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Flushing the paranasal sinuses. Technique

A diagnosis like sinusitis will not make anyone happy. Parents whose children have been diagnosed with this disease are especially worried. It is worth saying that sinusitis is not the most serious disorder of the body. Therefore, after making an accurate diagnosis, you should move on to measures for its treatment.

Sinusitis

The essence of sinusitis is that the maxillary sinuses are filled with purulent fluid. The danger is that if timely treatment is not provided, the disease may become chronic and the person will suffer from this disease throughout his life. Previously, it was customary to pierce the sinuses and wash them with special drugs that remove inflammation. The negative aspects of this treatment method are that puncture is a very painful procedure. Also, the rehabilitation process is quite long. But medicine does not stand still, and a new method of treating sinusitis was invented using the YAMIK method. The advantage of this method is that the procedure is painless and highly effective.

It is worth saying that treatment with YAMIK is impossible in advanced forms of the disease.

The essence of the procedure

The essence of the treatment is that a YAMIK catheter is inserted into the nasal sinuses. Through it, the fluid that forms during sinusitis is sucked out, and the nose is washed with special anti-inflammatory solutions. Since the YAMIK catheter is made of soft latex, it does not cause any harm to the body.

The main difficulty in the treatment of sinusitis was that the nasal sinuses were filled, and the administration of anti-inflammatory drugs was difficult. And with treatment, it became possible to remove the accumulated fluid without punctures.

Due to the fact that the YAMIK catheter makes it possible to suck out all the accumulated fluid from the nasal sinuses, the effectiveness of treatment increases several times. The removal of these secretions significantly alleviates the person’s condition, headaches go away, clear breathing appears, and he recovers.

Indications for use

It should be said that the YAMIK catheter cannot be used in the treatment of advanced forms of sinusitis. Also, if the procedure is performed on children, it is necessary to prepare them psychologically, namely, tell them in advance how the catheter works and how the treatment will proceed.

What does the YAMIK sinus catheter treat?

  1. Sinusitis.
  2. Rhinitis.
  3. Tonsillitis.
  4. Nasal polyp.
  5. Adenoiditis.
  6. Infectious diseases.
  7. Sinusitis.

Contraindications

This method also has a list of contraindications. These include vasculitis, polyposis, crooked nasal septum, any bleeding, epilepsy and old age.

How is a catheter constructed?

The YAMIK catheter is designed to remove fluid from the nasal sinuses and administer medications. The principle of its operation is simple.

The catheter is made of soft latex. It consists of a main body and three channels. Two channels are the same diameter, and the third is larger. Also, the third channel has an entrance to which you can attach a syringe for administering medications. The catheter has several sizes for children and adults.

Preparatory stage of the procedure

Before starting treatment with a YAMIK catheter, you need to prepare.

  1. The patient is seated and the nasal passage is numbed.
  2. The catheter is being prepared. It is bent taking into account the physiology of the patient’s nose.
  3. YAMIK catheter is inserted into the nose. This procedure is carried out under the strict supervision of a doctor.
  4. Air is injected into the latex balloon through a syringe. This is done while the balloon is in the throat. The air ensures that the nasal space is blocked.

Stages of implementation

Now let's look at the stages of the treatment procedure using the YAMIK catheter:

  1. First, the patient is asked to tilt his head forward, then to the side. The side should be opposite to where the catheter is inserted. Then a syringe is attached to the latter. The doctor creates a pressure difference in the catheter, and fluid from the sinuses enters the syringe.
  2. After the sinuses are freed, the patient lies on his side and is given special medications that will stop the inflammatory process.
  3. To administer medications, the doctor also creates a pressure difference, after which the drugs enter the nasal sinuses.
  4. The final stage of the procedure is deflating the balloons and removing the catheter.

The course of treatment consists of 4 or 6 procedures. If the dynamics are positive, after each procedure the swelling in the nose should decrease.

Pros and cons of treatment

Treatment of sinusitis through punctures refers to surgical intervention. As you know, any operation contains certain risks associated with a threat to human life. When puncturing, there is a possibility that the orbit of the eye or the soft tissue of the cheek may be damaged. Also, during surgery, there is a possibility of introducing some kind of infection into the human body. In addition, the doctor cannot guarantee that one operation will be enough. It is possible that the procedure will need to be repeated several times.

Surgical treatment of sinusitis should be used only in extreme cases when there are no alternative options.

