Trepanopuncture of the frontal sinus
Frontal sinus trephine puncture is a microsurgical procedure designed for drainage and irrigation of the frontal sinus in cases of inflammation. The procedure is used in acute and chronic frontal sinusitis when conservative treatment is ineffective. It allows elimination of infection, prevention of serious complications, and acceleration of recovery.
When is frontal sinus trephine puncture indicated?
- Chronic frontal sinusitis accompanied by nasal congestion, frontal headaches, and nasal discharge.
- Lack of response to medical therapy with persistent symptoms lasting more than two weeks.
- Purulent inflammation associated with a high risk of complications (intracranial infections, abscess formation).
- CT findings showing accumulation of purulent material in the frontal sinus without adequate natural drainage.
- Threat of infection spreading to the orbit or brain, which may result in severe consequences.
How is the procedure performed?
- Diagnostic evaluation – CT scan or X-ray of the frontal sinuses and endoscopic nasal examination.
- Anesthesia – local or general anesthesia, depending on clinical indications.
- Frontal sinus puncture – a small opening is created in the bony wall of the frontal sinus using a specialized instrument.
- Drainage and irrigation – purulent contents are removed, followed by irrigation with antiseptic solutions and antibiotics.
- Catheter placement (if indicated) – in some cases, a temporary drain is left in place to ensure complete sinus sanitation.
Advantages of the procedure
- Rapid elimination of infection and relief of symptoms.
- Minimal tissue trauma when modern endoscopic techniques are used.
- Reduced risk of severe complications such as meningitis and orbital infections.
- Short recovery period.
Recovery after the procedure
- Regular nasal irrigation with antiseptic solutions.
- Avoidance of physical exertion during the first weeks after the procedure.
- Antibiotic therapy to prevent recurrence of infection.
- Follow-up visits with an ENT specialist to monitor healing.
Advantages of frontal sinus trephine puncture in Belarus
In Belarus, the procedure is performed in modern ENT clinics equipped with endoscopic and microsurgical technology, ensuring minimal invasiveness, high safety standards, and rapid recovery.
This text has been translated using machine translation technology (DeepL API) and may contain inaccuracies.
