ТОО «Медицинский центр Жезказган»

Examination of ENT organs

The anemisation of nasal mucosa

What is it? 

The anemisation, or the artificial creation of the state of anemia in the mucous gland of the nasal cavity – a procedure involving the application of the required anatomical region of vasoconstrictor drugs, resulting in local spasm of the blood vessels. 

How is that done? 

This medical procedure is performed like the ENT harvester and a cotton tip soaked in vasoconstrictor drug. 

Contact ENT patient about possible allergies to used medication in the case of possible allergies need to suggest another drug which does not cause allergies.

why is it performed? 

The procedure helps to relieve swelling of the mucous membranes in case of inflammation. This is because of the anemic vessels liquid propotevaet in tissue in smaller quantities than when they are blood-filled, which is a defensive reaction of the organism to infection (since the more blood, the more cells that can fight germs, enters the hearth). 

The anemisation of nasal mucosa occurs through aerosol spraying, greasing, or application of local vasoconstrictor.

Most often for this purpose use a solution of Epinephrine (0.1 %) and Ephedrine (3.0 per cent). The duration of exposure, generally not less than 1-2 minutes, which is necessary to achieve adequate therapeutic effect. 

If you need to carry out so-called high-anemisation, or in other words, to Deplete the deep regions of the nose, with a probe (tube) is introduced turundas soaked in a drug solution.


What is it? 

Auripuncture therapeutic or diagnostic operation to remove accumulated in the tympanic cavity fluid. 

How is that done? 

The operation is performed under local anesthesia. The audiologist chooses the place of the puncture, whereupon the puncture area. For evacuation of fluid from the tympanic cavity used the suction. In the presence of thick fluid passage is expanded to improve the outflow. With a puncture needle can not only take the liquid to study, but also to introduce therapeutic drugs. Bacteriaemia based on the material of tympanophonia is the most reliable. Indications: the ineffectiveness of antibiotic therapy for otitis media. Suppurative complications of otitis media. Pain. The need to identify the causative agent of the disease in children. The development of conductive hearing loss in the postoperative period.

As to the procedure to prepare?

Manipulation does not require any special training, takes a few seconds and is performed by the ENT physician during otoscopy after preliminary anesthesia of the tympanic membrane. After a puncture in the ear canal insert sterile swab, which change in the process of absorption of secretions. 

Vacuum drainage

What is it? 

Vacuum drainage of paranasal sinuses or nasal lavage method of transferring fluid Zonderman and Proets, or vacuum drainage of the nasal cavity, paranasal sinuses and nasopharynx, or "cuckoo" is washing the nasal cavity, nasopharynx and paranasal sinuses with a drug solution with simultaneous purification of the intranasal structures of mucus and pus, the destruction of bacterial microflora, the "drying" of the mucosa to reduce the production of secretions. Vacuum drainage is a highly effective method for the treatment of various rhinitis and sinusitis without puncture of the sinus.

Manipulation does not require any special training, takes a few seconds and is performed by the ENT physician during otoscopy after preliminary anesthesia of the tympanic membrane. After a puncture in the ear canal insert sterile swab, which change in the process of absorption of secretions. 

How is that done? 

Manipulation is conducted in a medical facility. The duration usually does not exceed 10-15 minutes. The state ill is improving already after the first procedure. The course is designed for holding five to seven treatments. The technique of the Vacuum drainage of the paranasal sinuses performed by an experienced doctor in the following sequence: a man laid on the couch on his back, taking a comfortable position, which may still lie within fifteen minutes, you must head to tilt back, but not more than a 45 degree angle during the entire procedure should be nice and straight, do not turn your head, don't move, breathe evenly and rhythmically, keep calm and not panic during the entire procedure you need to constantly pronounce the sounds "ku-ku-ku-ku", so that the liquid does not get into the respiratory tract, in one nostril flows with warm medicinal solution with antiseptic, antibacterial or vasoconstrictor drug, and from the other nostril the liquid is simultaneously sucked by the vacuum suction apparatus, after the procedure you can't go outside for half an hour in the warm season or two hours in the cold season, during the entire course of treatment can not be supercooled.