The YAMIK method is considered a safe method of treatment due to the fact that the catheter is made of soft material, it is not traumatic, and will not harm the nasal mucosa. In this way, purulent formations can be removed from both sinuses. It also becomes possible to introduce medications deep into the body, which ensures a faster recovery process, and all this thanks to YAMIK 3. The catheter allows the patient to be treated most effectively.

This treatment method is not suitable for all patients. Firstly, it is difficult to practice it with sick children. Since many of them psychologically cannot bear this procedure. Secondly, some patients get worse from injecting medications into unused sinuses. But these cases are exceptions.

YAMIK catheter. Reviews from experts

Most experts call this method of treating sinusitis the most effective. It is believed that if a person has sinusitis, treatment in this way will provide him with the fastest recovery. Therefore, it is not recommended to neglect it.

It is not recommended to insert the YAMIK 3 sinus catheter at home. It is better to do this in medical clinics, under the supervision of doctors.

The diagnosis of sinusitis is quite frightening. And at the moment when a specialist confirms it, it becomes clear that the pathology is quite serious and needs to be dealt with. Parents in most cases panic if this pathology is diagnosed in a child. There is no need to panic; it is extremely important to act as the specialist recommends and complete the full course of treatment.

Sinusitis is an inflammation of the maxillary paranasal sinuses. It is worth remembering that the disease itself, with a normal course and timely treatment, is not too dangerous. Most often, the pathology transitions into a chronic form, which in most cases manifests itself as a result of the lack of adequate therapy.

Previously, conservative therapy involved puncture of the sinuses followed by rinsing, but the disadvantage of such manipulation was pain and risk of injury. The recovery period after such a procedure is quite long. A real breakthrough in traditional medicine was a certain YAMIK method. It allows you to get rid of unpleasant pathology without a puncture. It should be remembered that the high effectiveness of the method has been proven with intervention in the early stages, but at the same time, there are certain contraindications to performing manipulations in advanced stages.

Principle of the method

The technique involves “pulling out” the purulent contents that have accumulated in the cavity due to the inflammatory process. A special device, a catheter, is made of a sufficiently plastic material in order to reduce the risk of trauma to the sinuses. This technique consists of rinsing the cavities using some antiseptic agents.

The main problem with sinusitis is blockage of purulent contents. During a bacterial inflammatory process, this exudate cannot come out. While the maxillary sinuses are filled with such contents, medications cannot be administered into them. The YAMIK catheter allows you to painlessly extract pus from cavities and then inject medications directly into the sinuses.

The main objective of such therapy is to destroy the pathogen. The method allows you to quickly and effectively kill bacteria and lead to a complete recovery of the patient. The symptoms of sinusitis disappear gradually, normal breathing is restored, and constant headaches disappear. In some cases, several procedures are required because it is important to remove all pathological contents.

Catheter device

The YAMIK catheter is a device whose main purpose is to pump out purulent exudate from the nasal sinuses. After this, this device allows you to introduce special disinfectant solutions and medications into the cavity.

The device looks quite primitive; it consists of a body and 3 channels, 2 of which inflate cylinders on the body. These tubules have special valves. The third channel, which has the largest diameter, enters the catheter body, and at its other end there is a specially designed hole for a syringe.

Latex is used to make the catheter. There are devices of various modifications with different tube diameters. This is done to ensure that the manipulation occurs as painlessly as possible for both adults and children of different ages.

A completely primitive device allows you to get rid of sinusitis without the use of surgical techniques.

This device was invented by a specialist in the field of otolaryngology from Russia; the innovative development became a real breakthrough in the field of medicine.

The method involves drawing out purulent contents from the affected sinuses without compromising its integrity at all. In this case, trauma to the mucous membranes is minimal; the risks are simply not comparable with possible complications after a puncture.

It is worth noting that before otolaryngologist Kozlov came up with such a device, the only possible method of removing purulent contents was a puncture. Not only children, but also adults were afraid of this rather unpleasant and painful procedure. However, the effectiveness of such a procedure remained low, there was always a risk of complications, and sometimes blood flowed.

Stages of the procedure

The procedure is divided into two stages - preparation for the manipulation and the procedure itself.

Preparation involves the following actions:

  1. The patient assumes a comfortable sitting position.
  2. The doctor injects a painkiller into one or both sinuses of the patient. In most cases, novocaine is used.
  3. After the medication begins to act, the doctor, taking into account the individual characteristics of the structure of the patient’s nasal cavities, inserts a catheter. This is a completely painless moment because the device is quite flexible.
  4. It is most convenient to insert the catheter at the bottom of the channel.
  5. Once the posterior balloon reaches the nasopharynx, it is inflated with air. At this point, the preparation phase is completed.

