Factors Influencing NasalIrrigation Efficacy in Infants: An Exploratory 3D Model Study. Nasalirrigation is widely practiced in infants, but its execution varies greatly. Although a consensus on how to perform this procedure has been published, supporting experimental evidence is lacking. In vitro investigations using anatomical models are a promising first step toward clinical research . Quantitative, exploratory data on pediatric nasalirrigation, obtained from a pragmatic irrigation setup, are needed. A previously validated upper airway model of a 10-month-old infant was used and filled with mucus-mimicking hydrogel at two different concentrations. The upper airway clearance efficacy (UAC%) of nasalirrigation (i.e., the extent of airway clearance) was tested by varying different
Headache alleviation with nasalirrigation following endoscopic endonasal surgery for pituitary adenomas. Headache is a common occurrence after endoscopic endonasal surgery (EES) for pituitary adenomas and significantly impacts the quality of life of patients. This study aims to investigate the effectiveness of nasalirrigation in relieving postoperative headache after EES. A retrospective analysis was conducted on a cohort of 101 patients (Cohort I) who underwent EES for pituitary adenomas to explore the risk factors associated with postoperative headache. Another cohort of 72 patients (Cohort II) who received adjuvant nasalirrigation following surgery was enrolled for further analysis. The Headache Impact Test (HIT-6) was used to score the severity of headache, and patients with a HIT
The effectiveness of evidence-based nursing intervention for nasalirrigation after endoscopic sinus surgery in patients with chronic rhinosinusitis: a randomized controlled trial. To evaluate its effect of an evidence-based nursing program for nasalirrigation after endoscopic sinus surgery in patients with chronic rhinosinusitis (CRS). A total of 66 patients with CRS were randomly divided into two groups, for which the experimental group received evidence-based nasalirrigation nursing, and the control group received conventional nursing. Differences in Sino-Nasal Outcome Test-20 (SNOT-20), visual analogue scale (VAS), Lund-Mackay CT, Endoscopic Lund Kennedy Score (LKES) and overall efficacy were assessed between the two groups. 2, 4 and 12 weeks after the intervention, the scores of SNOT
Efficacy and Safety of Xylitol NasalIrrigation after Functional Endoscopic Sinus Surgery: A Randomized Controlled Study. Xylitol is considered a naturally occurring antibacterial agent. It is generally believed to enhance the body's own innate bactericidal mechanisms. It also provides anti-adhesive effects against both Streptococcus pneumoniae and Haemophilus influenza. This study was performed to evaluate the efficacy and safety of xylitol nasalirrigation in the postoperative care of functional endoscopic sinus surgery (FESS). Patients with chronic rhinosinusitis who received FESS were recruited and randomly assigned to two groups at one month post-surgery. Thirty-five patients in the xylitol group received 400 mL of 5% xylitol nasalirrigation daily for 2 months, while another 35 in the normal
Hypertonic saline nasalirrigation and gargling for suspected or confirmed COVID-19: Pragmatic randomised controlled trial (ELVIS COVID-19). In a previous pilot randomised controlled trial conducted on UK adults, we found that hypertonic saline nasalirrigation and gargling (HSNIG) reduced common cold symptoms, the need for over-the-counter medications, viral shedding, and the duration
Efficacy of nasalirrigation and oral rinse with sodium bicarbonate solution on virus clearance for COVID-19 patients. Recent studies have shown that the infectivity of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is reduced under alkaline conditions. The purpose of this study is to assess the effect of nasalirrigation and oral rinse with sodium bicarbonate solution on virus clearance among COVID-19 patients. COVID-19 patients were recruited and randomly divided into two group, i.e., the experimental group and the control group. The experimental group received regular care plus nasalirrigation and oral rinse with 5% sodium bicarbonate solution, while the control group only received regular care. Nasopharyngeal and oropharyngeal swab samples were collected daily for reverse
Consensus on NasalIrrigation in Infants: A Delphi Study. Nasalirrigation is regularly used in infants to relieve upper airway symptoms. However, because there is no consensus on good practice, nasalirrigation in infants is described and applied heterogeneously among clinicians and between clinical trials. The aim of this study was to establish consensus regarding the use of nasalirrigation in infants. A panel of Belgian physiotherapists and physicians experienced in performing nasalirrigation in infants were surveyed using the Delphi technique. Three survey rounds were used. Participants rated their level of (dis)agreement to each statement in each round using a 6-point Likert scale. Consensus was defined for statements which collected at least 75% of responses in agreement or disagreement
Comparison of sinus distribution between nasalirrigation and nasal spray using fluorescein-labelled in patients with chronic rhinosinusitis: A randomised clinical trial. This study aims to compare the potential sinus distribution between high-volume nasalirrigation and nasal spray in chronic rhinosinusitis (CRS) patients who have not undergone sinus surgery. A randomised clinical study was conducted at the Otolaryngology-Head & Neck Surgery Department, Ramathibodi Hospital, Faculty of Medicine, Mahidol University. Forty patients undergoing endoscopic sinus surgery (ESS) for CRS. Thirty-eight patients met the inclusion criteria and were randomly assigned to receive nasalirrigation or nasal spray mixed with fluorescein sodium preoperatively. The primary outcome was the mean difference
