Papsin B and McTavish A. Saline nasal irrigation. Can Family Physician, 49:168-173, 2003

“Treatment guidelines in both Canada and the United States now advocate use of nasal irrigation for all causes of rhinosinusitis and for postoperative cleaning of the nasal cavity. Nasal irrigation is a simple, inexpensive treatment that relieves the symptoms of a variety of sinus and nasal conditions, reduces use of medical resources, and could help minimize antibiotic resistance.”

Rachelevsky GS, Slavin RG, Wald ER. Sinusitis: Acute, Chronic and Manageable. Patient Care. 131:4, 1997.

“A particularly helpful strategy for acute and chronic sinusitis is saline washing using a nasal irrigator. It is so effective in clearing the blocked passages that, if it is done regularly, some patients with persistent or chronic sinusitis need no drug treatment at all.”

Tomooka LT, Murphy C, Davidson TM. Clinical study and literature review of nasal irrigation, Laryngoscope, 110(7):1189-1193, 2000.

“RESULTS: Patients who used nasal irrigation for the treatment of sinonasal disease experienced statistically significant improvements in 23 of the 30 nasal symptoms queried. Patients had excellent relief by daily irrigation for sinusitis, perennial allergy, seasonal allergy, postnasal drip, and associated fatigue. Improvement was also measured in the global assessment of health status using the Quality of Well-Being scale. Daily nasal irrigation is well accepted by the patients. CONCLUSIONS: Nasal irrigation is effective in improving symptoms and the health status of patients with sinonasal disease.”

Michel O. Nasal irrigation in case of rhinosinusitis. Laryngorhinootologie. 85(6):448-58, 2006

“Nasal irrigation has proven in several recently published articles its clinical effectiveness and its neglectable rate of side effects even in children and during pregnancy. In most guidelines for the treatment of various nasal pathological conditions nasal irrigation is recommended as stand alone or as additional therapy”.

Zeiger RS, Schatz M. Chronic Rhinitis: A Practical Approach to Diagnosis and Treatment. Immunology & Allergy Practice. 4(4):26-35, 1982

“Nasal tissue appears to benefit greatly from warm irrigation with saline. Saline irrigation augments mucociliary flow, liquifies tenacious mucus, soothes irritated tissue, augments repair processes, reduces forceful nose blowing, and improves olfaction. Its use should be considered for all patients with chronic rhinitis; benefit appears maximal for rhinitis medicamentosa, atrophic rhinitis, nasopharyngitis, and sinusitis.”

Brown CL, Graham SM. Nasal irrigations: good or bad? Curr Opin Otolaryngol Head Neck Surg, 12(1):9-13, 2004

“Summary: Nasal irrigations should no longer be considered merely adjunctive measures in managing sinonasal conditions. They are effective and underutilized”

Ivker R. The Complete Self-Care Guide to Holistic Medicine, 1999 (Book).

“Nasal irrigation is extremely helpful for flushing infected sinuses or cleansing the membranes of the nose and sinuses.”

Kaliner, M. and Kenned, D.M.: Management of Sinusitis: Current Clinical Strategies.  Sinusitis Disease Management Guide. PDR 2000.
“If the patient has recurrent disease he may buy a nasal irrigator, particularly effective after surgery (page 121).  Treatment of Chronic Sinusitis – Nasal washing twice a day is recommended (page 122).”

Mabry, RL. Therapeutic Agents In The Medical Management Of Sinusitis.  Inflamma-tory diseases of the sinuses. Otolaryngologic Clinics of North America, 26 (4), pp 561, 1993.

“Not only is the nasal irrigator beneficial for patients with bothersome thick postnasal secretions, but also is especially helpful for postoperative cleansing following nasal surgery.”

Grossan M: Irrigation of the Child’s Nose. Clinical Pediatrics 13,3:229-231, 1974.

“Treatment by nasal irrigation is indicated for chronic purulent sinusitis, chronic adenoid infection, dacryocystorhinitis secondary to nasal infection, and chronic rhinitis. Often stubborn otitis media or serous otitis will not improve until after the nasal pus is removed.”

Harvey R, Hannan SA, Badia L, Scadding G. Nasal saline irrigations for the symptoms of chronic rhinosinusitis (Review), Cochrane Database of Systematic Reviews, Issue 1, 2009.

“The use of nasal irrigation for the treatment of nose and sinus complaints has its foundations in yogic and homeopathic traditions. There has been increasing use of saline irrigation, douches, sprays and rinsing as an adjunct to the medical management of chronic rhinosinusitis. Treatment strategies often include the use of topical saline from once to more than four times a day. Considerable patient effort is often involved.”

Scheid DC, Hamm RM. Acute bacterial rhinosinusitis in adults: part II. Treatment.
Am Fam Physician. 70(9):1642, 1645, 2004.

“Nasal irrigation with hypertonic and normal saline has been beneficial in chronic sinusitis and has no serious adverse effects”.

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