Noz head. Warrior Noz 2 Lacrosse Head: Revolutionizing Lightweight Performance

How does the Warrior Noz 2 Lacrosse Head revolutionize lightweight performance. What innovative technology sets it apart from other lacrosse heads. How does its design enhance player performance on the field.

The Evolution of Warrior’s Noz Technology

Warrior Sports has taken lacrosse head design to new heights with the introduction of the Warrior Noz 2 Lacrosse Head. This innovative piece of equipment builds upon the success of its predecessor, pushing the boundaries of what’s possible in terms of weight reduction and performance enhancement.

The Noz 2 utilizes Warrior’s groundbreaking Noz technology, a gas-assisted molding process that injects nitrogen gas into the plastic during manufacturing. This revolutionary technique creates hollow sections within the head, significantly reducing its weight without compromising structural integrity.

Key Features of the Noz Technology

• Nitrogen gas injection creates air chambers inside the head
• Dramatically reduces weight while maintaining durability
• Allows for a stiffer head design without added bulk

How does this technology impact the player’s performance? The Noz 2’s lightweight design allows for quicker stick movements and reduced fatigue during extended play, potentially giving players a competitive edge on the field.

Unparalleled Lightweight Design

The Warrior Noz 2 Lacrosse Head boasts an impressive weight of just 4.3 ounces, making it one of the lightest lacrosse heads available on the market. This featherlight construction is a game-changer for players seeking maximum maneuverability and control.

Does a lighter head really make a difference in gameplay? Many players report noticing a significant improvement in their stick handling and shot speed when using ultralight heads like the Noz 2. The reduced weight allows for faster stick movements, potentially leading to quicker passes, shots, and defensive maneuvers.

Comparing the Noz 2 to Traditional Heads

To put the Noz 2’s weight into perspective, let’s compare it to some traditional lacrosse heads:

• Average lacrosse head weight: 5.5 – 6.5 ounces
• Warrior Noz 2 weight: 4.3 ounces
• Weight reduction: Approximately 20-35%

This substantial weight reduction can have a noticeable impact on a player’s endurance and performance throughout a game or practice session.

Enhanced Stringing Options and Versatility

The Warrior Noz 2X, an updated version of the original Noz 2, introduces improved versatility in stringing options. This advancement addresses one of the few criticisms of the original model, providing players with greater customization possibilities.

Stringing Improvements in the Noz 2X

• 17 stringing holes in the bottom rail
• Increased options for pocket placement and depth
• Greater ability to fine-tune stick performance

How do these additional stringing options benefit players? The increased number of stringing holes allows for more precise pocket customization, enabling players to create a pocket that perfectly suits their playing style and preferences. This customization can lead to improved ball control, more consistent releases, and overall better performance on the field.

Durability Concerns Addressed

One of the primary concerns with ultralight lacrosse heads is their potential lack of durability. Warrior has taken great strides to address these concerns with the Noz 2 and Noz 2X models.

How has Warrior ensured the durability of such a lightweight head? The company reports extensive testing of the Noz technology, including use in Major League Lacrosse (MLL) games and by elite players during intense summer sessions. The feedback from these rigorous tests has been overwhelmingly positive, with players noting the head’s ability to withstand high-level play without compromising its structural integrity.

Durability Features of the Noz 2

• Nitrogen-filled chambers provide structural support
• Carefully engineered plastic composition
• Tested and approved for MLL-level play

While long-term durability data is still being gathered, initial reports suggest that the Noz 2 is capable of standing up to the demands of competitive play across all levels of the sport.

Performance Enhancements for Offensive Players

The Warrior Noz 2 and Noz 2X are not just about weight reduction; they also incorporate design elements that can potentially enhance offensive performance on the field.

Key Offensive Features

• Mid-to-low bottom rail configuration
• Improved flex profile
• Patented flare design similar to Warrior’s Blade model

How do these features translate to on-field performance? The mid-to-low bottom rail configuration is designed to provide excellent ball security, potentially reducing the risk of turnovers during crucial offensive plays. Additionally, the improved flex profile is engineered to enhance shot release power, potentially leading to harder, more accurate shots on goal.

The patented flare design, borrowed from Warrior’s popular Blade model, is intended to improve the head’s flex characteristics. This design element may contribute to a more responsive feel during cradling and shooting, potentially giving offensive players an edge in ball control and shot placement.

Faceoff Specialist Advantages

While the Warrior Noz 2 and Noz 2X are versatile heads suitable for various positions, they offer particular advantages for faceoff specialists. The combination of lightweight design and specific performance features makes these heads attractive options for players focused on dominating the faceoff X.

Faceoff-Friendly Features

• Ultralight design for quick movements
• Improved flex profile for better “clamp” on the ball
• Patented flare design for enhanced faceoff performance

How do these features benefit faceoff specialists? The lightweight nature of the Noz 2 allows for incredibly fast hands during the faceoff, potentially giving players a split-second advantage in clamping the ball. The improved flex profile and flare design work together to create a head that can better conform to the shape of the ball during a faceoff, potentially increasing a player’s ability to gain possession.

Is the Noz 2 legal for faceoff use at all levels of play? According to Warrior, the Noz 2 is designed to their “X” spec, making it legal for use in college, high school, and youth lacrosse. This universal legality ensures that faceoff specialists can use the same head across various levels of competition.

Stringing and Mesh Options for Optimal Performance

While the Warrior Noz 2 and Noz 2X are available unstrung, many players opt for pre-strung options or custom stringing to maximize the head’s performance potential. The choice of mesh and shooting strings can significantly impact the head’s playing characteristics.

Recommended Stringing Components

• East Coast Mesh: High-performance wax lacrosse mesh
• Fire Thread Shooters: For increased consistency and hold
• 275 Paracord: Durable and long-lasting sidewall string

How do these stringing components enhance the Noz 2’s performance? The East Coast Mesh, infused with an advanced wax formula, provides superior performance in various weather conditions. Its waterproof properties help maintain consistent pocket shape and feel, even in wet conditions. The Fire Thread Shooters offer additional hold without introducing excessive whip, potentially improving shot accuracy and consistency.

