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Во время вмешательства врач очищает пазуху от скопившегося гноя и обеспечивает полноценный отток жидкости через носовые ходы [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/)[3](https://www.smclinic.ru/professional-services/operativnaya-otolaringologiya/gaymorotomiya/).\n\n\n\n## Показания\nГайморотомию проводят, когда консервативное лечение (антибиотики, противовоспалительные препараты) не приносит нужного эффекта [9](https://med-balance.ru/services/gaymorotomiya-s-ispolzovaniem-videoendoskopicheskikh-tekhnologiy-1-kategoriya-slozhnosti/). Некоторые показания: \n* хронический гайморит, который обостряется 3–4 раза в год или чаще [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/); \n* кисты верхней челюсти, возникающие на фоне хронического воспаления [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/); \n* появление полипов носа или других новообразований в гайморовой пазухе [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/); \n* инородные тела в гайморовой пазухе — например, остатки пломбировочного материала после лечения зубов [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/); \n* поражение костей, образующих стенки гайморовой пазухи [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/); \n* отсутствие эффекта от медикаментозного лечения гайморита [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/).\n\n## Виды\nРазличают **эндоскопическую** и **радикальную гайморотомию** [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/)[2](https://www.mediccity.ru/directions/542): \n* **Эндоскопическая** — используется эндоскопическое оборудование, все манипуляции проводятся через нос [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/)[5](https://vmclinic.ru/blog/gaymorotomiya-kak-provoditsya/). \n* **Радикальная** — врач делает разрез и вскрывает гайморову пазуху через рот [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/).\n\n## Техника проведения\nОперация проводится под местной или общей анестезией [5](https://vmclinic.ru/blog/gaymorotomiya-kak-provoditsya/)[9](https://med-balance.ru/services/gaymorotomiya-s-ispolzovaniem-videoendoskopicheskikh-tekhnologiy-1-kategoriya-slozhnosti/). Некоторые этапы вмешательства: \n* **Эндоскопическое введение** — хирург использует эндоскоп — тонкую трубку с камерой, которую вводят через носовые ходы [9](https://med-balance.ru/services/gaymorotomiya-s-ispolzovaniem-videoendoskopicheskikh-tekhnologiy-1-kategoriya-slozhnosti/). \n* **Оперативное вмешательство** — через эндоскоп хирург вводит микроинструменты для удаления патологических тканей, полипов, кист или гнойных скоплений [9](https://med-balance.ru/services/gaymorotomiya-s-ispolzovaniem-videoendoskopicheskikh-tekhnologiy-1-kategoriya-slozhnosti/). \n* **Очищение пазухи** — после удаления патологических образований пазуха промывается антисептическими растворами для предотвращения повторного воспаления [9](https://med-balance.ru/services/gaymorotomiya-s-ispolzovaniem-videoendoskopicheskikh-tekhnologiy-1-kategoriya-slozhnosti/). \n* **Завершение операции** — в некоторых случаях могут быть установлены временные тампоны или дренажи для обеспечения правильного оттока жидкости в послеоперационный период [9](https://med-balance.ru/services/gaymorotomiya-s-ispolzovaniem-videoendoskopicheskikh-tekhnologiy-1-kategoriya-slozhnosti/). \n\nДлительность операции — 30–60 минут [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/).\n\n## Реабилитация\nПосле операции пациент некоторое время остаётся под наблюдением врача [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/). После контрольного осмотра врач даёт рекомендации по дальнейшему восстановлению [1](https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/). Некоторые рекомендации: \n* **Промывание носа** — важно регулярно промывать нос солевыми растворами или другими препаратами, рекомендованными врачом, чтобы избежать образования корок и ускорить заживление [9](https://med-balance.ru/services/gaymorotomiya-s-ispolzovaniem-videoendoskopicheskikh-tekhnologiy-1-kategoriya-slozhnosti/). \n* **Ограничение физических нагрузок** — в течение первой недели рекомендуется избегать интенсивных физических нагрузок, наклонов головы и резких движений, чтобы предотвратить кровотечение [9](https://med-balance.ru/services/gaymorotomiya-s-ispolzovaniem-videoendoskopicheskikh-tekhnologiy-1-kategoriya-slozhnosti/). \n* **Отказ от горячих процедур** — в первые дни после операции следует избегать посещения бани, сауны и горячих ванн, так как это может усилить отёк [9](https://med-balance.ru/services/gaymorotomiya-s-ispolzovaniem-videoendoskopicheskikh-tekhnologiy-1-kategoriya-slozhnosti/). \n* **Регулярные визиты к врачу** — после операции врач может назначить несколько контрольных осмотров, чтобы следить за состоянием пазух и убедиться, что заживление проходит нормально [9](https://med-balance.ru/services/gaymorotomiya-s-ispolzovaniem-videoendoskopicheskikh-tekhnologiy-1-kategoriya-slozhnosti/). \n\nПолное восстановление может занять 1–2 недели, в зависимости от состояния здоровья пациента и сложности проведённой операции [9](https://med-balance.ru/services/gaymorotomiya-s-ispolzovaniem-videoendoskopicheskikh-tekhnologiy-1-kategoriya-slozhnosti/).","linksData":[{"sourceId":1,"url":"https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/","shownUrl":"https://www.fdoctor.ru/poliklinika/hospital-center/depart-operativnaya-otorinolaringologiya/disease-khronicheskiy-sinusit/method-gaymorotomiya/","title":"Гайморотомия в Москве | Госпитальный центр Семейный доктор","shortUrl":"fdoctor.ru","isTranslated":false,"description":"","greenUrl":"fdoctor.ru"},{"sourceId":2,"url":"https://www.mediccity.ru/directions/542","shownUrl":"https://www.mediccity.ru/directions/542","title":"Гайморотомия. 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