Nasal rinsing

Flushing the maxillary sinuses is an effective procedure in the treatment of sinusitis and other respiratory viral infections, allowing you to clear the nasopharynx of mucus and pus. Painless and safe cleaning helps eliminate unpleasant symptoms and speeds up the healing process. Below we will describe in detail how the process of washing the maxillary sinuses is carried out at the K+31 clinic, for whom the procedure is indicated and contraindicated.
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Indications

Rinning the sinuses is an effective method of treating and preventing infectious diseases.

Doctors prescribe this procedure in the following cases:

  • For prolonged runny nose, when symptoms persist for more than two weeks
  • Inflammation of the adenoids
  • For acute forms of sinusitis, including sinusitis, sinusitis and others
  • In the initial stages of chronic polypous rhinosinusitis

Also, cleansing the sinuses eases the course of allergic rhinitis and serves as an effective prevention of viral diseases during periods of increased morbidity.

Contraindications

Despite the benefits of rinsing the sinuses, there are a number of contraindications for the procedure.

These include:

  • Problems with blood coagulation
  • Tendency to nosebleeds
  • Acute period of chronic diseases
  • Severe arterial hypertension
  • Anatomical features of the structure of the nose (complete blockage of the passages due to polyps, significant curvature of the nasal septum or chronic rhinitis with thickening of the mucous membrane)
  • Epilepsy or serious mental disorders
  • Decompensated diabetes mellitus

Sinus rinsing is also contraindicated for children under 3 years of age.

Symptoms of sinusitis

Sinusitis is characterized by the following symptoms:

  • Nasal congestion and difficulty breathing through the nose
  • Pain and pressure in the cheeks, forehead, between the eyes
  • Green or yellow nasal discharge
  • Deterioration of smell
  • Headache
  • General malaise
  • Fatigue
  • Increased body temperature
  • Pain in the upper jaw and teeth

With a complicated course of sinusitis, the infection spreads to the surrounding tissues, including the orbit of the eye, which leads to orbital cellulitis, as well as inflammation of the meninges - meningitis. In rare cases, a brain abscess may form.

Methods for rinsing the sinuses for sinusitis

"Cuckoo" method

The “Cuckoo” method is a common technique for cleaning the nasal passages, performed by an otorhinolaryngologist with an assistant. Before starting the procedure, the nasal mucosa is treated with vasoconstrictor drops (Nazol, Naphthyzin) to reduce swelling. If the patient is highly sensitive to medical manipulations, local anesthetics (novocaine, lidocaine) are used.

Before rinsing the sinuses, the patient assumes a lying position with his head slightly tilted back. A warm antiseptic (furacilin, miramistin) is injected through one nostril, and mucus is removed from the second nasal passage using a vacuum aspirator. Then the actions are repeated with the other nostril. During the procedure, the patient says “ku-ku,” which helps isolate the nasopharynx and prevent the solution from entering the mouth.

Balloon sinuplasty

Balloon sinuplasty is a minimally invasive procedure used to restore normal ventilation and drainage of the sinuses in cases of chronic sinusitis, including sinusitis. During the procedure, a flexible catheter with a microscopic balloon at the end is inserted through the nasal passage into the sinuses.

Once the balloon reaches the blocked area of the sinus, it is inflated, causing the narrow or blocked passages to widen. This facilitates the natural outflow of sinus secretions and improves sinus ventilation. After widening the passages, the balloon is carefully removed, and the patency of the sinuses is noticeably improved.

General information about the procedure

Benefits of the procedure for sinusitis

Sinusitis is one of the most common types of sinusitis - inflammation of one or more sinuses.

The disease occurs due to the following reasons:

  • Infections (bacterial, viral, fungal)
  • Allergic reactions
  • Polluted air and environmental factors
  • Anatomical features of the structure of the nasal passages and sinuses
  • Polyps and other neoplasms in the sinuses
  • Diseases of the teeth and gums, especially the upper jaw, contributing to the spread of infection into the maxillary sinuses
  • Weakened immune system

According to statistics, a significant portion of the population experiences sinusitis: about 5–15% of adults and 5% of children experience one form or another of this disease. Sinusitis is detected in approximately 10% of the population. Most often it occurs with an untreated cold. In addition, inflammatory diseases of the paranasal sinuses account for up to 25–30% of all diseases of the ENT organs requiring hospitalization.

Rinning the sinuses during sinusitis helps remove mucus, pus and pathogenic microorganisms, relieves symptoms of congestion and pain. The procedure also improves drainage and ventilation of the sinuses, prevents further development of infection and promotes a speedy recovery.

