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

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.

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.

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.

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

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

Our doctors

Spiranskaya Olga Aleksandrovna
Experience 18 years
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Spiranskaya
Olga Aleksandrovna
Head of the Otolaryngology Department, Otolaryngologist
Tetzoeva Zalina Muratovna
Experience 24 years
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Tetzoeva
Zalina Muratovna
Deputy chief physician for outpatient care, otolaryngologist, surgeon
Kochetkova (Minavnina) Yulia Vladimirovna
Experience 13 years
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Kochetkova (Minavnina)
Yulia Vladimirovna
Otorhinolaryngologist
Osipova Irina Andreevna
Experience 25 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
Lapshina Anastasia Andreevna
Experience 11 years
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Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Samarin Nikolay Evgenyevich
Experience 18 years
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Samarin
Nikolay Evgenyevich
ENT doctor
Lopatin Andrew Stanislavovich
Experience 45 years
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Lopatin
Andrew Stanislavovich
Otorhinolaryngologist, surgeon
Portnyagina Maria Pavlovna
Experience 13 years
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Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya Galina Rustemovna
Experience 27 years
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Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Koblova Tatyana Alexandrovna
Experience 22 years
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Koblova
Tatyana Alexandrovna
ENT doctor
Punkov Maxim Anatolevich
Experience 20 years
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Punkov
Maxim Anatolevich
ENT doctor
Varenkova Olga Vladimirovna
Experience 25 years
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Varenkova
Olga Vladimirovna
Otorhinolaryngologist
Budeikina Liliya Sergeevna
Experience 11 years
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Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
Kornienko Roman Anatolievich
Experience 27 years
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Kornienko
Roman Anatolievich
Otorhinolaryngologist
Budnitskaya Elena Vasilievna
Experience 12 years
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Budnitskaya
Elena Vasilievna
Otorhinolaryngologist
Varvyanskaya Anastasia Vladimirovna
Experience 21 year
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Varvyanskaya
Anastasia Vladimirovna
Otolaryngologist, surgeon, leading specialist, expert in olfactory dysfunction
Mamedov Vasif Eivaz ogly
Experience 8 years
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Mamedov
Vasif Eivaz ogly
Audiologist
Chekaldina Elena Vladimirovna
Experience 13 years
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Chekaldina
Elena Vladimirovna
Otorhinolaryngologist
Samusenkova Ksenia Vladislavovna
Experience 5 years
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Samusenkova
Ksenia Vladislavovna
Otorhinolaryngologist
Polivoda Anna Mikhailovna
Experience 19 years
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Polivoda
Anna Mikhailovna
Otorhinolaryngologist, audiologist, otoneurologist
Balybina Natalia Alekseevna
Experience 4 years
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Balybina
Natalia Alekseevna
Otorhinolaryngologist
Malyavina Ulyana Stanislavovna
Experience 27 years
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Malyavina
Ulyana Stanislavovna
Otorhinolaryngologist
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Price

Primary appointment with an otorhinolaryngologist
from 5 460 ₽
Repeated appointment with an otorhinolaryngologist
from 5 460 ₽

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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).
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Reviews

A great doctor and person.
12.12.2025
O. Viktor Viktorovich
Excellent doctor, attentive and sensitive! She diagnosed me and prescribed treatment! Thank you.
06.12.2025
P. Olga Alexandrovna
All my hopes were for the upcoming surgery. I really liked the doctor, and I trust Zalina Muratovna completely.
04.12.2025
G. Ramella Namiz kyzy
Olga Vladimirovna is a wonderful, attentive, and professional doctor. I was very pleased with my visit and received all the help and information I needed.
29.11.2025
Yu. Alexey Igorevich
Good approach to children. Everything is great.
29.11.2025
Ch. Roman Vitalievich
I express my deepest gratitude to Natalia Alekseevna for her exceptional professionalism and humane approach. I especially appreciate her rare combination of competence and tact. Natalia Alekseevna knows how to create an atmosphere of trust, where you feel more than just a patient, but someone whose opinion and comfort truly matter. Thank you for your attention to detail, personalized approach, and ability to convey information in accessible language. I recommend Natalia Alekseevna as a doctor with an inner intelligence, a keen interest, and enthusiasm for her work. Doctors like her are worth everything. I was also pleasantly surprised by the atmosphere in the clinic itself: all the staff are polite and attentive, and there's convenient parking. And the bright, inspiring music playing on the first floor reminded me of Kamila Valieva's Olympic short program—the same purity, grace, and sense of wonder. Thank you!
28.11.2025
K. Natalia Vladimirovna
Very attentive and qualified doctor
25.11.2025
A. Nadezhda Valerievna
I really liked the doctor, and I also really liked Zhanna Andreevna. You can tell she's experienced and competent, and the office had a wonderful, open atmosphere. Special thanks to Olesya, the administrator on the first floor. She's very friendly and helpful. Overall, I really liked the clinic.
23.11.2025
P. Daniil Vyacheslavovich
The doctor always listens and hears attentively, which is even unusual. He is genuinely interested in how the patient is feeling and sees them as people.
04.11.2025
O. Tatyana Alexandrovna
The best doctor. Thank you so much.
31.10.2025
Ya. Tatyana Petrovna

About doctor:

Osipova Irina Andreevna

Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
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11
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74999993131

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Orshanskaya, 16/2; Ak. Pavlova, 22

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02.11—04.11: 09:00—18:00

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