Positive pressure, large volume nasal irrigation is superior to nasal sprays, nebulizers, and neti pots

Pynnonen MA, Mukerji SS, Kim HM, Adams ME, Terrell JE. Nasal Saline for Chronic Sinonasal Symptoms: A Randomized Controlled Trial. Arch Otolaryngol Head Neck Surg. 2007;133(11):1115-1120

“CONCLUSION: Nasal irrigations performed with large volume and delivered with low positive pressure are more effective than saline sprays for treatment of chronic nasal and sinus symptoms in a community-based population”.

Olson DE, Rasgon BM, and Hilsinger RL Jr. Radiographic comparison of three methods for nasal saline irrigation. Laryngoscope 112:1394–1398, 2002.

“For each study subject, three methods of irrigation were used: irrigation using positive-pressure irrigation, irrigation using negative-pressure irrigation, and irrigation using a nebulizer. RESULTS: Of the three methods used, two methods, positive-pressure and negative-pressure irrigation, distributed contrast solution widely to ethmoid and maxillary sinuses, but distribution of contrast solution was more uniform using positive-pressure irrigation than using negative-pressure irrigation. The nebulization method distributed contrast solution poorly and resulted in a significantly lower volume of retained contrast solution (P <.05).”

Wormald PJ, Cain T, Oates L, Hawke L, Wong I. A comparative study of three methods of nasal irrigation. Laryngoscope, 114:2224-2227, 2004

“The distribution of radioactivity was assessed on each subject after three different irrigation techniques: metered nasal spray, nebulization with RinoFlow, and nasal douching. 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.”

This entry was posted on Thursday, November 12th, 2009 at 1:47 am and is filed under Nasal Irrigation. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

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