For players looking to customize their Noz 2, the 275 Paracord is recommended for its durability and ability to maintain tension, creating a stable foundation for the pocket. This attention to detail in stringing can help players fully capitalize on the Noz 2’s innovative design.

The Future of Lacrosse Head Design

The Warrior Noz 2 and Noz 2X represent a significant leap forward in lacrosse head technology. By successfully addressing the challenge of reducing weight without sacrificing durability or performance, Warrior has set a new standard for what players can expect from their equipment.

How might the Noz technology influence future lacrosse head designs? It’s likely that we’ll see other manufacturers exploring similar weight-reduction techniques, potentially leading to a new generation of ultralight heads across the industry. This trend could result in faster-paced games and new playing styles that take advantage of the increased maneuverability offered by lighter equipment.

Potential Future Developments

• Further refinement of gas-assisted molding techniques
• Integration of advanced materials for even greater weight reduction
• Development of position-specific ultralight heads

As players at all levels continue to push the boundaries of what’s possible on the lacrosse field, equipment manufacturers like Warrior will undoubtedly respond with increasingly innovative designs. The Noz 2 and Noz 2X may well be remembered as pivotal products that helped usher in a new era of lacrosse equipment technology.

In conclusion, the Warrior Noz 2 Lacrosse Head represents a significant advancement in lacrosse equipment design. By combining innovative weight-reduction technology with performance-enhancing features, Warrior has created a head that appeals to players across various positions and skill levels. As the sport continues to evolve, products like the Noz 2 will play a crucial role in shaping the future of lacrosse gameplay and equipment design.

burnedbyLax – New Warrior NOZ 2X Faceoff Lacrosse Head…

New Warrior NOZ 2X Faceoff Lacrosse Head Strung w/ ECD Semi Soft Mesh w/ Mid Pocket & FireThread Shooters.

STRINGING:
Strung for the faceoff. Wax mesh for grip when pinching , pulling or popping the ball. Fire Thread Shooters for that extra torch.

HEAD:
For the 2016 season, Warrior Sports continues their very popular NOZ line with release of the Warrior NOZ 2 X. Like its predecessor, the Warrior NOZ 2 X is one of the lightest lacrosse heads in the world. The difference is the Warrior NOZ 2 X is that it will provide more versatility in stringing options by having 17 stringing holes in the bottom rail. Warrior’s Noz technology is a gas assisted molding process in which nitrogen gas is injected in the plastic of the head to dramatically reduce the weight.

The Warrior NOZ 2 X will also have a better flex profile to enhance shot release power and durability. With its Mid-to-low bottom rail configuration, this head will provide great ball security with increased accuracy. The Warrior NOZ 2 X head also features a patented flare design similar to Warrior’s Blade model, which will improve flex to gain an advantage at the face-off.
Whether you are a face-off specialist or someone who likes to dominate on offense, the Warrior NOZ 2 X will offer Noz technology to take your game to the next level.

MESH:
East Coast Mesh is high performance wax lacrosse mesh. It is infused with our advanced wax formula to provide superior performance. The mesh is waterproof, never worry about your pocket bagging out in the rain again. Wax formula repels water so your pocket will remain the same in the worst weather conditions. Fast Break in, simply string and play. East Coast Mesh requires literally no break in time. As soon as you string it up your stick is game ready. Provides superior hold & maximum consistency, slightly tacky feeling which adds hold without adding whip. Each piece is made in American and coated in Baltimore, MD.

SHOOTERS:
Fire Threads 30″ Lacrosse Stick Shooter Laces are getting snapped up by our PROS for the super tight weave and some of the best we have seen from the specialty manufacturers. Try em out for more consistency. Double the price of the other guys.. but who care for a few bucks.
1. Maximum Snap and Power
2. Extra hold without any additional whip
3. Reduces the greaser effect
4. Easily maintains tension through the knots on sidewall and top string allowing you to lock in your knots and create the ultimate pocket foundation.

STRING:
275 Paracord is dependable, tough and long lasting, Certified Type III Nylon, 275-pound Tensile Strength, 5 Inner Strands, 2mm Diameter, Rot Resistance, UV Fading Resistance, Durable and Made in the USA.
I check all my lax heads that they comply with the new NFHS 2018 Crosse changes & emphasis. More info at nfhs.or

IL Gear Zone: Warrior Noz

Warrior’s got a new head on 10 streets, the NOZ, which uses nitrous filled tubes throughout the plastic to cut down on weight without sacrificing durability. Check out the details from Warrior and more photos below:

Inspiration for the Head

Our goal was to create the lightest head in the game but still try to keep it stiff. In the past the only way to make a head lighter was to remove plastic from the sidewalls, etc. – for example see the difference between the Revolution head vs. an Evolution. We came across this new NOZ technology which allowed us to shoot Nitrogen gas into the head while it was being molded – basically it created a hollow section inside the lacrosse head so it removed weight while still keeping the head stiff. I know some of you guys are concerned about durability with a hollow head and I want to assure you that we have really tested this thing in both the MLL and with a bunch of our elite players this summer. The feedback from these guys has been unbelievable, guys really notice the weight difference and if this head can hold up in the MLL then you know it can take a serious beating. Important: Keep in mind that we made the NOZ head to our “X” spec which means its LEGAL FOR EVERYONE – college, high school, youth lacrosse.

