Keerl R, Weber R, Muller C, Schick B. Effectiveness and tolerance of nasal irrigation following paranasal sinus surgery. Laryngorhinootologie. 76(3): 137-41, 1997.

“Effectiveness and acceptance of the cleaning of the nose with saline solution after endonasal sinus surgery was clinically evaluated. It was found that rinsing of the nose after endonasal sinus surgery is judged positively by most of the patients and is integrated well in the daily routine.”

Johannssen V, Maune S, Erichsen H, Hedderich H, Werner JA. Effect of postoperative endonasal mucous membrane care on nasal bacterial flora: prospective study of 2 irrigation methods with NaCl solution after paranasal sinus surgery. Laryngorhino-otologie. 75(10):580-3, 1996.

“Endonasal irrigation with saline solution is a widely used constituent of mucosal care after sinus surgery. This procedure could explain a repeatedly observed phenomenon: contamination of the endonasal mucosa by facultative skin pathogens from the palm during paranasal sinus irrigation. For this reason the effect of nasal rinses with saline solution on the endonasal bacterial flora was investigated using nasal douche compared to rinsing by hand. RESULTS: Two hundred sixty-six cultures of 325 bacterial strains were aerobic (82%), while 59 were anaerobic (18%). Staphylococcus aureus (33%) and representatives of the Enterobacteriaceae family (31%) were the most common enriched germs. The number of times that enterobacteriaceae could be isolated was significantly (p < 0.05) lower (13%) when a nasal douche was used than when irrigation was done using the palm (38%).”

Liang KL, Su MC, Tseng HC, Jiang RS. Impact of pulsatile nasal irrigation on the prognosis of functional endoscopic sinus surgery. J Otolaryngol Head Neck Surg. 37(2):148-53, 2008.

“CONCLUSIONS: Our results showed that nasal irrigation is an effective post-FESS management in patients with mild chronic sinusitis”.

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