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Intranasal corticosteroid injection: indications, technique, and complications
Otolaryngology and Head and Neck Surgery
|March 1, 1979
Summary
Intranasal corticosteroid injections effectively relieve nasal obstruction. A review of visual complications and safe injection techniques, including topical cocainization and slow submucosal delivery, minimizes risks.
Area of Science:
- Otolaryngology
- Ophthalmology
Background:
- Intranasal corticosteroid injections have been used for over 25 years for nasal obstruction.
- Recent reports of blindness have led some physicians to stop the procedure.
Purpose of the Study:
- To review all reported cases of visual complications from intranasal corticosteroid injections.
- To present the author's experience and emphasize safe injection techniques.
Main Methods:
- Review of all reported visual complications.
- Analysis of author's experience with thousands of cases.
- Emphasis on preliminary topical cocainization and slow submucosal injection of micronized corticosteroid suspension.
Main Results:
- Visual complications are rare.
- Proper technique, including slow injection and submucosal delivery, minimizes risks like vasospasm and embolization.
- The procedure is safe and effective when indicated and performed correctly.
Conclusions:
- Intranasal corticosteroid injections remain a valuable treatment for nasal obstruction.
- Adherence to specific techniques can significantly reduce the risk of serious side effects.
- Physicians should be aware of indications, side effects, and proper injection methods.