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Laryngoscope. 2004 Dec;114(12):2224-7.

A comparative study of three methods of nasal irrigation.

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  • 1Department of Surgery-Otolaryngology Head and Neck Surgery, University of Adelaide, Woodville South 5011, South Australia, Australia. peterj.wormald@adelaide.edu.au

Abstract

OBJECTIVE:

To assess the effectiveness of three methods of nasal irrigation on distributing saline to the nasal cavity and paranasal sinuses.

DESIGN:

: A prospective, cross-over study.

MATERIALS AND METHODS:

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.

RESULTS:

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.

CONCLUSION:

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.

[PubMed - indexed for MEDLINE]
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