Why is it performed? 

Indications: sinusitis in the form of light, runny nose of any nature, rhinitis allergic, nasal polyps, infections of the nasal passages, tonsillitis, adenoids.
Contraindications: frequent nosebleeds, epilepsy, mental diseases, under five years of age (due to the specific structure of the nose).

As to the procedure to prepare? 

To prepare for vacuum drainage of the paranasal sinuses is required immediately before the procedure: clear the nose of mucus (blow your nose), put some drops in both nasal stroke vasoconstrictor drops. 

Risks and complications 

Complications can be bleeding from the nose, accidental injury of the nasal mucosa tools, headache, low intensity, stuffy ears, sneezing for the next hour after the procedure, burning sensation in the nose, redness of eyes, nausea and vomiting, worsening of the inflammatory process in paranasales sinuses, stageit (inflammation of the Eustachian tube), otitis media (ear infection).

Biopsy of ENT organs

When you need to? 

A biopsy is needed when suspected malignant processes in the nasopharynx, larynx and middle ear. And for diagnosis of diseases of ENT organs (polypous rhinosinusitis, papilloma, adenoids, etc.).

How is it done?

The procedure is performed under local anesthesia using a special instrument, and sometimes with the use of an endoscope. 

How to prepare? 

Specialist of our clinic will help to prepare for the procedure, checks for the presence of contraindications, and make further recommendations. 


What is it?

Pneumomassage — air massage, used in medicine to restore the mobility of the tympanic membrane and ossicular chain. Pneumomassage is used in the dry catarrh of the tympanic cavity, the effects of acute inflammation it (adhesive process), catarrh of the auditory (Eustachian) tube. For pneumomassage you can use a funnel Sigle and balloon Catheterization. Pneumomassage can be done without instruments by using a finger pressed firmly against the tragus. With the hand thus produces 150— 200 vibratory movements in 1 min.

Why pneumomassage carried out: 

Pneumomassage is used to prevent the formation of adhesions after suffering otitis media, the treatment of chronic catarrhal otitis and chronic adhesive otitis. At last there are frequent adhesions between the eardrum and the inner wall of the tympanic cavity. Pneumomassage carried out in a timely manner promotes the resorption and elongation of the adhesions and scarring in the tympanic cavity, improves the mobility of the ossicular chain. Pneumomassage is also widely used for the same purpose after hearing improving operations. 

Removal of cerumen

The main function of earwax is protection of the ear canal. Earwax prevents dust or other small particles on the eardrum. But despite its protective function, the excess sulfur must be periodically removed since they contribute to the formation of cerumen. Cerumen impaction affects hearing and can sometimes cause headaches.

How is that done? 

The basis for removal of cerumen is the principle of washing, when the pulsating water jet is directed into the ear canal via the back wall. The result is cerumen out of the auditory canal together with the water flowing from the ear. There are cases where this procedure is not effective to eliminate congestion in the ears. Therefore, the second option may be burying warmed to 37 degrees drops sodium bicarbonate for 2-3 hours depending on the size of the cerumen. Then repeat the procedure of flushing the ear with water. As independent measures for the prevention of cerumen, use a damp cotton swab, heating pad, or special drops solvent-based. A cotton swab to clean only the outer ear. However, he must not be much wet, excessive moisture can cause pain or irritation to the ear.

!!! Remember: mechanical pull, to pick out, carve out, dry sulfuric stopper can not be! because it is securely attached to the walls of the auricle and possibly to the eardrum and the mechanical stretching can damage the eardrum. Be especially careful if formed sulfuric tube in children. Mechanical extraction of cerumen special forceps can only be done by an otolaryngologist

Endolaryngeal infusion

What is it? 

Endolaryngeal infusion is effective physiotherapeutic methods of treatment of chronic laryngitis. 

Why is it done? 