—Tom Burns, Warrior Product Manager

Specs

“We inject the NOZ with nitrogen gas to make it super light, fast & deadly without sacrificing strength or durability. NOZ floats like a butterfly on a cloud of whipped cream & stings like a raging horde of hornets shot from a bazooka.” Available Pockets: Unstrung, Player’s Pocket Price: $109.99

• Lightest head on the market 4.3 oz
• X Universal Spec: Legal for Play at all Levels
• The Noz head is the lightest head in the world at 4.3 oz.
• Warrior Exclusive, Gas Assist Molding Process injects the Noz head with Nitrogen Gas
• Nitrogen gas creates air chamber inside the head, dramatically reduces weight without sacrificing durability

Photos

Check out Nate testing out the head on Facebook

Purchase Here

Commonwealth Lacrosse Monkey Lacrosse Unlimited at Lax World Stickhead Lacrosse

Roccat Noz review: An ultralight gaming headset that doesn’t carry enough weight

At just 210g, the Roccat Noz is one of the lightest gaming headsets I’ve worn for quite some time. It’s also one of Roccat’s least flashy gaming headsets as well, as you won’t find a single LED on this £60 / $70 headset, or even their usual giant lion logo draped around the side of the ear cup. Instead, you just get a plain, black headset with a tiny amount of writing down the side, along with the briefest flashes of silver if you decide to extend its stainless steel headband. But does its compact, ultralight frame make it material for our headset rundown? Here’s wot I think.

Alas, despite its minuscule weight and lovely soft earcups, the Roccat Noz started pinching the sides of my head almost as soon as I put it on. I did, admittedly, have it on its tightest setting – as I often do, due to apparently having the tiniest head on the planet – but while lengthening the headband out a notch on each side did help alleviate the tension somewhat, loosening it any further then made it feel far too big, as if it was hanging off my skull like a droopy pair of elephant ears. As a result, I can’t see this being particularly comfortable for those with wider heads than mine, as even my micro-sized noggin struggled to find a comfortable position for it.

It’s a shame, really, as the Noz’s audio quality was pretty decent. When I fired up Hellblade: Senua’s Sacrifice, the voices in Senua’s head were wonderfully crisp and clear, and I felt like I could pinpoint their exact locations as they rushed in close to whisper in my ear before dashing away again to snicker and laugh on the periphery.

The Noz has two on-ear controls: a volume roller and a push-in microphone mute button. Sadly, there’s no way to tell whether the latter is activated other than shouting wildly into the void to see if your mates can hear you or not. I do like the reversible (or horizontal / vertical) styling of the word Noz, though. That’s neat.

Similarly, Final Fantasy XV’s orchestral soundtrack proved to be very pleasant listening on the Noz. A tad clinical in places, perhaps, with some occasional string sections sounding a bit thin against the loud zips and zaps of battle, but on the whole I felt it struck a good balance between the highs and the lows.

That said, the Noz is definitely better suited to some games than others. In Doom, for example, the lack of warmth I detected in Final Fantasy XV really came to the fore here, and everything from the game’s bass-heavy soundtrack to the pump and boom of the Super Shotgun just sounded very tinny and lacking in impact. No one wants weedy-sounding guns in a game like Doom, especially when part of the fun is tied to the specific noise and grunt of your arsenal. The Noz isn’t compatible with Roccat’s Swarm software either, so you can’t tinker with its equalizer settings to try and emphasise the bass a bit more for individual games.

It’s disappointing the Noz isn’t a bit more versatile, as its detachable microphone also scored highly on the old clarity scale. There was a noticeable bit of background hiss when I recorded myself talking in Audacity, but the rest of my speech came through loud and clear without a single bit of pop or breathy wind fuzz. The Noz can also pull double duties on consoles and mobile devices, too, thanks to its bundled 3.5mm combo adapter.

The Roccat Noz’s biggest downfall, though, is the price. While £60 / $70 isn’t extortionate in the world of gaming headsets, it’s also dangerously close to the vastly superior Corsair Void Pro RGB, which currently goes for £75 / $67 at time of writing (although the wireless version is oddly even less in the UK right now, going for just £67). This is eminently more comfortable than the Noz and produces a much warmer, richer sound across all types of games as well.

There’s also the even cheaper Turtle Beach Atlas Three to consider as well, if USB headsets like the Void Pro aren’t your thing. This is currently just £48 in the UK (although weirdly doesn’t seem to be available in the US), and comes with a built-in bass amplifier to really up the ante for games and regular music alike. With competition like this, the Noz doesn’t stand a chance at this price. It may be ultralight, but it’s simply not enough to compete with the gaming headset heavyweights.

HEAD NOZ SPRAY TRIG R/WHT

/ {{vm. product.unitOfMeasureDescription || vm.product.unitOfMeasureDisplay}}

Price Not Available, we are working to resolve. If urgent, please submit your quote to: [email protected]

{{section.sectionName}}:

{{option.description}}

{{section.sectionName}}
Select {{section.sectionName}}

{{styleTrait.nameDisplay}}
{{styleTrait. unselectedValue ? “” : “Select”}} {{styleTrait.unselectedValue ? styleTrait.unselectedValue : styleTrait.nameDisplay}}

• Attributes
• Documents
• Specifications
• Attributes
• settings.documentsTabSortOrder === ‘DisplayLast’ && vm.product.documents.length > 0″>Documents

Share

An email was successfully sent.
Email was not successfully sent, please verify form inputs.

×

Roccat Noz Gaming Headset Review

With gaming headsets, as with life, the little things often matter more than you think. With Noz, Roccat’s latest gaming headset (See it on Amazon), the German peripheral-maker has shifted its focus towards making a sub-$100 cross-platform headset that is light and comfortable on your head. It’s far from perfect, even for a simple wired headset, but it has an elegant look, some useful quality-of-life features, and, most importantly, is one of the only gaming headsets I’ve ever worn and forgotten I was I wearing.

Roccat Noz Gaming Headset – Design & Features

The Noz is, at first glance, a very basic, entry-level gaming headset. Plastic cans and mounting, leather across the top of the headband, a braided cable with a 3.5mm jack you can plug into a PC or console controller. There’s no lighting, no mixer, no configuration software. On the back of the left earcup bracket, there’s a single button that mutes the removable microphone, and a dial for adjusting volume. It looks surprisingly elegant for gaming gear. If you removed the mic and found a way to stash the cable, you could probably wear these outside like standard headphones and no one would bat an eye.