Preparing for sinus cleansing

Before cleaning the maxillary sinuses, you should consult with an ENT doctor. He clarifies the diagnosis and checks for contraindications. For a detailed assessment of the patient's condition, rhinoscopy, X-ray, CT or MRI are performed.

Immediately before cleansing the sinuses, it is important to stop using vasoconstrictors. To facilitate the removal of inflammatory exudate, the doctor treats the nasal mucosa with a product containing sea salt. It moisturizes the mucous membrane and thins the mucus.

Also, before rinsing the nasal sinuses, it is possible to use antiseptic solutions to reduce inflammation and destroy pathogenic microorganisms. In some cases, drugs with anti-inflammatory and regenerating effects are required.

Side effects after cleaning the sinuses

Despite the safety and high efficiency of flushing the maxillary sinuses, patients may experience the following side effects:

  • Mild nosebleeds
  • Feeling of stuffiness in the ears
  • Headaches
  • Discomfort in the sinus area

In rare cases, allergic reactions to the antiseptic are observed. Typically, 3 to 7 sessions are needed to achieve complete cure. The exact amount is determined by the attending physician.

Results after cleaning the maxillary sinuses

Rinsing the sinuses effectively removes mucus and pathogenic microorganisms and relieves inflammation. After rinsing the nose, the patient feels much better: headaches decrease, the feeling of pressure in the sinuses disappears, and breathing improves. Treatment is selected individually and promotes rapid regeneration of the mucosa.

Recommendations after the procedure

Immediately after washing the maxillary sinuses with sinusitis, the remaining solution may leak out of the nose. It is recommended to stay in the clinic for 30 minutes after the procedure, especially during the cold season.

Specific rehabilitation after rinsing the nose for a runny nose is not required, it is enough to follow the instructions of the ENT specialist. Your doctor may recommend using saline solutions for daily nasal hygiene. They moisturize the mucous membrane and prevent the formation of crusts. Also often after the procedure, medications with anti-inflammatory and antiseptic effects are prescribed, for example, sea water sprays or medications to improve sinus drainage and ease breathing.

Flush your sinuses at home

To make breathing easier when you have a runny nose, it is useful to rinse the nasal cavity at home. To prepare a medicinal mixture, dissolve one teaspoon of salt in a liter of boiled water at a comfortable temperature. Be sure to use high-quality water to rinse your sinuses and make sure the salt is completely dissolved. If necessary, strain the resulting solution.

Before rinsing your nose with a runny nose, it is important to blow both nostrils. If you have difficulty breathing, 3-5 minutes before rinsing, it is recommended to drop drops into your nose to narrow the blood vessels. To carry out the procedure, you will need a tool without sharp corners, for example, a syringe, a syringe without a needle, or a specialized cleaning device. Lean over a sink, gently push the solution into one nasal passage and wait until it flows out of the other. Then blow your nose and repeat the procedure for the second nostril.

For the convenience of rinsing the nasal cavity during a cold at home, you can also use irrigation devices with a “soft shower” attachment. They do not require you to lean your head over the sink, but they are less effective than traditional cleaning methods.

Prevention of sinusitis

To prevent the development of sinusitis, it is important to adhere to several basic rules:

1
Clean your sinuses regularly with saline solutions or seawater sprays.
2
Avoid exposure to allergens and pollutants
3
Treat respiratory infections promptly
4
Maintain optimal indoor humidity levels
5
Strengthen your immune system with a balanced diet, exercise and enough sleep

Regular examinations with an otolaryngologist will help to promptly identify and treat possible viral diseases.

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
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from 5 460 ₽
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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.
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Reviews 44

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
Anonymously
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

Wonderful doctor! A top-class professional!
28.10.2025
I. Stanislav Arkadevich
A sensitive doctor, it's immediately obvious she's a true professional. She outlined the risks, and we're seeing great progress in treatment.
18.10.2025
E. Stanislav Yurievich
A very knowledgeable and responsible doctor.
16.10.2025
P. Evgeny Arnoldovich
Very attentive and professional doctor.
14.10.2025
R. Evgeniy Anatolyevich
Irina Andreevna is a professional and a master of her craft. That says it all.
14.10.2025
K. Andrey Maksimovich

About doctor:

Osipova Irina Andreevna

A true professional! Highly recommended.
10.10.2025
G. Irik Azamatovich
Tatyana Alexandrovna is a very attentive doctor. She prescribed treatment that helped immediately. She's a pleasant person to talk to. Thank you!
09.10.2025
T. Elena Nikolaevna
Irina Andreevna is a wonderful person, a professional, and what's called a "God-given doctor." The prescribed treatment produced immediate positive results. And despite my disappointing diagnosis, after every conversation with Irina Andreevna, I feel a boost of optimism!
06.10.2025
Sh. Lyudmila Alexandrovna