It is carried out with the aim of providing anti-inflammatory, immunostimulating, antiviral, decongestant and anti-Allergy effect on the mucous membrane of the larynx.

How is that done?

Manipulation is performed with a special syringe for endolaryngeal injections. Solution for infusion and the number of treatments prescribed by your doctor. Injections are an outpatient, they are absolutely painless and allow immediately after the procedure to return to normal life.
In our medical center you can get detailed advice on the issue of the treatment of laryngitis, in which the doctor will prescribe you the procedure.


What is it?

Tympanometry is a type of medical examination of the functions of the middle ear, allowing to estimate the conductivity of the ossicles and the degree of mobility of the eardrum. The obtained results are considered in conjunction with the audiogram obtained during hearing screening.

Why is tympanometry performed:

Survey data are used together to identify a number of types of hearing impairment (injury, conduction disorder) and other diseases (tumors), to make an accurate diagnosis and prescribe the appropriate treatment.

How is that done?

The survey in the ear of the patient is the probe that may cause a little discomfort. During the measurement, the sound may seem too loud, which is normal, since the method aims to measure the reaction of the eardrum to pressure differences. The procedure is absolutely safe. In the walls of our medical center a study of middle ear function is carried out by experienced personnel with modern equipment.

Massage  eardrums

Why is it carried out?

Massage the ear drum is carried out with a prophylactic purpose to eliminate congestion in the middle ear cavity. With the purpose of treatment this procedure is performed in inflammatory diseases — otitis media and Eustachian — for resolution of inflammation. And during the recovery period, in the presence of cicatricial adhesions or fluid in the tympanic cavity.

How is that done?

During the procedure, the massage of the ear drum of the ear is tightly closed palms to the air coming out of them and then gently tap on the auricle approximately 10-15 times. Air, which at this point was in a confined space of the ear canal massaging the eardrum.

Massage the ear drum should not cause pain, when it occurs, the intensity of the pressing need to reduce. For therapeutic purposes the massage is carried out one to three times a day. It is recommended to combine massage with inflation of the auditory tube.

The autopsy hematomas, abscesses, cysts of ENT organs

What is it?

Hematoma — a limited accumulation of blood under the skin or under the mucous membrane, resulting from bleeding. Abscess — purulent inflammation of tissue with the formation of the cavity. Cyst — pathological cavity in bodies having a wall and contents. In most cases, hematomas can resolve on their own, but in the case of large hematoma usually requires an autopsy. Abscesses and cysts require dissection and removal in any case.

How is that done?

These operations are carried out in a hospital or clinic. Depending on the location of the hematoma, cyst or abscess, the operation can be carried out with the help of puncture or drainage. In the case of remote education or larger sizes may need surgery to remove it.

In our medical center, the otolaryngologist will undertake a detailed examination and after diagnosis, taking into account all indications and contraindications will remove hematoma, abscess or cysts of ENT-organs.

The study of hearing

Procedure hearing screening, often do not attach much importance, however, hearing loss is a problem that significantly restricts the person's actions.

With reduced hearing find it difficult to converse, to visit cultural events, watch TV or even walk down the street. In this timely and regular hearing test can help to find the problem and fix it before there will be a complete hearing loss.

Hearing test should be carried out every year, as well as all other surveys, through clinical examination. For testing hearing long ago developed effective tests to help identify problems at the earliest stages.

Our medical center provides diagnostic hearing conducted by experienced specialists using the most modern equipment. The survey duration is 30-40 minutes. All data is plotted on the audiogram and stored in the computer. Upon repeated examination (e.g., a year) your doctor will be able to compare notes and see the positive or negative trend that will allow him to make a diagnosis or correct treatment.

Paracentesis of the tympanic membrane

What is it?

Paracentesis (or tympanotomy) is a medical procedure, meaning the incision of the eardrum, which is performed in inflammatory diseases of the middle ear for releasing the tympanic cavity from the fluid. The indications for the procedure is failure of conservative treatment for otitis media.

Why is it performed?

This procedure is carried out according to indications and not dangerous for hearing function. On the contrary — it reduces the risk of changes that may cause hearing loss with otitis media.