It should be borne in mind that with bilateral sinusitis, manipulations are performed alternately.

YAMIK procedure involves:

  1. After the catheter is inserted, its balloons are inflated, this ensures that the nasopharynx is blocked from air entry. It is worth remembering that at the time of the procedure, 1 balloon is located in the nasopharynx, and the second in the nostril itself.
  2. After this, the patient is asked to tilt his head at the required angle.
  3. Using the main port, liquefaction of the contents occurs in the sinuses, this is done using a syringe.
  4. Pull out the contents.
  5. After pumping out the mucus, an antiseptic is administered using another syringe.
  6. The patient is asked to tilt his head so that the drug can penetrate into the sinuses that have been cleared of mucous contents.
  7. The catheter is removed.

The duration of the YAMIK procedure is no more than 10 minutes. It should be borne in mind that when treating sinusitis, 1 session is naturally not enough. To completely get rid of the pathology, you will have to undergo from 3 to 8 similar procedures.

Manipulation for the treatment of sinusitis in children is performed in the same sequence. The only difference is that For babies, catheters with a small diameter are used and the small size of the cylinders. The greatest difficulty is that young children should be carefully prepared for this procedure; the baby must remain calm. Parents need to describe to the child in clear words what will happen, explain that it is absolutely painless, and that after the procedure he will feel much better.

It is impossible to carry out this procedure without the child’s moral preparation; any child will react negatively to the doctor’s attempts to insert a catheter into the nose. Parents should remember that 1 procedure is not enough to cure sinusitis; in most cases, 3-4 sessions are indicated. And if the child feels frightened during the first manipulation, it will be extremely difficult to repeat such an action.

Indications and contraindications

Described the technique leads to positive results in case its use was resorted to in the early stages of disease. Among the pathologies that are treated using this device are:

  • nasal polyps;
  • rhinitis;
  • sinusitis;
  • adenoiditis;
  • frontal sinusitis;
  • sinusitis;
  • ethmoiditis.

It is worth remembering that in some cases the YAMIK method can have a negative effect. Among a number of contraindications, there are vascular pathologies with a tendency to open bleeding, polyposis of the nasal cavities, deviated nasal septums, epilepsy, old age, and nosebleeds. This device is used with extreme caution to treat sinusitis in children.

If the procedure is performed correctly, the risk of complications is reduced to zero. In some cases, bleeding is possible, which can be caused by injuries to the mucous membranes. It is extremely rare that such a procedure can cause the development of an inflammatory process in the middle ear. In most cases, this method is highlighted as a particularly effective non-surgical method for getting rid of sinus inflammation.

Benefits of the procedure

Among a number of the main advantages of the YAMIK method, one can highlight its painlessness. There is no puncture during this manipulation, and therefore there is no rehabilitation period. After the session, the patient can lead a normal lifestyle. The therapeutic effect of this procedure is pronounced; it affects all nasal sinuses at the same time.

This technique is used not only to get rid of the symptoms of sinusitis, but also to treat frontal sinusitis, polysinusitis, and ethmoiditis. Due to the fact that the described method is painless and safe, it is used to treat women during pregnancy and young children. During the use of this method, there were no complaints about the procedure; the risks and manifestations of undesirable effects were minimized, and this is another important plus against the backdrop of high efficiency.

Medicines are administered until the sinuses are filled, and the administered solutions are recorded. The mucous membranes are not damaged during the procedure, so the patient does not complain of pain during the procedure and after its completion. In most cases, 2-3 sessions are enough to get rid of sinusitis. It is important to remember that if all the contents from the cavities were not removed on the first day, you need to repeat the manipulation a day later.

Treatment of sinusitis without puncture with YAMIK catheterization serves as an alternative to puncture and is performed painlessly.

The development of this non-puncture method can be called the most important breakthrough in otorhinolaryngology, which made it possible to save thousands of patients from a serious illness.

The method of using the YAMIK sinus catheter for sinusitis is simple, but very effective: by using a device of a special design, accumulated secretions are first pumped out of the paranasal sinuses, and then medications are injected into them.

The device, made using soft latex, has three channels:

  • using two channels, the cylinders placed on the body are inflated
  • another channel, of a larger diameter, connects the catheter body with the syringe thanks to the existing adapter.

