Dr. Gainan uses Low Level Laser Therapy to successfully treat sinusitis sufferes.

 

Table 1: Affection of individual sines

Therapy of sinusitis is focussed on suppressing infection, influencing unpleasant symptoms – especially pain, shortening duration of disease, preventing relapses and transformation into chronic phasis of the disease. These were our main concerns when monitoring the influence of laser irradiation on sinusitis.

1. We can quite unambiguously confirm a positive effect of laser on diminishing pain. In all monitored sets a relief of pressure and pain was noticed within 24 hours after the first irradiation in group I.

2. In therapy of sinusitis it is important to attain re-ventilation of the cavity and functional mucocilliar transportation of the secretion, depending on interaction of the mucus and function of cilia.

Significant decrease of number of patients, who had to undergo a puncture, bears witness to an influence of laser irradiation on release of outlets of sines and restoration of mucocilliar transportation. In gnathic and metopic sines the transportation is circular and it is directed by determined drainage paths, leading to natural sinusal outlets. The transportation ceases due to various reasons – toxins, medicaments, temperature, relation between liquid and viscose layers of the mucus, surfactants,or bilateral contact of the surface of the mucose, especially in the area of the outlets.

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CONCLUSIONS
LLLT irradiation is a benefit for treatment of acute sinusitis. External irradiation with a laser with 830 nm wavelength, enabling the beam to penetrate 4 – 6 cm deep is recommended. Irradiation with red light emitting lasers is also effective, but due to the need of application through a lightguide inserted into the cavity this method has been already discarded from clinical practice.

Laser irradiation works through its analgetic, anti-inflammatory and biostimulative effects on ease of pain, or even on its elimination, its also causes a quicker withdrawal of inflammation and oedema of the mucose and thus brings restoration of drainage of sines as well as normalisation of mucociliar function.

Immunomodulative effect – improvement of both specific and non-specific immunities by stimulation of T and B lymphocytes, lysozyme and phagocytosis – is also significant. Stimulation of Langerhans cells of the mucose of sines is presumed, too.

Laser irradiation in treatment of sinusitis has no contraindications (with the exception of general contraindications, i.e. malignant tumors in the irradiation area, or epilepsy), and as a physiotherapy it can suitably complement therapy with antibiotics, mucolytics, and antihistaminics.

The use of laser with 830 nm wavelength appears to be the most beneficiary on diagnosis sinusitis acuta with liquid levels in paranasal sinuses, the treatment of which was cut down by 59 per cent in average, and on a group of patients with plain catarrhal obscure and decreased transparency (the most frequent) where duration of therapy was shortened by 39 per cent.

Dr. Gainan in his Boardman, oho office has had success treating sinusitis using the laser light. Call the office at (330) 629-9476 to schedule an appointment to finally help your sinusis problems.