About doctor:

Osipova Irina Andreevna

Very pleasant to talk to, a professional in her field)
02.10.2025
L. Alexander Gennadievich
I've been seeing Zalina Muratovna for many years. She's a highly qualified doctor with an incredibly attentive and caring attitude toward her patients. Zalina Muratovna performed a septum correction surgery on me several years ago. I'd been advised to have this procedure for years, but it wasn't until I saw Zalina Muratovna that I decided to have it. And I'm so glad I did. My breathing is now free of difficulty, and I no longer suffer from lingering runny noses. Thank you, Zalina Muratovna.
02.10.2025
B. Nadezhda Sergeevna
Everything went great, the doctor was very kind and explained the reason for prescribing each drug.
01.10.2025
Ya. Sergey Sergeevich
Excellent specialist, very pleased with the visit, thank you
01.10.2025
E. Elena Vitalievna
This isn't my first time visiting Anastasia Vladimirovna. I feel like I'm visiting a relative. She's the best doctor. Everything is always delicate, precise, meticulous, and she shows immense care and love for her profession.
25.09.2025
B. Evgeniya Evgenievna
A very competent specialist
24.09.2025
S. Elena Vladimirovna
A very good doctor!) Unfortunately, there are few like him...
18.09.2025
K. Olesya Vyacheslavovna

About doctor:

Punkov Maxim Anatolevich

A professional in his field. An excellent doctor.
16.09.2025
M. Natalia Vladimirovna
Wonderful doctor, simply wonderful! Tactful, kind, very responsive!
08.09.2025
E. Ekaterina Alexandrovna
Good afternoon! I would like to express my gratitude to Maria Pavlovna Portnyagina. A competent doctor, an impeccable appointment, an examination was conducted, an ultrasound was immediately agreed upon, a full examination and a set of measures to identify the problem were conducted. Thanks to Maria Pavlovna's appointment, we found out what was going on. I left with an understanding of my health condition and exhaled after the examinations, this rarely happens when you think - this is a doctor, it was not in vain that I came to her. I ask the management to note according to the procedures and policies of the Clinic. I left the appointment with a feeling that you were heard, the problem was considered, the most valuable thing is quickly, efficiently, and not indifferently. That very case when you think - it was not in vain that I went to the doctor. Everything is clear, precise, competent. Time is always very precious, you can spend a lot of time and leave with nothing. Whether you were or were not at the doctor, with the same questions, fears, uncertainty. The best ENT doctor in my life! Maria Pavlovna - thank you. Sincerely, Elena
07.09.2025
K. Elena Vladimirovna
I was extremely satisfied. The doctor was very attentive and competent. Thank you very much.
01.09.2025
L. Vladislava Vasilievna

About doctor:

Osipova Irina Andreevna

Excellent professional, attentive, neat.
28.08.2025
L. Alexander Sergeevich
After the injury, I started having serious hearing problems. I didn't go to the doctor right away and let the disease get worse. I made an appointment with audiologist-otorhinolaryngologist M.P. Portnyagina. The doctor is experienced, responsive, with a lot of work experience. She identified my problem from the first minutes of the appointment and was generally very pleasant to talk to. The doctor showed me all possible hearing aid options - the consultation was clear and understandable. Thank you for the opportunity to be observed by such competent specialists.
25.08.2025
Anonymously
I was very pleased with my visit to Doctor Varvyanskaya A.V. The doctor listened to me attentively, examined my larynx in the most thorough manner, asked me in detail about the symptoms, compared the data from various tests, sorted out my problem, gave detailed explanations of the diagnosis and recommendations for treatment. I left calm and confident that everything would be fine with me.
18.08.2025
Goryunov M. A.
I express my heartfelt gratitude to the ENT doctor Tetsoeva Z.M. for her professionalism, attentiveness and kindness. The doctor carefully examined my throat, explained everything and gave recommendations for treatment. At the appointment, I felt a sincere desire to find the cause of my illness and help with the solution of this health problem. I confidently recommend this specialist.
18.08.2025
Goryunov M. A.
I liked everything, the doctor examined me and explained everything within the framework of my request, and the doctor was also very pleasant to talk to!
12.08.2025
D. Dmitry Vladimirovich

About doctor:

Punkov Maxim Anatolevich

The best clinic I've ever been to! Doctor Osipova I.A. is the best ENT!!! I had an appointment with Fotina E.V. A real female doctor, a wonderful specialist and person❤️
11.08.2025
Vasilisa M.
I visited the ENT doctor Varvyanskaya A.V. twice. I liked everything, the appointments are very comfortable, I will be happy to recommend the clinic and the doctor to my friends.
08.08.2025
Anonymously
Appointment with Dr. Samarin. The only otolaryngologist in Moscow that I trust. Thank you for your professionalism and sensitivity.
08.08.2025
Anonymously
Amazing doctor, helped me to understand my ear and nose issues, explained everything and prescribed adequate treatment
06.08.2025
K. Andrey Yuryevich

About doctor:

Punkov Maxim Anatolevich

I would like to express my sincere gratitude to the ENT doctor Irina Andreevna Osipova. She is a true professional with extensive experience and deep knowledge in the field of ENT rheumatology. She listened carefully to all the complaints, and approached my case — Wegener's vasculitis — very competently. She gave clear, well-founded recommendations, explained everything in understandable language, and instilled confidence. It is obvious that the doctor works with soul and sincerely cares about her patients. Thank her for her sensitivity, attentiveness, and high professionalism!
06.08.2025
K. Sergey Alexandrovich

About doctor:

Osipova Irina Andreevna

The doctor is very attentive and professional. I really enjoyed the visit.
30.07.2025
V. Yulia Nikolaevna
Excellent doctor, very competent in resolving the issue. Listened to the complaint, provided due assistance.
29.07.2025
D. Nikolai Dmitrievich
Everything is great as always, I hope the treatment will be beneficial!
23.07.2025
K. Ekaterina Alexandrovna
Everything is great, they prescribed treatment, we will continue!
01.07.2025
N. Roman Gennadievich
Irina Andreevna, simply the best! The problem I have lived with for the last 15 years has been solved! In January 2025, an operation was performed, after which life became easier. I visited a lot of doctors, they all advised the same thing: washing, rinsing, etc. And only Irina Andreevna said that surgery was necessary. After the operation, I was a little nervous about how everything would heal. Thanks to the doctor, I didn't have any of this. Everything was explained in detail. I am incredibly grateful to her!!!!!
05.02.2025
Khazhar Ruslanovna K.

About doctor:

Osipova Irina Andreevna

Zalina Muratovna, super professional doctor. I am being observed and had surgery with her two weeks ago to remove tonsils. With her light hand, healing is going very well. I definitely recommend the doctor. In addition to her professionalism, she is also a very pleasant doctor to talk to! Thank you, Zalina Muratovna! Elena P.
29.07.2024
Pogibelnaya Elena Anatolyevna
Nikolai Nikolaevich performed surgery on my tear ducts. In this review I want to once again convey to him my deepest gratitude. He is a surgeon from God. I am glad for all future patients with the problem of dacryocystology (and on its basis, for example, dangerous purulent processes), if they end up being treated by Nikolai Nikolaevich.
12.07.2024
Tamara Veniaminovna
Many thanks to Zalina Muratovna!!! I had severe otitis media. Other doctors in other clinics whom I initially contacted could not help. Life has become a nightmare. Pain, deafness, panic attacks, deterioration in health. And when I finally found this wonderful doctor, I came back to life. In 2 days of intensive I came back to life, and then competent treatment returned everything to its place. Thank you for a full and bright life. Good luck and happiness to everyone
30.05.2024
Tatyana Grigorievna Sokolova
Zalina Muratovna is a doctor from God! Thanks to her, my entire family’s noses can breathe, their ears can hear, and their throats don’t hurt)))
23.05.2024
Stepanova Oksana Nikolaevna
I would like to express my gratitude to my attending physician - the wonderful otorhinolaryngologist Anastasia Vladimirovna Varvyanskaya for his professionalism, attentiveness and kindness! And also to all employees of the K+31 West clinic who took part in the operation and the pre/postoperative period, these are: head of the ENT department Zalina Muratovna Tetsoeva, anesthesiologist Kristina Inalovna Siukaeva, head of the anesthesiology and resuscitation department Zarina Igorevna Sypkova, all nurses, secondary and to the junior medical staff, Alexander, who drove me to the operating room and back, hospitalization managers, administrators and everyone, everyone, everyone! I had surgery on March 14, 2024 for a deviated nasal septum and hypertrophied nasal turbinates (septoplasty + osteoconchotomy). I have been suffering from difficulty breathing through my nose for a long time. I got an appointment with Dr. A.V. Varvyanskaya. I immediately realized that I was ready for surgery with this specialist. The surgery and recovery went flawlessly. Finally, after many years of torment, my nose could breathe freely. Thank you!
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K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

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