Structure of the YAMIK sinus catheter device

The sinus catheter consists of:

  1. Frame— inside it there is a flexible metal rod that allows you to change the shape of the sinus catheter individually.
  2. The body contains rear balloon to block the nasopharynx
  3. To bring it into working condition it is used rear balloon inflation valve
  4. Movable cuff allows you to select the required distance between the cylinders
  5. Built into the cuff front balloon designed to block the nasal vestibule
  6. Inflation valve puts into action front balloon
  7. Working channel through which pus is pumped out from the maxillary sinus into a syringe
  8. The channel has internal hole — through it, exudate is extracted, and the drug is also administered.
  9. External hole working channel is equipped with an adapter for connecting a syringe

Manufacturer: sinus catheter YAMIK. Device design features

The history of the creation of the YAMIK catheter began almost 40 years ago in our country. Famous scientist G.I. Markov, who developed the YAMIK device for creating controlled pressure in the nasal cavity, suggested to his colleague V.S. Kozlov to test the latest technique in clinical practice for the treatment of sinusitis and other diseases of the paranasal sinuses.

Sinus catheter YAMIK-1

The result of a long journey of trial and error was 30 modifications of the equipment, but only five of them passed the strict testing of the inventors themselves, who realized how verified and accurate every detail of the device must be.

Sinus catheter YAMIK-2

Today, all five variants of the YAMIK sinus catheter (the abbreviation is made up of the first letters of the phrase “Yaroslavsky Markov and Kozlov”) are successfully used in medicine.

We are also particularly proud that this method of treating sinusitis using a catheter has begun to win its supporters in Japan and Europe. A recently obtained certificate allows the use of the YAMIK catheter as an alternative method of therapy in the countries of the European Community.

  • Modifications of the YAMIK catheter device numbered 1, 2 and 3 have an almost identical scheme of application, but at the same time YAMIK-2 is used in medical institutions somewhat more widely, since it was mass-produced and was designed for the treatment of sinusitis in different age groups of patients (preschool children, primary school children age, adolescents under 14 years of age and adults).

Sinus catheter YAMIK-3

  • The fourth model of the YAMIK-4 catheter has additional treatment capabilities, can be used with and allows you to establish the internal state of the cavities.

Sinus catheter YAMIK-4

  • YAMIK-5 is an improved version of sinus catheter No. 2 and is complemented by another channel, with the help of which irrigation of the nasal sinuses occurs simultaneously with the removal of excess accumulated fluid.

Sinus catheter YAMIK-5

Indications and contraindications for the use of the YAMIK sinus catheter procedure

Using the unique YAMIK catheter when working with a patient allows the otolaryngologist to remove the pathological contents of the paranasal sinuses and administer medications into the sinuses. The main advantage of this treatment option for sinusitis is painlessness.

Due to the above, the YAMIK sinus catheter is applicable to patients falling into the following categories:

  1. pregnant women;
  2. children over five years old (with caution and an initial preparatory conversation);
  3. patients with a low pain threshold.

The scope of use of the YAMIK catheter is limited to:

  • unadvanced ENT diseases (acute and chronic sinusitis, as well as ethmoiditis and sinusitis, sinusitis, adenoids, tonsillitis and diseases of the nasal passages of infectious etiology);
  • preoperative preparation of patients.

A contraindication to treating sinusitis without a puncture with YAMIK catheterization is old age.

Senile age

This method of treating sinusitis cannot be used in children under five years of age and patients with a deviated nasal septum.

Deviated nasal septum

  • extensive polyposis of the sinuses and nasal passages;
  • epilepsy;
  • nosebleeds;
  • hemorrhagic vasculitis.

Photo gallery:

How is the procedure performed?

Before you begin to treat sinusitis , A representative of a medical institution prepares an instrument table, placing on it:

  • YAMIK device
  • aerosol for anesthesia (or a device for application)
  • anesthetic (or adrenaline solution)
  • putty knife
  • three 20 ml syringes (two empty - for filling the balloon and evacuating fluid accumulated in the nasal cavity, and one with the necessary medicine)
  • nasal dilator

The temperature of the YAMIK catheter immediately before therapy is increased to 15 °C by immersing it in a sodium chloride solution heated to 36 °C.

The elasticity of the device’s balloons is restored by introducing a small amount of air into them with a syringe through the valve (7 ml is enough for the rear balloon, 3 ml for the container on the cuff) and then lightly kneading it with your fingers (until equal inflation is observed over the entire surface). After treatment of the sinus catheter balloons, the air is removed from them.

Preparation for the procedure

At the beginning of treatment for sinusitis, the patient must be given an aerosol anesthetic (novocaine, lidocaine, other variations) or adrenaline applications in the form of a 0.1% solution are used as an anesthetic. All parts of the nose and nasopharynx that come into contact with the body of the device and its cylinders during treatment are anemized.

