nose more easily, restores normal physiological function. Proetz method does not hurt the nasal mucosa, does not need to use medical tools such as pliers, scissors... No pain or much bleeding when performed. Limit unwanted complications. Suitable for mild sinusitis.
3.2. Disadvantages of washing the sinuses with the Proetz method
Patients with high blood pressure, mucosal edema should not be performed because of easy bleeding. Performing proetz continuously will make the nose more discharge and more uncomfortable. People with sinusitis with increased symptoms need to use drugs for a long time to improve. Only applied in cases of necessity and prescribed by a doctor. There is no definitive treatment for patients with severe sinusitis. You can't do it yourself, you need a trained ENT doctor or nurse. Contraindicated when sinusitis is complicated (symptoms of headache, blurred vision, swelling around the eye socket). Sinus rinsing with Proetz method is applied to cure sinusitis, but in some severe cases it will not bring about a radical effect. Therefore, this procedure should not be abused, but should be performed under the direction of a doctor. In addition, patients need to pay attention to hygiene of the nose area, build themselves a reasonable diet and rest so that the disease can quickly improve.
Vinmec International General Hospital is a general hospital specializing in examination and treatment of common ENT diseases such as sinusitis, rhinitis, allergic rhinitis, chronic rhinitis, tonsillitis, sore throat. , tinnitus, non-allergic rhinitis, throat cancer; tumors of the head, face and neck, congenital malformations of the ear, nose and throat area by common surgical methods. With a system of modern facilities, a team of highly qualified and experienced doctors will bring optimal treatment results to customers.
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