The mic, which slots into an embedded 3.5mm jack on the front of the left earcup, is attached via a small tube of bendable plastic, making it easy to move it as close or as far from your mouth as you want. The mic’s design – no frills, but very functional – is like the entire device; everything works about as well as it needs to. The main advantage of the Noz is its weight. At 210 grams, it is far lighter than most gaming headsets out there, particularly ones made from molded plastic like HyperX’s Cloud Stinger (275g) and Astro’s A10 headset (310g).The main advantage of the Noz is its weight.

“

The elliptical-shaped earcups are also quite wide, making them very comfortable to wear while giving sound coming out the speakers a little more room to bounce around. Unfortunately, the padding on the cups and band isn’t so pleasant, which can undercut the overall fit: The padding has a polyester scratchiness to it and tends to get itchy in a hot room. Overall, though, the Noz felt good on my fairly wide head. While using the Noz with my PC, particularly while writing or browsing the web, I forgot it was on my head a few times.

Despite the simple appearance, though, there are a few little extra features that make the Noz stand out in the budget headset crowd. For starters, it features 50mm drivers, which allow for deeper bass. (A nice thing to have when you’re playing a video game with lots of explosions). Though bigger drivers aren’t exactly fancy, most headsets under $100 feature 40mm drivers. Though the casing is all plastic, the Noz does have an adjustable stainless steel frame in the band, adding extra durability and, when needed, a little flex.

I particularly appreciated that the cable includes an inline Y-splitter. The cable, which runs 2.45 meters (just over eight feet), features a single 4-position jack, but you can remove the end of the cable, breaking up the jack into 3-position audio-in and -out connections – one connects the headphones, the other connects the mic. As with the drivers, more expensive wired headsets will include an adapter, since many PCs require you to use the split cables, but some companies skimp on the part with a cheaper headset. Roccat, by contrast, created a very graceful solution, which I hope more headset-makers adopt.

Roccat Noz Gaming Headset – Gaming (Sound Quality)

Bells and whistles aside, it’s hard to get too excited about the Noz, as its core competency – audio quality – is among its weakest qualities. The audio generally sounded fine. Just fine. That’s a pretty serious condemnation, even for a comparably inexpensive piece of gear. The sound generally felt kind of washed out. In a game like The Division II, where bullets whizz past your head and explosions are going off every minute, you want sound that conveys a sense of place, not only to immerse you but to help you keep track of what’s going on. While I could tell the left side of the field from the right, I never heard those sharp pings or raspy booms as clearly as I expected.

Outside of games, I noticed some unwanted scratchy mid- and high-pitched sounds, particularly in videos with some background noise. Similarly, in YouTube videos with a person talking over background music, the tracks tended to bleed together a bit more than with other, similar priced headsets. Listening to music, I found that most vocals carried a little echo that muddied other elements of the song. The general picture I gathered, across all media, was that the sound tended to get a bit muddy. You won’t necessarily notice the problems unless you look for them, but once you hear them they very apparent.

On the comms side, the microphone comes through quite clear under ideal conditions; there’s a bit of fuzz around the edges, but I’ve heard much worse from far more expensive headsets. That said, the mic is really only able to pick up your voice when the receiver opening is positioned directly in front of your lips. It’s pretty easy to get it into the right place because the mic wire is so flexible, but it is still more finicky than I’d like it to be.

Purchasing Guide

The Roccat Noz has an MSRP of $69.99 and it’s the same price online.

2019 INMA Media Innovation Week

Visit to NOZ Digital

Barnerstraße 14, 22765 Hamburg

After the merger of NOZ MEDIEN and mh:n MEDIEN in 2016, the media group, now one of the ten largest newspapers publishers in Germany, decided to build a new central digital unit in Hamburg — somewhat the geographic middle between the existing headquarters in Osnabrück, Flensburg, Pinneberg and Schwerin. NOZ MEDIEN and mh:n MEDIEN publish 42 daily newspaper titles and very proud of having now more than 100.000 digital subscribers (More on that here).

Since 2018, three different teams work in a new office in Hamburg-Ottensen to support, strengthen and speed up the digital transformation at NOZ MEDIEN and mh:n MEDIEN. Hear the story of how the NOZ Digital manages the digital strategy of the publishing group and focusses on topics like Paid Content, Data Strategy and Business Development. Learn how the HH-Lab — a newly-founded R&D-department for the whole media group — does research and develops new ideas and (digital) products. And, last but not least, hear the story how the “Zentralredaktion Digital”, the central unit for national and international digital content, focusses on digital journalism, storytelling and new formats to back-up and reinforce the paid content efforts in the local and regional editorial units.

Nicolas L. Fromm

Managing Director Digital, NOZ MEDIEN & mh:n MEDIEN

CEO, NOZ Digital
Nicolas

Joachim Dreykluft

Head of R&D, NOZ MEDIEN & mh:n MEDIEN,

Editor shz.de
Joachim

Michael Krechting

Managing Editor Digital Neue Osnabrücker Zeitung (NOZ)
@krechtingmMichael

90,000 Signs and symptoms of sinusitis in adults. How to recognize the disease in time?

Inflammation of the maxillary sinuses immediately makes itself felt. Anyone can compare the description of the disease with their own feelings and, on this basis, “diagnose themselves. ” But only a doctor can prescribe adequate treatment. This requires appropriate education, experience and diagnostic equipment.

What is sinusitis?

Sinusitis is an inflammation of the maxillary sinuses of the nose.It usually develops as a complication of the common cold. The most characteristic signs:

• the temperature rises to 37 – 37.5 C;
• stuffy nose;
• yellow-green nasal discharge appears;
• the bridge of the nose, cheeks at the wings of the nose and temples hurts;
• headache worsens in the evening;
• the sense of smell disappears;
• voice becomes nasal;
• feeling of general weakness.

With inflammation of the maxillary sinuses, a person quickly gets tired, it is difficult for him to concentrate attention, memory weakens.It is very difficult to work with sinusitis, so it is better to take a sick leave.

Sinusitis can be acute or chronic.

