Nasal Irrigation for the Alleviation of Sinonasal Symptoms

Heatley, Diane G.; McConnell, Kari E.; Kille, Tony L; Leverson, Glen

doi:10.1067/mhn.2001.115909

Cited by 148 publications

(127 citation statements)

References 11 publications

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“…690,691 This review identified 12 studies evaluating saline irrigation for the management of CRS (10 RCTs, 1 systematic review, and 1 meta-analysis). 206,209,[692][693][694][695][696][697][698][699][700][701] (Table VII-13). Five RCTs evaluated saline irrigation in patients who had not undergone surgery.…”

Section: Viie1 Crs Management: Saline Irrigationmentioning

confidence: 99%

“…However, there was no difference in the general QoL outcomes using the SF-12 questionnaire. The randomized trial by Heatley et al 697 compared isotonic saline irrigations, using both bulb syringe and pot irrigations, to reflexology as a control. The results demonstrated that all groups received CRS-specific QoL improvements, and surprisingly there were no difference between the reflexology and saline irrigation groups.…”

Section: Viie1 Crs Management: Saline Irrigationmentioning

confidence: 99%

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International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

557

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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Section: Viie1 Crs Management: Saline Irrigationmentioning

confidence: 99%

Section: Viie1 Crs Management: Saline Irrigationmentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

557

888

View full text Add to dashboard Cite

show abstract

“…Un aspecto promisorio e importante de su uso es la buena tolerancia descrita en la literatura, ya sea con soluciones salinas isotónicas, como con soluciones hipertónicas. Heatley y col 24 , informaron sobre la opinión de los pacientes que utilizaron soluciones salinas, donde el 70% consideraban ventajoso su uso y las recomendarían a otros pacientes. Para la mayoría de los pacientes evaluados en los diversos estudios, el efecto beneficioso de las soluciones salinas parece superar sus inconvenientes, sin embargo, la evidencia al respecto es limitada por lo que no es posible por el momento recomendar la irrigación con solución salina como parte estándar del tratamiento en rinosinusitis.…”

Section: Discussionunclassified

Actualización en el tratamiento con soluciones tópicas no corticoesteroidales en patología rinosinusal: Revisión de la literatura

A¹,

et al. 2011

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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“…Nasal douching is a safe, inexpensive treatment commonly used in mainland Europe. Evidence exists that saline douching reduces symptoms of CRS [48][49][50][51][52][53] (grade of recommendation = A). It is a safe and inexpensive treatment.…”

Section: Treatmentmentioning

confidence: 99%

BSACI guidelines for the management of rhinosinusitis and nasal polyposis

Scadding

Durham

Mirakian

et al. 2007

Clin Experimental Allergy

207

222

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SummaryThis guidance for the management of patients with rhinosinusitis and nasal polyposis has been prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI). The recommendations are based on evidence and expert opinion and are evidence graded. These guidelines are for the benefit of both adult physicians and paediatricians treating allergic conditions. Rhinosinusitis implies inflammation of the nose and sinuses which may or may not have an infective component and includes nasal polyposis. Acute rhinosinusitis lasts up to 12 weeks and resolves completely. Chronic rhinosinusitis persists over 12 weeks and may involve acute exacerbations. Rhinosinusitis is common, affecting around 15% of the population and causes significant reduction in quality of life. The diagnosis is based largely on symptoms with confirmation by nasendoscopy. Computerized tomography scans and magnetic resonance imaging are abnormal in approximately one third of the population so are not recommended for routine diagnosis but should be reserved for those with acute complications, diagnostic uncertainty or failed medical therapy. Underlying conditions such as immune deficiency, Wegener's granulomatosis, Churg-Strauss syndrome, aspirin hypersensitivity and allergic fungal sinusitis may present as rhinosinusitis. There are few good quality trials in this area but the available evidence suggests that treatment is primarily medical, involving douching, corticosteroids, antibiotics, anti-leukotrienes, and anti-histamines. Endoscopic sinus surgery should be considered for complications, anatomical variations causing local obstruction, allergic fungal disease or patients who remain very symptomatic despite medical treatment. Further well conducted trials in clearly defined patient groups are needed to improve management.

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Nasal Irrigation for the Alleviation of Sinonasal Symptoms

Cited by 148 publications

References 11 publications

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Actualización en el tratamiento con soluciones tópicas no corticoesteroidales en patología rinosinusal: Revisión de la literatura

BSACI guidelines for the management of rhinosinusitis and nasal polyposis

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