Nasal block

At the K+31 clinic you can be diagnosed by an otolaryngologist and receive a referral for a nasal block. The manipulation is performed on an outpatient basis and does not cause discomfort to the patient.
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About the service

Intranasal blockade is used to relieve nasal congestion in various ENT diseases. The procedure has a quick and lasting effect. Injections of medications performed directly into the site of swelling bring more pronounced results compared to the use of drops, sprays or tablets.

A nasal injection for nasal congestion is indicated when other forms of endonasal treatment are impossible or do not bring results. The doctor decides to perform a blockade based on diagnosis and taking into account the patient’s medical history. The drug (anti-inflammatory, decongestant, painkillers) is selected depending on the diagnosis and purpose of the procedure.

About the service
doctor examines nose

Indications for the procedure

  • Chronic rhinitis - allergic, vasomotor, medicinal
  • Rehabilitation after nose surgery
  • Some neurological pathologies - trigeminal neuralgia
  • Rhinosinusitis
  • Vascular pathologies of the inner ear
  • Sinusitis
  • Tinnitus, headaches
  • Facial injuries

Contraindications to endonasal blockade

Contraindications to endonasal blockade

The procedure is prescribed to prevent possible complications, such as headaches or blurred vision.

Injections are contraindicated when:

  • Patient age under 12 years
  • Pregnancy and lactation
  • Allergies to medications used
  • Exacerbation of acute respiratory diseases with swelling of the nasopharynx
  • Bleeding disorders
  • Severe systemic diseases (epilepsy, asthma, diabetes)

Nasal blockade with Dexamethasone is carried out if the patient does not have an allergic reaction. To prevent complications, the doctor may pre-order a drug tolerance test.

General information about the procedure

Advantages of the method

Nasal blockade is much more effective than conventional intranasal sprays or tablets. Relief occurs within the first minutes after the injection. To fully restore nasal breathing, 5 to 10 sessions are required.

Advantages of the injection method of administering drugs:

  • Low invasiveness
  • Quick effect due to the injection of the drug directly into the site of inflammation
  • The result lasts for several months
  • Effectiveness in cases where other treatments do not help
  • An alternative to surgery for mucosal hypertrophy

In case of a nasal injury or during the rehabilitation period after plastic surgery on the nasopharynx, a blockade is the only quick and effective way to relieve swelling of the mucous membrane, pain and inflammation. Also, local administration of the drug reduces the toxic load on the body, since the drug penetrates the mucous membrane, bypassing the gastrointestinal tract.

The procedure is quite simple, it is carried out in a clinic, its duration is several minutes.

When carrying out manipulation, it is important to insert the needle directly into the mucous or submucosal layer, without affecting other tissues and parts of the nose. When performing an injection in the nose, the patient does not experience pain, the discomfort passes quickly.

Advantages of the method

How to prepare

No special training is required. The doctor issues a referral based on the results of diagnostics performed using a rhinoscope. On an individual basis, the ENT specialist can prescribe preliminary procedures and also select the drug.

Consult
nasal examination

How the blockade works

The procedure is carried out in 3 stages:

  1. The patient is located on the couch. The doctor treats the inner surface of the nostrils with an anesthetic spray. This helps to numb the working area and prevent discomfort from injections
  2. ENT installs a dilator in the nostrils. Then, in turn, inserts the needle of a syringe with medicine into the mucous and submucosal layers of the nasal turbinates. As a rule, processing is required on both sides. The injection is given in small doses into the side wall of the nose or into the inferior turbinates
  3. The patient is under observation for 15 minutes. The doctor monitors the condition and, if there are no complications or negative reactions to the drug, sends you home

In most cases, it is necessary to undergo up to 6 sessions, with a 5-day break between them. In case of complex injury or at an advanced stage of hypertrophic rhinitis, a longer course of 15 procedures is required.

How the blockade works

What medications are used

Blockade of the nasal sinuses is carried out using the following groups of drugs:

  • Painkillers - lidocaine, novocaine
  • Hormonal - hydrocortisone, dexamethasone
  • Antihemorrhagic - dicynon
  • Anti-inflammatory and antiallergic - diprospan

The doctor selects the type and concentration of the solution individually in each case.