Causes of sinusitis

The disease often occurs in the cold season in people with weakened immunity, but this is not the only reason. Inflammation of the maxillary sinus can develop due to:

• complications of the common cold;
• curvature of the nasal septum;
• damage to the nasopharynx;
• adenoiditis;
• infections and bacteria;
• allergies;
• too dry indoor air;
• work in hazardous production;
• poor condition of the upper teeth;
• injuries of the mucous membrane of the maxillary sinus.

Diagnosis of sinusitis

Treatment of sinusitis will be effective if the patient turns to the ENT on time, a specialist will diagnose and prescribe treatment. The survey includes a number of procedures:

• examination of the nasal cavity;
• palpation or feeling around the nose and under the eyes;
• clinical blood test;
• X-ray of the paranasal (paranasal) sinuses – according to indications;
• computed tomography of the sinuses of the nose.

X-rays can detect accumulation of mucus in the sinuses and swelling of the sinus mucosa. With sinusitis, darkening will be visible in the picture, since mucus and tissue edema in the cavities does not allow X-rays to pass through.

CT scan of the paranasal sinuses is necessary to detect polyps, cysts, and anatomical changes. The examination is painless and lasts no more than 5 minutes.

If, when you tilt your head down, you feel heaviness, and the discomfort subsides some time after you raise your head, contact the ENT.Self-medication with folk remedies, randomly selected antibiotics and nasal drops causes serious complications. Sinusitis can become chronic and cause more serious diseases: otitis media, meningitis, brain abscess, phlegmon of the orbit (inflammation of the tissues around the eyeball).

Treatment of sinusitis

Depending on the patient’s condition and the course of the disease, the doctor prescribes therapy and selects antibacterial, decongestant and anti-inflammatory drugs. Treatment can be conservative or surgical.

Conservative treatment

In case of mild sinusitis, in addition to drug treatment, according to indications, they wash the nasal cavity according to Proetz, or “cuckoo”. A special solution is injected into the nose of the patient lying on his back. It passes through the nasal cavity, sinuses, after which it is pumped out with a vacuum pump. “Cuckoo” is carried out in a course of 2 to 10 procedures.

With a moderate and severe course of the disease, antibiotics are prescribed in the form of tablets, solution for injection or inhalation.

Surgical treatment (puncture of the maxillary sinus)

With severe purulent sinusitis or lack of effect from conservative therapy, a puncture is used. This allows you to quickly remove pus from the sinus, cleanse it and treat it with an anti-inflammatory drug. Sometimes it is required to carry out several such manipulations. Punctures are done under local anesthesia.

When sinusitis does not respond to treatment or is in an advanced stage, surgery is performed under general anesthesia.The recovery period after surgery can take up to two weeks.

Prevention of sinusitis

In order to avoid sinusitis, you should:

• spend enough time outdoors;
• strengthen the immune system;
• eat right;
• take vitamins;
• dress for the weather;
• Seek medical help on time.

If you have discovered the first symptoms of sinusitis and are looking for a qualified specialist who will diagnose and help you cope with the disease, call the phone number listed on the website, or leave a request in the feedback form.The staff of the medical center “Admiralty Shipyards” will answer your questions and carry out all the necessary examinations within one working day. Let’s take care of your health together!

90,000 Nasal liquorrhea – what is it?

Dmitry Kapitanov, Otorhinolaryngologist, Otoneurologist, Professor, Doctor of Medical Sciences, speaking

Nasal liquorrhea (NL) – the leakage of cerebrospinal fluid into the nasal cavity – is a rather rare, but potentially fatal disease that is not always correctly diagnosed by doctors and can exist for many years under the guise of allergic or vasomotor rhinitis. CSF fistula (a channel through which fluid flows) occurs due to a defect in bone structures and meninges. If the bone defect is large, the membranes and substance of the brain can fall through it, creating a hernial sac, which is called meningo (encephalo) cele.

Forms

Such a fistula can form as a result of craniofacial trauma, previous surgery in the nasal cavity and at the base of the skull. Or spontaneously, against the background of increased intracranial pressure.Thus, a distinction is made between traumatic and spontaneous nasal liquorrhea. In turn, spontaneous nasal liquorrhea can be congenital, as a result of intrauterine disorders in the formation of bone structures of the base of the skull, or acquired. In the latter case, a fistula can form against the background of a variety of problems. These include metabolic disorders, increased weight, increased intracranial pressure, anomalies in the development of the anterior parts of the skull base, etc.

What is the danger?

By itself, the abundant discharge of fluid from the nose is quite unpleasant, since it seriously reduces the quality of life. But the more serious complication is meningitis, i.e. inflammation of the membranes and substances of the brain, since there are conditions for the penetration of infection from the nasal cavity into the cranial cavity in case of any colds. Another formidable complication is pneumocephalus, when air is introduced into the cranial cavity through an open fistula. These complications require urgent hospitalization of the patient.

Symptoms

Symptoms of profuse nasal liquorrhea:

When the head is tilted, a clear, light liquid is released from one half of the nose.

Latent, recurrent nasal liquorrhea is diagnosed more difficult and requires the use of the entire arsenal of techniques – laboratory and radiation. In the supine position, a cough occurs, since the liquor flowing into the oropharynx can enter the lower respiratory tract, causing reactive laryngitis, tracheitis, and even pneumonia. Liquorrhea complicated by meningitis is manifested by a wide range of neurological disorders.

A patient with nasal liquorrhea usually has a history of traumatic brain injury or surgery involving the nose and paranasal sinuses, including endoscopic surgery.In this case, spontaneous nasal liquorrhea can begin suddenly without an obvious apparent reason.

Diagnostics

First of all, the doctor determines the nature of the discharge:

• the side from which the discharge comes,

• periodicity,

• specific head positions in which they appear,

• dependence of the volume of discharge on stress (Valsalva test).

The figure shows a visual examination of the patient. When the head is tilted downward, a clear liquid begins to stand out from the nose.

Nasal liquorrhea is often mistaken for rhinitis (allergic or vasomotor). It can also remind patients of the condition when the nose is irrigated with liquid medicines.

