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https://hdl.handle.net/2440/10436
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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 1531-4995 |
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 Humans Nasal Obstruction Sinusitis Chronic Disease Sodium Chloride Endoscopy Treatment Outcome Probability Risk Assessment Follow-Up Studies Prospective Studies Cross-Over Studies Reference Values Adult Aged Middle Aged Female Male Therapeutic Irrigation |
Description: | Copyright © 2004 The American Laryngological, Rhinological & Otological Society, Inc. |
DOI: | 10.1097/01.mlg.0000149463.95950.c5 |
Published version: | http://dx.doi.org/10.1097/01.mlg.0000149463.95950.c5 |
Appears in Collections: | Aurora harvest 2 Surgery publications |
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