What medications are used
Effect of the procedure

Immediately after injection, the drug is absorbed into the mucous membrane and affects the nerve endings. As a result, tissue trophism and nasal breathing are restored, anti-inflammatory processes are activated, congestion, pain and dryness of the mucous membrane go away.

In case of swelling due to injury or rehabilitation, after turbinate plastic surgery, injections help relieve swelling and pain, restore blood circulation in the submucosa and eliminate itching. The effect lasts for a long time - up to 6 months.

The next day after the blockade, the patient should come to the doctor for an examination. If an inflammatory reaction occurs, nasal rinsing is prescribed. Repeated procedures are prescribed only in the absence of a pathological process.

Intranasal blockade has the following effects
  • Anesthesia
  • Relief of allergic reactions and inflammation
  • Removing swelling of the mucous membrane
  • Normalization of secretion of intranasal glands
  • Elimination of itching and burning

Our doctors

Sokolova Vera Nikolaevna
Experience 17 years
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Sokolova
Vera Nikolaevna
Otorhinolaryngologist, audiologist-otorhinolaryngologist
Spiranskaya Olga Aleksandrovna
Experience 19 years
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Spiranskaya
Olga Aleksandrovna
Head of the otolaryngology department, leading otolaryngologist, ENT surgeon, pediatric ENT
Tetzoeva Zalina Muratovna
Experience 25 years
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Tetzoeva
Zalina Muratovna
Deputy chief physician for outpatient care, otolaryngologist, surgeon
Kochetkova (Minavnina) Yulia Vladimirovna
Experience 14 years
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Kochetkova (Minavnina)
Yulia Vladimirovna
Leading otolaryngologist, ENT surgeon, pediatric ENT
Osipova Irina Andreevna
Experience 26 years
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Osipova
Irina Andreevna
Head of the center for otolaryngology and ENT rheumatology, otolaryngologist, surgeon, leading specialist, expert in ENT pathology in autoimmune diseases
Selenina Tatyana Vitalievna
Experience 22 years
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Selenina
Tatyana Vitalievna
ENT doctor
Lapshina Anastasia Andreevna
Experience 12 years
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Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Samarin Nikolay Evgenyevich
Experience 19 years
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Samarin
Nikolay Evgenyevich
ENT doctor
Lopatin Andrew Stanislavovich
Experience 46 years
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Lopatin
Andrew Stanislavovich
Otorhinolaryngologist, surgeon
Portnyagina Maria Pavlovna
Experience 14 years
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Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya Galina Rustemovna
Experience 21 year
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Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Koblova Tatyana Alexandrovna
Experience 23 years
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Koblova
Tatyana Alexandrovna
ENT doctor
Varenkova Olga Vladimirovna
Experience 26 years
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Varenkova
Olga Vladimirovna
Otorhinolaryngologist
Budeikina Liliya Sergeevna
Experience 12 years
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Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
Kornienko Roman Anatolievich
Experience 28 years
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Kornienko
Roman Anatolievich
Otorhinolaryngologist
Budnitskaya Elena Vasilievna
Experience 13 years
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Budnitskaya
Elena Vasilievna
Otorhinolaryngologist
Varvyanskaya Anastasia Vladimirovna
Experience 22 years
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Varvyanskaya
Anastasia Vladimirovna
Otolaryngologist, surgeon, leading specialist, expert in olfactory dysfunction
Akhmedov
Magomed Akhmedovich
Otorhinolaryngologist, pediatric ENT
Putkaradze Ekaterina Iosifovnz
Experience 3 years
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Putkaradze
Ekaterina Iosifovnz
Otorhinolaryngologist, phoniatrist
Chekaldina Elena Vladimirovna
Experience 14 years
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Chekaldina
Elena Vladimirovna
Leading otolaryngologist, ENT surgeon, pediatric ENT
Samusenkova Ksenia Vladislavovna
Experience 6 years
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Samusenkova
Ksenia Vladislavovna
Otorhinolaryngologist
Polivoda Anna Mikhailovna
Experience 20 years
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Polivoda
Anna Mikhailovna
Otorhinolaryngologist, audiologist, otoneurologist
Balybina Natalia Alekseevna
Experience 5 years
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Balybina
Natalia Alekseevna
Otorhinolaryngologist
Malyavina Ulyana Stanislavovna
Experience 28 years
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Malyavina
Ulyana Stanislavovna
Leading otolaryngologist, ENT surgeon, pediatric ENT
Latysheva Elena Nikolaevna
Experience 16 years
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Latysheva
Elena Nikolaevna
Leading otolaryngologist, ENT surgeon, pediatric ENT
Krasnosheeva Ekaterina Alexandrovna
Experience 9 years
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Krasnosheeva
Ekaterina Alexandrovna
Otorhinolaryngologist
Gergiev Vladimir Felixovich
Experience 10 years
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Gergiev
Vladimir Felixovich
Otorhinolaryngologist
Astasheva Vera Markovna
Experience 10 years
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Astasheva
Vera Markovna
Otorhinolaryngologist
All specialists