Profuse nasal liquorrhea can independently stop for a while, while patients note a headache due to fluctuations in intracranial pressure.

Damage to the anterior parts of the skull base may be indicated by:

• impaired sense of smell (hyposmia or anosmia),

• vision problems.

The standard examination should include:

• Endoscopic examination of the nose and paranasal sinuses (in the figure – endoscopy of the nasal cavity with a direct endoscope; in the projection of the posterior wall of the sphenoid sinus, a small bone defect is visible through which the cerebrospinal fluid flows).

• Rhinoscopy.

• Hearing examination for the presence of auricular liquorrhea,

• Neurological examination,

• Biochemical analysis of liquid nasal discharge for glucose level, determination of CSF-specific proteins (beta-2 fraction of transferrin, trace protein).

Radiological methods:

• Computed tomography (CT) of the base of the skull and paranasal sinuses (the figure shows a large defect in the base of the skull in the projection of the sieve plate with the formation of meningocele (arrow)).

• CT cisternography with endolumbar contrast injection to more accurately determine the location of the defect at the base of the skull.This study is performed in a hospital setting.

• CT of the skull and brain to exclude hydrocephalus, neoplasms of the base of the skull, and identify meningocele.

• Magnetic resonance imaging (MRI) is an addition to CT to exclude meningoencephalocele.

• CSF-sensitive MRI. It is non-invasive, has no radiation load, and takes slightly longer than conventional MRI.

Treatment

Treatment of nasal liquorrhea is mainly surgical. For many years, it required severe, sometimes disabling interventions on the base of the skull using transcranial approaches. Over the past three decades, the development of methods of endonasal endoscopic surgery has radically changed the situation, and now most cases of nasal liquorrhea can be cured by sparing minimally invasive interventions performed without external incisions through the nasal cavity under endoscopic control, which allows the surgeon to significantly improve the view of the operating field.The endoscope helps the surgeon to determine the location of the cerebrospinal fluid fistula, carefully separate the mucous membrane from the bone defect, and precisely place the graft at the site of injury.

The method of surgical intervention is determined jointly by an otorhinolaryngologist-surgeon and a neurosurgeon. In some cases, it is precisely neurosurgical intervention that is required. For example:

• Large or multiple bone defects.

• Traumatic brain injury with brain compression.

• With increased intracranial pressure, when plastic surgery of the fistula cannot be performed, before the hypertension is eliminated with the help of bypass surgery.

• With a complex location of the fistula.

Treatment of nasal liquorrhea is primarily aimed at restoring the barrier between the nasal cavity and the intracranial space so that an intracranial infection does not develop.At the same time, soft tissues, rather than bone fragments, can be used to repair small defects in the base of the skull. But with large bone defects, they must be closed with a dense cartilage graft so that an encephalocele (cerebral hernia) does not form.

Postoperative period

After surgery, patients are usually advised to follow the following recommendations: avoid increased physical exertion, prolonged straining, forced coughing.The regime should be as gentle as possible. If possible, try to be more in the supine position, raise the head end of the bed. If the signs of nasal liquorrhea completely disappear, the patient is discharged with recommendations that must be followed for at least 6 weeks.

It is recommended to carefully remove part of the tampon fragments from the nasal cavity within 3-10 days after the operation. In this case, absorbable materials located directly near the graft remain and are removed later.For the entire postoperative period, antibiotics are prescribed in doses that prevent the development of sinusitis.

In the late postoperative period, at each visit of the patient, an endoscopic examination is performed to exclude the recurrence of encephalocele, especially if the plastic of a large defect was performed. It is important to subsequently carry out the differential diagnosis of rhinoliquorrhea with allergic, vasomotor and viral rhinitis.

Summary : Thus, nasal liquorrhea is a rare but dangerous enough disease that can lead to serious complications, including meningitis and pneumocephalus.Differential diagnosis with rhinitis is not always simple and unambiguous, therefore, a timely correct diagnosis is the key to adequate treatment. In view of the above, an examination by a specialized specialist is the first and necessary link in the diagnosis. If nasal liquorrhea is confirmed, a low-traumatic operation is required to restore the integrity of the skull base.

Head injury

Head injury occurs when the head is struck against a surface and is often accompanied by damage to the skull and brain.Closed craniocerebral trauma is subdivided into:

• brain contusion
• concussion
• brain compression

There are many symptoms of traumatic brain injury. Minor injuries cause mild or no symptoms, while severe injuries will cause serious bodily distress. If the patient does not observe any consequences after a blow to the head, then it is enough for him to rest at home.In some cases, the symptoms do not appear immediately, so you need to observe yourself for the first 2 days. At this time (at least 24 hours), try to give up physical exercise, driving a car, and operating equipment. You should also refrain from drinking alcoholic beverages and taking medications with a sedative effect.

For a minor head injury, the patient can take pain medication (if prescribed by a doctor) and be at rest. The first 24 hours, as described above, are very important and indicative of the patient’s condition.Others need to carefully observe changes in the patient’s behavior, and during sleep, wake him up every 2-3 hours, asking questions. This, at first glance, inhuman measure will help to check how confused his mind is.

Symptoms after TBI, in which an urgent need to see a doctor:

• Loss of consciousness
• Anxiety, slurred speech
• Convulsions
• Weakness in the legs and arms
• High temperature
• Frequent vomiting
• Increased headache (despite taking analgesics)
• The appearance of fluid or blood from the nose, mouth, ears (recommended not to blow your nose)
• Neck pain and stiffness (increased tone) of the occipital muscles
• Dizziness, blurred vision
• And others

If, after a head injury, the symptom indicates an increase in intracranial pressure, then the patient must be urgently hospitalized, in case of serious injuries, he can also be taken to the intensive care unit (ICU).

90,000 Poisoning with nasal drops (naphthyzine poisoning)

Article rating

4.40 (Voted: 5)

How often do we resort to self-medication without hesitation, especially if we have to treat a banal rhinitis. What would seem simpler: in any pharmacy there is a wide variety of vasoconstrictor drops , which, after instillation into the nose, cause vasoconstriction and, as a result, relieve edema and reduce mucus formation.And here it is, the longed-for freedom of nasal breathing for several hours.