If treatment of sinusitis with a YAMIK catheter is planned to be carried out on both sides of the nose at once, local anesthesia is recommended to be used simultaneously on the right and left.

Carrying out anesthesia before YAMIK sinus catheter

The time to obtain an anesthetic effect is set by strictly following the instructions in the annotation for the drug used. When the anesthesia takes effect, the patient assumes a sitting position, the YAMIK catheter is carefully inserted before installing the sinus catheter cuff in the vestibule of the nasal cavity (treatment occurs under the strict supervision of the doctor performing rhinoscopy at this moment).

To ensure the correct positioning of the device, a specialist performs the following manipulations:

  • the cuff moves relative to the body of the YAMIK catheter in order to establish the required distance between the posterior balloon and the working channel (most often this gap is 25 millimeters, sometimes it varies up to 35 mm due to the structural features of the nose);

    Move to the required distance

  • the selected position of the cuff is fixed by bayonet-shaped bending of the device body behind the cuff;

    Fix the position by bending the body of the YAMIK sinus catheter

  • The finished sinus catheter is inserted parallel to the inferior turbinate into the nasal cavity until the cuff reaches the position of the nasal vestibule.

    The sinus catheter is inserted, the cuff is located in the vestibule of the nose

  • the balloon installed in the nasopharynx is filled with air (the volume for men is from 10 to 12 milliliters, for children from five to eight years old - 6-8 milliliters, for older children and women - from 6 to 10 milliliters), and the syringe is disconnected from valve;

    Inject air into the rear tank

  • During inflation, the sinus catheter body is held in place to prevent possible displacement into the oropharynx.

    Hold the body of the device with your fingers

  • The work is repeated with the second balloon, achieving complete blocking of the nasal vestibule. The amount of air is introduced based on the anatomical characteristics of the patient.

Inflating the anterior balloon to occlude the nasal vestibule

Carrying out the procedure

Further actions of the doctor and patient can be schematically described as follows:

  • the patient, at the request of the specialist, bends his head forward and slightly turns it in the direction opposite to the sinus catheter (this position facilitates the outflow of accumulated fluid, since the bottom is located above the anastomosis);

    The patient is asked to turn his head

  • a syringe, the piston of which is at the 10 mm mark, is attached to the cuff;

    Attach the syringe to the outer opening of the working channel

  • the tightness of the location of the YAMIK device during treatment is checked by retracting the piston, which should be accompanied by retracting the surface of the nasal wing;

    Pulling the piston a little to check for leaks

  • in the nasal cavity there is a change in positive and negative pressure (the result is achieved by smoothly moving the piston back and forth), while the pathological secretion of the sinuses is drawn first into the cavity and then into the syringe (through the working channel). The piston movement is set at marks 6-14, which creates the necessary pressure in the sinuses;

    Smoothly move the piston up and down without jerking

  • if there is no sinus secretion in the syringe, the doctor stops treatment (if exudate is not released, then the anastomosis is blocked (in this case, the indicated therapy will facilitate their opening), or the sinuses do not contain fluid);

    Extracted exudate

  • After complete cleansing of the nose with the YAMIK catheter (the process takes about 2 minutes), the patient is moved to a horizontal position, laying him on his side (the head is tilted from the shoulder), and, again creating intermittent pressure, the sinuses are washed with the YAMIK catheter using a syringe with the necessary medications (more often in total these are antibiotics, antiseptics and mucolytic agents) for

    Administration of the drug after the YAMIK procedure

  • the specialist closely monitors the progress of treatment of sinusitis with the YAMIK catheter - a signal that the drug has replaced the full volume of air located in the sinuses, stopping the movement of the drug from the syringe into the nasal cavity;
  • to treat a number of specific diseases with the YAMIK catheter, you will need to lie on your back and tilt your head back;
  • the treatment ends with removing air from the balloons (first from the nasopharyngeal, then from the anterior) and removing the catheter.

It should be noted that the absence of discharge during the first use of the YAMIK catheter is considered normal. The accumulated secretion may be released several hours after the end of therapy.

How many YAMIK catheter procedures are needed?

The average course duration is from 2 to 6 procedures. The duration of one therapy is 2 minutes. In some cases, to completely cure sinusitis with the YAMIK catheter, 8 treatments will be required (as recommended by the attending physician).

Cost of the YAMIK catheter procedure?

Treatment of sinusitis with YAMIK catheterization is usually prescribed in a course of several treatments. The average cost of a course of treatment is 5,000 rubles.