As to the procedure to prepare?

Paracentesis performed without anesthesia under the supervision of otoscopy. After puncture of the tympanic membrane in the ear canal into a sterile swab, which several times changed. After all the inflammatory exudate leaves the tympanic cavity, the cut edges are fused. After the procedure, depending on the indications, patients are prescribed medication and physiotherapy

Lavage of lacunas of the tonsils drugs

Why is it performed?

Lavage of lacunas of the tonsils is carried out with the purpose of cleaning the surface of the tonsils from pathological plaque, which breed bacteria. The technique of washing can be any — the result is equally effective. Treatment is preventive, palliative.

Indications for carrying out washing are frequent sore throats or tonsillitis. For a lasting effect requires at least five treatments, which initially carried out daily, then every other day. Treatments can be ineffective if amygdala is located too deep (physiological characteristic). How is it performed?

Usually, the lavage is carried out using a syringe with a special nozzle. Washing is carried out with the aid of various solutions, selection of which is made by the doctor. It can be physiological solutions, drug solutions with antibiotics or fluids containing natural healing agents such as propolis. The effectiveness of treatments is improved while maintaining the lubrication of the lacunae of tonsils medications.

Removal of foreign body

The ingress of foreign bodies into the respiratory tract can occur for many different reasons. Small children often put small objects in the nose or ear. The inhalation of foreign objects contributes to the defects of the teeth, fast food or intoxication.

Among the foreign bodies are beads, coins, seeds, pins and buttons, as well as small insects such as flies, cockroaches or bedbugs.

Foreign body in the ear often causes pain and a foreign body in the nose is a danger to life, as it can be inhaled into the lung and suffocate.

Method of extraction of a foreign body in their throat or an ear depend on what the foreign body has entered the body and that is exactly where it is located. Self-removal of foreign body is dangerous as you can push it deeper into the nasal passages.

Despite the fact that the removal of foreign bodies from the ear or nose is not too much difficulty, to manipulate it needs a professional. If you have a suspected foreign body in the ear or nose, you should go to a medical facility, emergency room, ambulance or in our clinic.

Endoscopic examination of the nasal cavity, nasopharynx

What is it?

Endoscopy is the most modern, painless, noninvasive medical examination of any bodies. In otolaryngology, endoscopic examinations of the nasal cavity allow doctors to effectively diagnose virtually all known diseases. Endoscopic examination of the cavity of the nasopharynx it is possible to record inspection that gives you the opportunity to capture the changes that occurred after treatment.

How is that done?

Endoscopic investigations are conducted with the aid of the rhinoscope, which is a fairly rigid tube with an optical system which provides the physician not only to inspect the nasal cavity and pharynx, but also display images on a monitor for more detailed study. Procedure endoscopy of the nasopharynx is virtually painless and can be performed as in children and adults. 

Puncture of the sinuses

Puncture of the sinuses is used in otolaryngology as diagnostic and therapeutic procedures. The results of the diagnostics with the help of puncture help to better establish the causes of the disease, a puncture is carried out with the purpose of treatment, can effectively influence the inflammation of the paranasal sinuses in sinusitis and sinusitis.

The procedure is an effective, widely used, and has virtually no contraindications. The puncture of paranasal sinuses can be performed as early as 10-12 months of age. To puncture in children use needle for spinal fluid, and adults — needle Kulikovskii. 

The puncture is carried out under local anesthesia, to make sure that she was not only the place of puncture, but also the mucous membranes of the nasal passages. After a puncture perform the aspiration (for diagnosis) or therapeutic lavage of the cavity of the sinuses with a drug solution for complete removal of the content.

Currently, the hole made by the puncture, the introduction of the tube for the organization of permanent drainage of the sinus contents. such a preventive measure to prevent the recurrence of inflammation, and in the case of disease — quickly organize repeated washing of the cavity.

In our clinic, puncture of the sinuses conducted by qualified otolaryngologists.

17 июня 2017
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