Make an appointment at a convenient time on the nearest date

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Our doctors are laureates of the ProDoctors Award
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The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

Price

Primary appointment with an otorhinolaryngologist
from 6 450 ₽
Repeated appointment with an otorhinolaryngologist
from 5 700 ₽

Appointment to the doctor

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Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and Max.

Reviews

Irina Andreevna is a very competent specialist, thank you for the reception
04.05.2026
Yuliya Ya.

About doctor:

Osipova Irina Andreevna

An excellent doctor. He is very attentive and competent. He listened to me completely, examined me and explained everything so clearly that there were no questions left and we went for surgery. He performed the operation flawlessly.
01.05.2026
Rasul U.
Thanks to Tatiana Alexandrovna for the appointments that quickly put me in order!
30.04.2026
Svetlana N.
Kochetkova Yulia Vladimirovna is a wonderful doctor!!! She is very polite, neat, and a good specialist. We are satisfied with the reception!
30.04.2026
A. Lom.
Ulyana and Natalia OVL, attentive and responsive attitude.
27.04.2026
V. Ter.
I would like to sincerely thank Anastasia Vladimirovna Varvyanskaya for her high professionalism and a rare combination of calmness, attention and human kindness. I've been dealing with a long-standing nasal breathing problem. At the consultation, the doctor understood the situation very carefully, explained everything in detail and in clear language, and suggested the optimal treatment plan and further actions — without unnecessary promises, but with confidence and clear logic. The operation and postoperative management were carried out as carefully as possible: at each stage there was a feeling that you were in safe hands. Separately, I would like to note the delicacy, care and warm attitude — this is especially important when you are worried and go to the intervention. Now the recovery is going well, nasal breathing has already become noticeably better. Many thanks for the result and for the attitude towards the patient. I recommend it with confidence!
26.04.2026
Aleksandr T.
I am very grateful for the detailed explanation during the appointment to the doctor Akhmedov M. A.
26.04.2026
A. Tol.
During the year I traveled all over our Russia, the diagnosis was very difficult for me, as it turned out, and finally I was very lucky, I came across wonderful doctors Osipova I.A. and Shevtsova T.P. and now I am in safe hands. Thanks to these doctors for not rejecting me, they immediately determined the diagnosis, and prescribed therapy. The doctors are very polite, they listened to me very carefully from beginning to end. If everyone had such doctors, there would be much fewer sick people. I wish you all good health and never get sick.
25.04.2026
Mariya
Thank you so much for your attentive attitude and help!in solving the problem!
25.04.2026
Artem O.

About doctor:

Astasheva Vera Markovna

Our clinics

Address K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Weekend: 09:00 – 19:00

Opening hours on holidays

01.05—03.05: 09:00—19:00

09.05—11.05: 09:00—19:00

Address K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00

Opening hours on holidays

01.05—03.05: 09:00—18:00

09.05: нерабочий день

10.05—11.05: 09:00—18:00

Address K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 18:00

Opening hours on holidays

01.05—03.05: 09:00—18:00

09.05—11.05: 09:00—18:00

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