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Type: Journal article
Title: A comparative study of three methods of nasal irrigation
Author: Wormald, P.
Cain, T.
Oates, L.
Hawke, L.
Wong, I.
Citation: The Laryngoscope, 2004; 114(12):2224-2227
Publisher: Lippincott Williams & Wilkins
Issue Date: 2004
ISSN: 0023-852X
Abstract: <h4>Objective</h4>To assess the effectiveness of three methods of nasal irrigation on distributing saline to the nasal cavity and paranasal sinuses.<h4>Design</h4>: A prospective, cross-over study.<h4>Materials and methods</h4>Twelve subjects (9 patients with chronic sinusitis after functional endoscopic sinus surgery and 3 healthy controls) underwent nasal irrigation with normal saline containing Technetium 99m sulfur colloid. The distribution of radioactivity was assessed on each subject after three different irrigation techniques: metered nasal spray, nebulization with RinoFlow, and nasal douching while kneeling with the head on the floor.<h4>Results</h4>The nasal cavity was well irrigated by all three techniques. Compared with the other two methods, douching was significantly more effective in penetrating the maxillary sinus (P = .036) and frontal recess (P = .003). The sphenoid and frontal sinuses were poorly irrigated by all three techniques.<h4>Conclusion</h4>Nasal douches are more effective in distributing irrigation solution to the maxillary sinus and frontal recess. This should be the method of choice for irrigating these areas.
Keywords: Nasal Cavity
Nasal Obstruction
Chronic Disease
Sodium Chloride
Treatment Outcome
Risk Assessment
Follow-Up Studies
Prospective Studies
Cross-Over Studies
Reference Values
Middle Aged
Therapeutic Irrigation
Description: Copyright © 2004 The American Laryngological, Rhinological & Otological Society, Inc.
DOI: 10.1097/01.mlg.0000149463.95950.c5
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Appears in Collections:Aurora harvest 2
Surgery publications

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