Comparison of Intranasal Steroid Application Using Nasal Saline Irrigation and a Mucosal Atomization Device to Treat Chronic Rhinosinusitis

2021 ◽  
Author(s):  
Martyna Waniewska-Leczycka ◽  
Tomasz Cieslik ◽  
Katarzyna Kowalik ◽  
Janusz Sierdzinski ◽  
Mariola Popko Zagor
Keyword(s):  
Chronic Rhinosinusitis ◽  
Saline Irrigation ◽  
Nasal Saline Irrigation

Nasal Saline Irrigation for Chronic Rhinosinusitis

2010 ◽  
Vol 3 (3) ◽  
pp. 145-147 ◽  
Author(s):  
Vipan Gupta ◽  
Sunder Singh
Keyword(s):  
Mast Cell ◽  
Qualitative Study ◽  
Chronic Rhinosinusitis ◽  
Symptom Score ◽  
Control Group ◽  
Saline Irrigation ◽  
Common Disorder ◽  
Nasal Saline Irrigation ◽  
And Control ◽  
Group 1

Abstract Background Chronic rhinosinusitis (CRS) is a very common disorder in ENT practice. There are many modalities available for the treatment and control of symptoms of allergic rhinosinusitis, varying from antihistamines, corticosteroids, mast cell stabilizers in oral and topical formulations. Objective The present study was planned to see the influence of nasal saline irrigation on symptomatology of chronic rhinosinusitis. Design Qualitative study using a questionnaire. Methods Nasal saline irrigation (NSI) was advised to 53 patients twice a day along with anti-allergic treatment. The control group consists of 47 allergic patients who received only anti-allergic treatment. Results The symptom score significantly (p < 0.001) improved in the group 1 patients using nasal saline irrigation along with anti-allergic treatment. Conclusion the results of the study suggest that concomitant use of NSI with anti-allergic treatment gives much more satisfactory results than with only anti-allergic treatment in patients with chronic rhinosinusitis.

scholarly journals Preventive and therapeutic role of nasal irrigation in management of acute respiratory disease during COVID-19 pandemic and beyond

2021 ◽  
pp. 58-64
Author(s):  
V. M. Svistushkin ◽  
Zh. T. Mokoyan
Keyword(s):  
Respiratory Tract ◽  
Nasal Cavity ◽  
Distribution Area ◽  
Upper Respiratory Tract ◽  
Saline Irrigation ◽  
Nasal Irrigation ◽  
Wide Range ◽  
Upper Respiratory ◽  
Nasal Saline Irrigation ◽  
Tract Infections

It has long been known, that nasal saline irrigation is a safe and effective method, which is routinely prescribed by otorhinolaryngologists to prevent and to treat a wide range of pathologies. There are a lot of publications on different irrigation techniques and methods. This literature review discusses the key parameters of nasal irrigation, including tonicity, pH, and the additional components, and explains how they affect the effectiveness of the procedure. The vast majority of available publications did not found any possible changes in the effectiveness of solutions with different pH close to neutral meaning. Whereas, the volume of the irrigated solution, increases the efficiency of the irrigation in direct proportion. Thus, the largest distribution area of the solute is noted when washing with a large volume of liquid. Nasal saline irrigation is an effective treatment option for patients with several acute and chronic diseases and for postoperative care after rhinosurgery. Moreover, nasal irrigation might be used as an effective non-specific method for prevention of acute upper respiratory tract infections. Irrigation of the nasal cavity reduces the mucus viscosity and promotes its faster elimination, along with pathogens fixed in it. Additionally, irrigation with isotonic saline solutions increases the hydration of the underlying water base, which enhances the frequency of ciliary beat and reduces the concentration of local inflammatory mediators. COVID-19 pandemic situation due to lack of any specific antiviral drugs dictates the necessity of an effective non-specific preventive option, which could be introduced worldwide. The so-called full volume lavage of the nasal cavity allows for better cleaning of the nasal cavity and effective moisturizing of the mucous membrane. It is the timely cleansing and moisturizing that are most important for maintaining the normal activity of the local protective mechanisms of the upper respiratory tract.

Chronic rhinosinusitis

2019 ◽  
Vol 13 (4) ◽  
pp. 199-206
Author(s):  
Emma Dickson ◽  
Claire Hopkins
Keyword(s):  
Chronic Rhinosinusitis ◽  
Nasal Polyposis ◽  
Adult Population ◽  
Economic Cost ◽  
Saline Irrigation ◽  
Persistent Symptoms ◽  
Nose And Paranasal Sinuses ◽  
The Uk ◽  
Aids Diagnosis

Chronic rhinosinusitis affects 10.9% of the UK adult population, affecting quality of life and with significant economic cost. The aetiology is unknown, and diagnosis can present challenges. It is characterised by inflammation of the nose and paranasal sinuses that leads to nasal obstruction, discharge, facial pain or pressure and loss of smell, persisting for more than 3 months. Nasal cavity examination aids diagnosis. It is subdivided into chronic rhinosinusitis with and without nasal polyposis. Nasal corticosteroids and saline irrigation make up current baseline management in primary care, with referral to ENT recommended for those with persistent symptoms. Physicians should be alert to persistent unilateral symptoms and the risk of sino-nasal tumours.

scholarly journals Maximal Medical Therapy for Chronic Rhinosinusitis: A Survey of Chinese Otolaryngologists

2019 ◽  
Vol 99 (3) ◽  
pp. 159-164
Author(s):  
Zhenxiao Huang ◽  
Jingying Ma ◽  
Yan Sun ◽  
Bing Zhou
Keyword(s):  
Chronic Rhinosinusitis ◽  
Medical Therapy ◽  
Practice Patterns ◽  
Demographic Data ◽  
Sinus Surgery ◽  
Oral Antibiotics ◽  
Intranasal Corticosteroid ◽  
Saline Irrigation ◽  
Frequency Of Use ◽  
Maximal Medical Therapy

The aim of the present study was to evaluate the clinical practice patterns in maximal medical therapy (MMT) before endoscopic sinus surgery for chronic rhinosinusitis (CRS) by Chinese otolaryngologists. An anonymous web-based survey of MMT was performed. This survey assessed types of therapies, the frequency of use, duration of use, and demographic data of respondents. A total of 134 (26.8%) questionnaires were completed and returned. The majority (62.69%) of respondents would consider surgery less than 3 months after commencing MMT, 33.58% would wait 3 to 6 months. Intranasal corticosteroid sprays, saline irrigation, oral antibiotics, oral mucolytics, and oral Chinese herbals were the most commonly used therapies and listed as “often (>70%)”. Macrolides were most commonly antibiotics prescribed among the clinicians surveyed (51.49%). Intranasal corticosteroid sprays, oral antibiotics, oral mucolytics, nasal saline irrigations, and oral Chinese herbals are most commonly prescribed by the majority of Chinese otolaryngologists as MMT for CRS. Current practice patterns of MMT among Chinese otolaryngologists are not uniformly based on evidence-based guidelines.

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