Few people think at the same time that vasoconstrictor drops do not have a therapeutic effect, but only remove the symptoms for a short time. After the end of the action of the drug, the edema reappears, therefore, it makes no sense to treat a runny nose of any origin only with vasoconstrictor drops. This is only an adjunctive therapy that helps to relieve nasal breathing during the treatment period.

What is naphthyzine and how is it dangerous?

Naphthyzin is a short-acting vasoconstrictor drops that easily penetrate both the vascular wall of the nasal cavity and the general bloodstream, exerting a vasoconstrictor effect on all vessels in general, and therefore is contraindicated in severe hypertension.

Now on the pharmaceutical market there are many vasoconstrictor drops that differ in composition: there are both short and long-acting drugs, but unfortunately all of them can cause symptoms of naphthyzine poisoning in case of an overdose .

Even less we think about the fact that drops can be life-threatening, especially when used in children. Overdose of drops, exceeding the dose of the drug by 3-4 times can cause such a serious complication as naphthyzine poisoning.As a rule, this occurs when the age concentration of the solution is not observed, or when the visual amount of drops that have entered the nose is difficult, as well as simply when they are used uncontrollably, when the child does it himself or the drops are within his reach.

Signs of a mild or early stage of naphthyzine poisoning:

• increased agitation
• heart palpitations
• dizziness
• abdominal pain

If the drug continues to accumulate in the body or the overdose was more significant, the symptoms worsen: the heart rate slows down significantly, blood pressure drops, severe lethargy, weakness appears , drowsiness.At the same time, the child sleeps, but this sleep is unnaturally deep, the tone in the arms and legs falls (if they are raised, they fall like “whips”) confusion, a decrease in body temperature, the skin becomes pale, cold and moist, breathing is shallow.

What to do if these symptoms appear on the background of the use of vasoconstrictor drops?

Call an ambulance first. Before the arrival of the doctor: stop taking the drug, cover the patient with a blanket, give him a warm drink, measure the temperature, blood pressure and try to keep consciousness, not let him fall asleep.Given the severity of the consequences, do not use vasoconstrictor drops, especially if the child is sick, be sure to consult an otorhinolaryngologist for the appointment of treatment and monitoring over time. Remember that most vasoconstrictor drops can be dripped from 2-3 to 5-7 days, this is a short period that must be used to treat the inflammation process.

In the ENT clinic number 1, in order to minimize the number of prescriptions for drug therapy, you will be helped to relieve swelling and inflammation with unique highly effective physiotherapeutic techniques, such as: USOL – nasopharyngeal therapy, photochromotherapy of the nose, laser therapy of the nose, which will allow you to not only relieve swelling in the shortest possible time but also the cause of the inflammation.

90,000 Antibiotics for short-term sinus infections in adults

Review Question

Is antibiotics faster than antibiotics for sinus infections in adults?

Relevance

A sinus is a cavity located in the head. Adults with short-term sinus infections have nasal congestion and thick, yellow discharge from the nose. People with a sinus infection may feel mucus on the back of the throat, facial pain, pain when bending forward, and pain in the upper jaw or when chewing.A short-term sinus infection can be suspected after a physical examination and questioning about symptoms. Blood tests and sinus imaging can confirm the diagnosis, but are not routinely recommended in most countries. Viruses are the most common cause of short-term sinus infections. However, doctors may prescribe antibiotics, which should only be used to treat bacterial infections. Taking antibiotics unnecessarily leads to antibiotic resistance of bacteria. We assessed whether antibiotics could cure adults with short-term sinus infections more quickly compared to pacifiers (placebo) or no treatment.

Search date

January 18, 2018.

Research characteristics

We included 15 studies in which adults with short-term sinus infection, confirmed or unconfirmed by imaging, were randomly assigned to receive antibiotics, pacifiers, or no treatment on an outpatient basis. The studies enrolled 3,057 adults with an average age of 36; about 60% of the participants were female.Participants were followed until cured. The duration of the trials ranged from 8 to 28 days.

Sources of research funding

Seven studies received financial support from government or academic institutions; six – grants to the pharmaceutical industry; five did not provide funding sources.

Main results

Without antibiotics, almost half of all participants were cured after 1 week, and two-thirds after 14 days.For every 100 participants, out of 5 (diagnosed based on symptoms described to the doctor) – 11 (confirmed by x-ray) more people healed faster with antibiotics. Computed tomography (CT) scans can predict who will benefit from antibiotics, but its routine use can lead to health problems due to radiation exposure. For every 100 participants, 10 more people got rid of thick, yellow nasal discharge faster with antibiotics compared to dummy medication or no treatment.For every 100 participants, 30 more people experienced side effects (mostly from the stomach or intestines) with antibiotics versus dummy medication or no treatment. When compared to people who took antibiotics initially, an additional 5 out of 100 people in the dummy or no treatment groups were forced to start taking antibiotics due to worsening conditions. Serious complications (eg, brain abscess) were rare.

We have found that antibiotics are not first line treatment for adults with short-term sinus infections.We found no evidence for adults with severe sinusitis or immunosuppression, or children.

Quality of evidence

When the diagnosis was based on symptoms reported to a physician, the quality of the evidence was high. We reduced the quality of the evidence to moderate when the diagnosis was confirmed by X-ray or CT, as the number of participants was small and the estimate became less reliable.

Brain Freeze: Why Can I Have a Headache from Ice Cream?

• Jason G.Goldman
• BBC Future

October 13, 2015

Photo author, SPL

According to some reports, “cold” headache (or, as it is sometimes called, “brain freeze”) is familiar to every third person. Correspondent

BBC Future decided to investigate the causes of the phenomenon.

It has long been known that cold desserts can cause pain, but the reasons why this happens are still a matter of controversy.