Successful treatment of sinusitis

The majority of practicing otolaryngologists are supporters of treatment with the YAMIK catheter, which is not only a consequence of its simplicity and the absence of long-term special preparation of the patient for therapy, but also the safety of use. The use of a sinus catheter in the treatment of sinusitis eliminates violations of the nasal mucosa and damage to its bone structure, while a puncture (puncture) can cause a number of complications due to the needle getting into the eye orbit, soft tissues of the cheek (cases of surgical manipulations for sinusitis that had a fatal outcome have been recorded) .

Carrying out the YAMIK sinus catheter procedure independently at home is allowed by a qualified specialist. There are courses to prepare for studying this method of treating sinusitis.

According to available statistics, the effectiveness of treatment of the nasal sinuses using the YAMIK sinus catheter reaches 97% in the treatment of acute purulent sinusitis, and more than 90% in exacerbation of chronic sinusitis.

Video of the YAMIK sinus catheter procedure

The catheter used for sinusitis consists of two latex tubes:

  • Main tube. It has a corrugated working channel in its middle part. Both ends have a free opening. Some have a simple hole, equal in width to the tube itself. The second end is equipped with a special valve for connection to a syringe.
  • Balloon (auxiliary or additional) tube. Its middle part is adjacent (parallel) to the free end of the main tube. There is a thickening here - the “front balloon”. One end of the accessory tube ends in the posterior balloon - its blind thickening. The opposite end is branched into three tubes. Two are designed to inflate the front and rear balloons. A metal rod is inserted into the third.

Indications and contraindications

The procedure for treating sinusitis with a catheter is one of the most minimally traumatic interventions in the nasal cavity. It is indicated in the following cases:

  • Acute sinusitis of the nasal sinuses of the upper jaw, frontal, ethmoid and sphenoid bones.
  • Therapy of chronic sinusitis. But here treatment with the YAMIK catheter is used as an auxiliary procedure.
  • Preoperative preparation before interventions on ENT organs.
  • Prevention of sinusitis after surgical manipulations in the nasal cavity, middle ear and larynx.

Contraindications for the treatment of sinusitis without an injection using a YAMIK catheter are based on the procedure itself. They are divided into absolute and relative. In the first case, treatment without a puncture cannot be carried out under any circumstances. Relative contraindications do not prohibit the procedure. However, it can only be carried out after they have been eliminated.

Absolute contraindications:

  • elderly age;
  • children up to 5 years old inclusive.

Relative contraindications are as follows:

  • Inflammation of the nasal mucosa and vasculitis. Due to the risk of injury and bleeding.
  • Nasal polyps. The procedure is also contraindicated due to the risk of compromising the integrity of the vessels of the nasal mucosa.

Preparation

Any nasal catheterization is carried out after special preparation. Before performing treatment with YAMIK, the doctor performs several procedures:

  1. Irrigation of the nasal cavity with an anesthetic and a vasoconstrictor (in hospital practice, a solution of adrenaline is used).
  2. Modeling a catheter depending on the structure of the patient’s nose.

Carrying out the procedure

After completing the preparation, the doctor immediately begins to perform the procedure. It can be divided into several stages. It is important to note that this treatment method should always be started with the patient in a sitting position:

  1. Nasal catheterization.
  2. Creation of tightness.
  3. Execution of the procedure.
  4. Removing the catheter.

The catheter is inserted under the control of direct rhinoscopy. The catheter is given rigidity by a special metal guide. After the posterior balloon reaches the vestibule of the nose (choanus - the place where the nasal passages exit into the nasopharynx), the administration of YAMIK is stopped.

The rear balloon inflates. This cuts off communication with the nasopharynx. After which air is injected into the front cuff. Thus, the entire nasal passage becomes hermetically sealed.

After ensuring tightness, the patient's head is tilted in the direction opposite to the catheterized nasal passage. The cannula of the syringe is inserted into a special cuff. It should have a capacity of 20 cubes and already contain 10 ml of air. After which the doctor begins to pull the piston towards himself. This creates negative pressure in the nasal passage. All its contents, including the secretions of the paranasal sinuses, rush into the syringe. The procedure is performed with smooth movements for 2 minutes.

After pumping out the pus, the patient lies on his side on the side of the catheterized nasal passage. The head lowers, bending below the shoulder in the same direction. The syringe is replaced with another one that contains medicine. The doctor introduces it slowly.

When the sinuses are filled with medication, the syringe is detached. The back and then the front cuffs are deflated. The catheter is carefully removed. The following procedure can be repeated no earlier than after 2-4 days. In this case, everything depends on the individual patient and the nature of his disease.

