A prospective randomised single‐blinded clinical trial comparing the efficacy and tolerability of the nasal douching products Sterimar™ and Sinus Rinse™ following functional endoscopic sinus surgery

Salib, Rami J.; Talpallikar, Sushant; Uppal, Sandeep; Nair, Salil

doi:10.1111/coa.12132

Cited by 40 publications

(41 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It can be inferred that a percentage of the saline particles administered by the spray did not reach the middle meatus, where most of the osteomeatal complex is located. This means the particles could be deposited in the anterior nasal cavum, which seems to have occurred in other studies that use high pressure low volume systems (5,14,15). Salib et al (15) also studied different saline delivery methods and inferred that the Sinus Rinse TM solution was more effective at removing crusts and preventing the formation of adhesions.…”

Section: Discussionmentioning

confidence: 81%

“…A total of eight studies, selected from the two databases and analyzed according to the diseases investigated, were included in this literature review, as follows: rhinitis (20, 23) sinusitis (6,12) and FESS (5,14,15,24). The characteristics of the studies are summarized in Table 1.…”

Section: Methodsmentioning

confidence: 99%

“…In short, the protocols analyzed exhibited heterogeneity. Although most of the studies were randomized clinical trials (5,6,12,14,15,23), none obtained the maximum score on the PEDro scale (22), with scores ranging between five and seven points. None of the studies used a control group and four (5,12,14,20) associated nasal irrigation with medication.…”

Section: Methodsmentioning

confidence: 99%

“…Saline solution is recommended (8) in conjunction with medication to relieve symptoms, particularly in patients with allergic rhinitis (9 -11), sinus conditions (12,13) and after FESS (5,14,15).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Isotonic saline nasal irrigation in clinical practice: a literature review

2017

View full text Add to dashboard Cite

Introduction: Nasal instillation of saline solution has been used as part of the treatment of patients with upper respiratory tract diseases. Despite its use for a number of years, factors such as the amount of saline solution to be used, degree of salinity, method and frequency of application have yet to be fully explained. Objective: Review the reported outcomes of saline nasal irrigation in adults with allergic rhinitis, acute or chronic sinusitis and after functional endoscopic sinus surgery (FESS), and provide evidence to assist physiotherapists in decision making in clinical practice. Methods: A search was conducted of the Pubmed and Cochrane Library databases between 2007 and 2014. A combination of the following descriptors was used as a search strategy: nasal irrigation, nasal lavage, rhinitis, sinusitis, saline, saline solution. Results: Eight clinical trials were included, analyzed according to participant diagnosis. Conclusion: The evidence found was heterogeneous, but contributed to elucidating uncertainties regarding the use of nasal lavage in the clinical practice of physical therapy, such as the protocols used.

show abstract

Section: Discussionmentioning

confidence: 81%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Isotonic saline nasal irrigation in clinical practice: a literature review

2017

View full text Add to dashboard Cite

show abstract

“…The distribution of solution in nasal and sinus cavities is more exhaustive with positive pressure than with negative pressure (by sniffing), nebulization, or spray [34]. To maximize the efficacy, large-volume (no less than 100 mL) low-pressure irrigation is preferable to low-volume high-pressure irrigation [35]. Regarding devices, it has been established that, to allow the best irrigation of the whole nasal cavity and paranasal sinuses, compressible douching systems should be used.…”

Section: Means Of Nasal Irrigation (Ni)mentioning

confidence: 99%

Nasal Irrigation: An Imprecisely Defined Medical Procedure

Principi

Esposito

2017

IJERPH

View full text Add to dashboard Cite

Nasal irrigation (NI) is an old practice of upper respiratory tract care that likely originated in the Ayurvedic medical tradition. It is used alone or in association with other therapies in several conditions—including chronic rhinosinusitis and allergic rhinitis—and to treat and prevent upper respiratory tract infections, especially in children. However, despite it being largely prescribed in everyday clinical practice, NI is not included or is only briefly mentioned by experts in the guidelines for treatment of upper respiratory tract diseases. In this review, present knowledge about NI and its relevance in clinical practice is discussed to assist physicians in understanding the available evidence and the potential use of this medical intervention. Analysis of the literature showed that NI seems to be effective in the treatment of several acute and chronic sinonasal conditions. However, although in recent years several new studies have been performed, most of the studies that have evaluated NI have relevant methodologic problems. Only multicenter studies enrolling a great number of subjects can solve the problem of the real relevance of NI, and these studies are urgently needed. Methods for performing NI have to be standardized to determine which solutions, devices and durations of treatment are adequate to obtain favorable results. This seems particularly important for children that suffer a great number of sinonasal problems and might benefit significantly from an inexpensive and simple preventive and therapeutic measure such as NI.

show abstract