The first report on this phenomenon is dated 1939. “Your nose and fingertips are going numb, and if you don’t rub your forehead, you’ll get a cold headache,” says Rebecca Timbres’ book We Didn’t Ask for a Utopia: A Quaker Family in Soviet Russia.

Despite the fact that the phenomenon was discussed in the medical literature already in the 1850s, the phenomenon received recognition of the International Headache Society only in 1988. Then they started talking about him as a “headache caused by the cold.”

In the third edition of the International Classification of Headaches, published in 2013, a team of scientists concluded that this type of pain occurs only when cold is applied to the head or mouth. As soon as the irritant disappears, the headache also disappears.

Most often the area in front of the head hurts from cold. However, in some cases, pain occurs near the ears or as if directly behind the eyes.

However, wherever this pain manifests itself the next time, it will definitely be “sharp, short and sharp.”

Anyone who has ever had an attack of a brain freeze will tell you that this is not very pleasant.

Since cold headache is often associated with irritation of the upper palate, the scientific name of the phenomenon is sphenopalative ganglioneuralgia, that is, “neuralgia of the palatine ganglion” (a nerve node that transmits sensations from the palate to the brain).

Pain is thought to result from constriction or dilation of blood vessels that occurs in response to cold.

As soon as our body feels cold, it sends warm blood to the brain as an antidote. It is the rapid change in blood flow that can cause pain.

Cold headache was also considered a subtype of migraines, since both phenomena are associated with a disordered response to stimuli. The widening and narrowing of blood vessels that occurs with cold headaches is similar to the causes of migraines.

According to another version, cold headache is an example of “reflected pain”, a mysterious, but at the same time well-studied phenomenon, in which irritation of one part of the body causes pain in a completely different place.

Photo author, Getty

Caption,

Cold headache attacks are short but intense

The link between cold headache and migraine is still not fully understood; however, almost everyone recognizes that phenomena are related.

In 2001, neurologist Peter Mattson conducted a study at the Swedish University Hospital. He found that women who experienced migraines at least once a year were twice as likely to experience cold headaches as those who never had migraines.

Palate and Brain

In 2004, Turkish neurologist Matsit Selekler investigated those suffering from migraines and tension headaches (that is, the pain that occurs from stress or intense exertion).

Together with his colleagues, Selekler conducted the “ice test”. During the experiment, subjects were asked to press an ice cube with their tongue against the palate.

As a result, 60% of the participants in the experiment suffered headaches, and 80% of them had suffered from migraines before.

Photo author, Getty

Photo caption,

Children who were given enough time to enjoy the treat did not experience headaches

Taiwanese neurologist Zhong-Ling Fuh came to a similar conclusion while observing Taiwanese teenagers. Together with her colleagues, she interviewed almost 9 thousand people aged 13 to 15 years.

It turned out that about 40% of adolescents have ever experienced a cold headache, and it was 15% more common in those who, in principle, suffered from migraines.

According to Fuh, the link between the two types of headache can be explained by the dynamics of blood flow between the palate and the brain.

Scientists continue to study the neurological and vascular aspects of this phenomenon, but something, nevertheless, has already been clarified.

For example, one doctor at McMaster University found that teens who were asked to eat a serving of ice cream in five seconds were twice as likely to experience cold headaches as students who were allowed to stretch out the pleasure.

So these pains are more likely when a cold stimulus is in sharp contact with the palate.

It is also known that icy desserts and drinks are not the only cause of cold headaches. For example, winter surfing can lead to it, said Mark Harris, a doctor at the British Olympic Medical Center.

“From my own crazy winter surfer past, I know of a nauseating frontal headache that comes on seconds after riding an oncoming wave,” he wrote in a 1997 letter to the editor of the British Medical Journal.“The pain lasts 20-30 seconds, increasing with each subsequent wave.” passing through the palate is probably the cause of the patient’s pain, “Australian neurologist Stacey Yankelowitz wrote in a 2001 report.

Fortunately, a relatively affordable remedy has been found to combat pain.”The pain persists as long as the stimulus is applied. So the patient gave up skating.”

Nearly 20 years ago, Joseph Halihan of Temple University concluded that it is not necessary for those with cold headaches to give up ice cream altogether.

Photo author, Getty

Caption,

Preventive measures usually help avoid ice cream

Since pain mostly irritates the back of the palate (where it becomes soft and fleshy), you can simply try eating so that the cold food did not touch the sensitive area.

“Most people are able to take these preventive measures without consulting a doctor,” he says. “Avoiding ice cream is not indicated.”

Why does nose bleed? – GAUZ OZP GKB No. 8

Sometimes a person can bleed from the nose, regardless of age. As a rule, this is not dangerous and is understandable. But this is not always the case, since nosebleeds can be caused by quite serious reasons that you do not know about. Now we will consider what needs to be done if blood is flowing from the nose and in what cases it is worth contacting a specialist.

Causes of bleeding

• High blood pressure. The nose contains a large number of nerve endings and thin blood vessels that can rupture due to high blood pressure.
• Mechanical damage. Due to the fragility of the capillaries in the nose, blood can flow from even slight damage, for example, with a handkerchief in case of a runny nose. Also, during a cold, blood vessels swell and may burst.
• Dry air. Now this is one of the most pressing reasons, because in winter, in frost or in a room where the air is dry, the nasal mucosa dries up, which can also cause nosebleeds.

In addition to problems in the nasal cavity, there are a number of reasons related to disorders of the whole body that can cause bleeding. For example, with some diseases of the cardiovascular system, hypertension, atherosclerotic lesions of the cerebral vessels, circulatory problems in the cervical spine, blood circulation is impaired, as a result of which the pressure in the nasal capillaries increases.Thus, nosebleeds can signal serious health problems.

Also, experts note that nosebleeds for no apparent reason can be a symptom of blood clotting problems as a result of vitamin deficiency or drug overdose.

Among other things, the cause of bleeding can be increased body temperature as a result of overheating in the sun, fever during the development of an infectious disease, as well as in pregnant women as a result of hormonal surges.