Advantages and disadvantages

An important advantage of the YAMIK catheter is its low invasiveness. With skillful use, it can be successfully used at home. The procedure does not violate the integrity of tissues. Therefore, there is no condition for the spread of microorganisms from the sinuses.

The main disadvantage of the catheterization procedure is the lack of direction of action. During treatment, the effect occurs on all sinuses communicating with one or another nasal passage. Therefore, if the procedure is carried out ineptly, as well as the lack of systematic therapy, you can get chronic inflammation in the cavity of healthy sinuses.

Cost of the procedure

The price for treatment using a YAMIK catheter (excluding its cost) varies from 1000 to 2000 rubles. It all depends on the specific region, the experience of doctors and the clinic. The catheter itself is sold in pharmacies and costs from 750 to 900 rubles.

If you carry out treatment at home, you can fully count on a maximum of 1000-1500 rubles. But here we must make a reservation that if it is used ineptly, the treatment of possible complications can be much more expensive.

Treatment of sinusitis without a puncture has proven itself in many aspects. This is not only low trauma, but also a low relapse rate.

The ease of use of the YAMIK catheter allows you to carry out the procedure at home. But, as practice shows, this approach does not always give the desired effect. More often, after treatment at home, patients come to the doctor with complications. Therefore, despite the availability of a catheter, it is better to entrust your health to professionals.

Useful video about YAMIK catheter for sinusitis

One of the conditions for successful treatment of maxillary sinusitis is the restoration of the normal functioning of the anastomosis, which connects the nasal cavity with the sinus and removes pathological contents out.

A rare patient is immediately ready to use surgical treatment methods (puncture, surgery) to eliminate the problem.

As an alternative method, a non-surgical procedure for treating sinusitis without a puncture can be used, such as the use of the YAMIK method.

Yamic procedure for sinusitis: what is it?

YAMIK is a method of non-surgical treatment of sinusitis, based on creating a pressure gradient in the nasal cavity. Thanks to the pressure difference created, the exudate is removed from the sinus through the natural anastomosis.

To carry it out, a special catheter is used, which is inserted into the nasal cavity. It helps to create alternating negative and positive pressure, due to which the exudate independently leaves the sinus. After the manipulation, you can inject the drug into it using the same method.

The procedure uses a special sinus catheter YAMIK 321, which consists of a latex body (1) and a special movable cuff (10).

Inside the case there is a flexible metal base, which makes it possible to change its shape. In addition, at one end of the body there is a rear balloon (2), which is designed to block the entrance to the nasopharynx. At the front there is a valve (8) for inflating this balloon.

The moving part consists of a front balloon (4) and a valve (9), which inflates it. The cuff also has a special “working channel” (5) with two holes – internal (3) and external (7) for administering medications. The outer hole has an adapter for a syringe (6)

After checking the equipment, the specialist performs anemia and local anesthesia of the mucous membrane.

To narrow blood vessels, Naphthyzin or another vasoconstrictor is used. After this, local anesthesia is performed with a lidocaine solution over the entire surface of the nasal mucosa, paying special attention to the posterior sections. After waiting the time necessary for the onset of the analgesic effect, they begin to install the catheter. Source: website

Description of the manipulation itself

The patient sits in a chair, and the doctor using a nasal speculum, inserts a sinus catheter at a certain distance from the vestibule of the nose (about 2.5 - 3 cm). After this, the posterior balloon, which is located in the nasopharynx, is inflated using a syringe. Then they do the same with the front balloon and begin the manipulation itself.

The patient is asked to tilt his head slightly to the side, opposite the affected side, in this position the outflow of exudate from the sinus occurs faster and easier. A syringe is attached to the working channel and the tightness of the YAMIK catheter installation is checked.

If everything is in order, then smooth movements pull the syringe plunger back and forth, creating alternately positive and negative pressure.

These manipulations are performed within a few minutes and observe how the exudate begins to flow into the syringe. If this does not happen, perhaps the anastomosis of the maxillary sinus is blocked or there is no pathological discharge in it.

In some cases, at the end of the patient's procedure lay on the side on the sore side and use a syringe to inject the prepared medicine into the sinus. This is where the manipulation ends. The doctor deflates first the posterior and then the anterior balloon and removes the sinus catheter.

Some nuances of treating children

Performing the YAMIK method for sinusitis in a child is no different from performing it in an adult. The only difference is the introduction of less air to inflate both balloons. If for adults this is about 10-12 ml, then for a child 5-7 years old 6-9 ml of air is enough to hermetically seal the nasal cavity.

