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Validation of the Sino-Nasal Outcome Test 20 (SNOT-20)
domains in nonsurgical patients
Melissa A. Pynnonen, M.D., H. Myra Kim, Sc.D. and Jeffrey E. Terrell, M.D.
Subscales identified differences in the impact of two medical interventions on chronic sinonasal symptoms. Reporting
subscale scores might improve the precision of the SNOT-20 instrument, allowing discrimination between various treatments and their
differential impact on sinonasal quality of life.
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Saline irrigation spells relief
for sinusitis sufferers |
Encourage patients with chronic rhinosinusitis to try this simple approach, January 2009 (Vol. 58, No. 1)
Mari Egan, MD, MHPE; John Hickner, MD, MS. Department of Family Medicine, The University of Chicago
Otolaryngologists recommend saline irrigation after sinus surgery to clear secretions, debris, and crusts; reduce the risk of postoperative mucosal adhesions; and expedite mucosal healing. Saline irrigation is also gaining popularity as an alternative approach to chronic sinusitis symptom relief, and several randomized controlled trials (RCTs) have demonstrated both objective and subjective efficacy of this treatment for sinonasal disease. |
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Effects of endoscopic sinus surgery and delivery
device on cadaver sinus irrigation |
Otolaryngology–Head and Neck Surgery (2008) 139, 137-142.ORIGINAL RESEARCH—SINONASAL DISORDERS 
Richard J. Harvey, MD, John C. Goddard, MD, Sarah K. Wise, MD, and
Rodney J. Schlosser, MD, Charleston, SC; and Atlanta, GA
ESS greatly enhances the delivery of nasal
solutions, regardless of delivery device. Pressurized spray solutions
in un-operated sinuses provide little more than nasal cavity
distribution. Use of squeeze bottle/neti pot post-ESS offers a
greatly enhanced ability to deliver solutions to the paranasal sinuses. |
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 Archives of Otolaryngology-Head & Neck Surgery-Nov 2007 |
Nasal Saline for Chronic Sinonasal Symptoms - A Randomized Controlled Trial
Melissa A. Pynnonen, MD; Shraddha S. Mukerji, MD; H. Myra Kim, ScD; Meredith E. Adams, MD; Jeffrey E. Terrell, MD
Nasal irrigations performed with large volume and delivered with low positive pressure (NeilMed Sinus Rinse) are more effective than saline sprays for treatment of chronic nasal and sinus symptoms in a community based population. |
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| Dr. Mehta's Brochure on Saline Irrigation, Allergies and Sinus Disease |
| I am a practicing physician in the field of pulmonary and critical care medicine. I suffered for several years from chronic sinus disease. After being evaluated by an Allergist and Ear, Nose, and Throat specialist, I had corrective surgeries on my sinuses. Of all the treatments tried for controlling and curing my symptoms of sinus disease, the one I found to work the best was a saline nasal rinse. |
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 Laryngoscope Journal Article-September 2008 |
Pre- and Postoperative Sinus Penetration of
Nasal Irrigation
Alethea Grobler, MBBS; Erik K. Weitzel, MD; Achim Buele, MD; Camille Jardeleza, MD;
Yew C. Cheong, MD; John Field, PhD, AStat; Peter-John Wormald, MD, FRACS
Unoperated sinuses or cases with
gross sinus ostial obstruction will not be reliably
penetrated by sinus irrigant. A 3.95-mm ostial diameter
seems to be the minimum size to guarantee
penetration in paranasal sinuses to maximize the
potential for topical sinus treatment. |
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Nasal Lavage With Mupirocin for the
Treatment of Surgically Recalcitrant
Chronic Rhinosinusitis
Brent Uren, FRACS; Alkis Psaltis, MBBS; Peter-John Wormald, MD
Nasal lavage with a mupirocin solution may represent
an effective alternative to manage patients with recalcitrant
CRS due to SA infection. It is well tolerated and
involves reduced treatment related morbidity when compared
with standard oral or systemic drug delivery. Further
research is needed to better understand the pharmacodynamics
of topical drug use in the sinonasal cavities. |
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| Laryngoscope Journal Article - Aug 2002 |
Radiographic Comparison of Three Methods for Nasal Saline Irrigation
David E. L. Olson, MD; Barry M. Rasgon, MD; Raymond L. Hilsinger, Jr., MD
Three different methods of nasal irrigations were compared; positive pressure (NeilMed Sinus Rinse), negative pressure and the nebulizer method. Study concluded that irrigations performed by positive pressure penetrated into the ethmoid and maxillary sinuses more consistently than other methods of irrigation. |
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Baby shampoo nasal irrigations |
Baby shampoo nasal irrigations for the symptomatic post–functional endoscopic sinus surgery patient
Alexander G. Chiu, M.D., James N. Palmer, M.D., Bradford A. Woodworth, M.D.,
Laurel Doghramji, R.N., Michael B. Cohen, B.A., Anthony Prince, B.A., and
Noam A. Cohen, M.D., Ph.D.
Baby shampoo nasal irrigation has promise as an inexpensive, tolerable adjuvant to conventional medical therapies for symptomatic patients after FESS. Its greatest benefit may be in improving symptoms of thickened nasal discharge and postnasal drainage.
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Rhinitis and onset of asthma: a longitudinal population-based study |
Rafea Shaaban, Mahmoud Zureik, David Soussan, Catherine Neukirch, Joachim Heinrich, Jordi Sunyer, Matthias Wjst, Isa Cerveri, Isabelle Pin ,
Jean Bousquet, Deborah Jarvis, Peter G Burney, Françoise Neukirch, Bénédicte Leynaert
A close relation between asthma and allergic rhinitis has been reported by several epidemiological and
clinical studies. However, the nature of this relation remains unclear. We used the follow-up data from the European
Community Respiratory Health Survey to investigate the onset of asthma in patients with allergic and non-allergic
rhinitis during an 8·8-year period. |
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Allergic rhinitis: new insights, new therapies |
Dr Paul Carson | 02 April 2008 | Eye, Ear, Nose & Throat
Dr Paul Carson on how his investment in fibre optic technology has provided some new perspectives on allergic rhinitis and the importance of managing the condition At the risk of boring you about a topic many dismiss as trivial, may... |
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| General Medical Literature |
General Medical Literature Review on Saline Nasal Irrigation
Nasal irrigations are often mentioned as adjunctive measures
in treating many sinonasal conditions. Despite their
widespread use, much mystique and uncertainty exist about
the indications and therapeutic mechanisms of nasal
irrigations. Anecdotal evidence and poorly controlled studies
add to the confusion. Recent evidence challenges some of the
assumptions underlying the use of nasal irrigations. |
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