Before carrying out the manipulation, it is important to prepare the child mentally and tell him about what will happen. The procedure is practically not performed on children under 4-5 years of age due to their behavioral characteristics.

Advantages of the technique

The advantage of this method of treatment is its relative safety and gentle effect on the structures of the nose.

The YAMIK catheter is a worthy alternative to puncture in cases where the natural anastomosis with sinusitis is working normally. This method allows you to get rid of exudate in the sinus, introduce a medicinal substance there, and all this is achieved without a traumatic effect on the mucous membrane, unlike puncture.

Possible complications

When performed correctly, the risk of complications is minimized. In rare cases, bleeding, trauma to the nasal mucosa, or inflammatory changes in the middle ear develop.

In most cases, this method of treatment does not cause significant discomfort to the patient, and it is relatively safe.

Indications and contraindications for

Indications for using this method are the following conditions:

  1. Acute sinusitis in the absence of anastomosis block and other types of acute exudative sinusitis.
  2. Chronic sinusitis during exacerbation.
  3. Preparation for surgical intervention on the paranasal sinuses for chronic inflammatory processes.
  4. Development of sinusitis after surgery in this area.

There are absolute and relative contraindications to carry out this procedure:

  • diseases associated with blood clotting disorders (hemophilia, Randu-Osler disease, etc.);
  • severe concomitant diseases in the stage of decompensation;
  • blockage of the nasal passages by a tumor or polyps
  • children primary school age.

Sinus catheter Yamik at home

Carry out this procedure yourself will not work, despite the fact that the device itself can be freely purchased at a pharmacy.

Treatment of sinusitis at home using this method can only be carried out by a specialist who is familiar with this equipment and the structure of the nasal cavity.

You should not try to carry out the procedure at home on your own or with the help of a loved one, even if you think that you have studied the instructions well and understand everything. Incorrectly selected depth of catheter insertion, volume of balloon inflation and other factors will, at best, not give any effect from the procedure, and at worst, will cause the development of unpleasant complications.

The price of the Yamik procedure for sinusitis will average from 1,500 rubles to 2,500 rubles. excluding the cost of the sinus catheter itself. The cost of this manipulation (treatment) depends on the region and medical institution, as well as on the number of paranasal sinuses that will need to be washed.

The cost of this procedure may vary from one medical center to another. So, in Moscow, this manipulation costs an average of 2,000 rubles, ranging from 1,500 to 2,500 rubles. excluding the price of the sinus catheter itself, and depending on whether one or two paranasal sinuses need to be washed

Questions for the doctor


Question: Doesn’t it hurt to do YAMIK?

Answer: When performed correctly and with good local anesthesia, the patient experiences no pain, only slight discomfort and a feeling of fullness in the head.

Question: What to choose YAMIK or puncture (puncture) if the excretory anastomosis is blocked?

Answer: If after the first YAMIK procedure the anastomosis does not open, and the symptoms increase, then a puncture of the maxillary sinus should be performed.

Question: Is it possible to cure sinusitis without a puncture (puncture)?

Answer: Yes, you can. Techniques such as lavage, YAMIK in combination with conservative therapy help most patients get rid of the disease.

Question: How many procedures will be needed to completely get rid of sinusitis and where to do them?

Answer: This treatment is carried out in clinics and hospitals. The number of procedures depends on the clinical course of the disease; on average, 4-5 times are enough to evacuate discharge from the sinus.

The use of a YAMIK sinus catheter is a safe and low-traumatic way to treat sinusitis and other types of sinusitis. The procedure must be carried out by a doctor with the appropriate skills and education.

Yamik sinus catheter for sinusitis: patient reviews


It helps very well against sinusitis, the only drawback is the price. I had three procedures done. Everything went away completely, but next time if I get sick again I’ll do Cuckoo, by the way it’s cheaper and almost as effective as Yamik. Edward, 33 years

Every year I suffer from allergic rhinitis, from May to September. This year, my runny nose gradually turned into sinusitis, as evidenced by purulent snot when blowing my nose, constantly high temperature, and general malaise. I went to the ENT specialist, took an x-ray and definitely had bilateral sinusitis. I refused the puncture right away, the doctor suggested doing Yamik as an alternative. I agreed. After the first procedure it became much easier. The constriction in the sinuses went away and the nose began to breathe. It was happiness. In addition, I took a course of antibiotics and everything went away in 7-9 days. Elena, 28 years

What is it for? periodontal cleaning.