Effect of NasalIrrigation in Children With Omicron Variant of COVID-19 Infection. To explore the effect of nasalirrigation on the disappearance of symptoms and nucleic acid conversion in children with Omicron variant. This quasi-experimental study included children diagnosed with asymptomatic, mild, and moderate Omicron variant infection during the isolation observation period in the Shandong Public Health Clinical Center between April 1, 2022 and May 1, 2022. The children were divided into a routine group (received Lianhua Qingwen (LhQw) Granules), isotonic saline group (received LhQw Granules combined with isotonic saline nasalirrigation), and hypertonic saline group (received LhQw Granules combined with 3% hypertonic saline nasalirrigation), respectively. The primary outcomes
A Hypertonic Seawater NasalIrrigation Solution Containing Algal and Herbal Natural Ingredients Reduces Viral Load and SARS-CoV-2 Detection Time in the Nasal Cavity. Nasalirrigation is thought to decrease the viral load present in the nasal cavity. Our aim was to assess the effect of a hypertonic seawater solution [with algal and herbal natural ingredients (Sinomarin)] on the viral load of nasopharynx in patients hospitalized with severe COVID-19 pneumonia. We conducted a prospective, randomized, controlled trial from June 2022 to December 2022. We allocated 56 patients with COVID-19 pneumonia into two groups (28 in each group)-the hypertonic seawater group [nasalirrigations with a hypertonic seawater solution (Sinomarin) every 4 h for 16 h per day, for two consecutive days] and the control
NasalIrrigation Improves the Nasal Related Quality of Life in Patients Undergoing Transsphenoidal Resection of Pituitary Adenoma. After transsphenoidal pituitary adenoma resection patients have reduced olfactory function and quality of life. This study aimed to evaluate the effects of nasalirrigation on the nasal related quality of life in patients undergoing transsphenoidal pituitary adenoma resection. Patients undergoing transsphenoidal resection of pituitary adenomas in a tertiary hospital in China were included. The patients were randomly divided into a control group and nasalirrigation group according to the random sequence generated by the SPSS22.0 software. The 22-item sino-nasal outcome test (SNOT-22) was used to evaluate nasal related quality of life; lower SNOT-22 scores indicate
Efficacy of physiological seawater nasalirrigation for the treatment of children with SARS-CoV-2 Omicron BA.2 variant infection: a randomized controlled trial. Saline nasalirrigation is an effective therapy for relieving common cold symptoms. This study aimed to investigate and explore the efficacy of physiological seawater nasalirrigation (PSNI) on children with mild and asymptomatic
Do variations in nasalirrigation recipes and storage effect the risk of bacterial contamination? Make-at-home nasalirrigation solutions are often recommended for treating chronic rhinosinusitis. Many patients will store pre-made solution for convenient use. This study investigated the microbiological properties of differing recipes and storage temperatures. Three irrigation recipes (containing bacteria, which may be related to either lower pH or lower osmolality. Storing at room temperature increased the risk of contamination in control samples, particularly from pseudomonas. If refrigerated, pre-made nasalirrigation solutions can be stored safely for up to 12 days without risking cross-contamination to irrigation equipment or patients.
Efficacy of Povidone-Iodine NasalIrrigation Solution After Sinonasal Surgery: A Randomized Controlled Study. To evaluate the efficacy of postoperative nasalirrigation with povidone-iodine (PVP-I) solution in patients undergoing sinonasal surgery. Single-blind, randomized controlled study. This is a prospective, single-blind, randomized controlled study. Patients with chronic rhinosinusitis nasalirrigation group or a control (normal saline) irrigation group. We then compared the two groups' results to illustrate the effects of nasalirrigation with PVP-I solution following sinonasal surgery. Of the 55 patients that completed the study, 27 patients were in the PVP-I group and 28 were in the control group. In both groups, the TWSNOT-22 scores, Lund-Kennedy endoscopic scores, and total
Treatment and Impacts of Chronic Sinusitis with the Confluence of Biyuan Tongqiao Granules and Saline NasalIrrigation. In this research study, we will study the clinical effect of Biyuan Tongqiao granules with saline nasalirrigation for treatment of chronic sinusitis. It will also study its impacts on the computed tomography (CT) score of the nasal sinus and negative reactions in patients . For this purpose, ninety (90) patients with chronic sinusitis were admitted to the hospital (June 2019 to June 2020). They were selected as the research subjects and divided into experimental and control groups randomly with 45 cases in each group. Control group patients were treated with nasalirrigation with normal saline. While, Biyuan Tongqiao granules combined with nasalirrigation with normal saline
Symptom assessment after nasalirrigation with xylitol in the postoperative period of endonasal endoscopic surgery. Chronic rhinosinusitis is an inflammatory condition of the nasal cavity and the paranasal sinuses that requires multifactorial treatment. Xylitol can be employed with nasalirrigation and can provide better control of the disease. To evaluate the association between the effects irrigation. The "Xylitol" group showed significant improvement in pain relief and nasal symptom reduction after surgery and nasalirrigation with xylitol solution (p < 0.001). The "Saline solution" group also showed symptom improvement, but on a smaller scale. This study suggests that the xylitol solution can be useful in the postoperative period after endonasal endoscopic surgery, because it leads
Effectiveness of pediatric nasalirrigation solution with or without xylitol. /Hypothesis: The aim of this study was to compare the efficacy and outcome of daily hypertonic saline irrigation versus saline/xylitol for treating pediatric chronic rhinosinusitis (CRS). This was a prospective, randomized, single-blinded study. One hundred and twenty-five children diagnosed with CRS were enrolled
The Effectiveness of Budesonide NasalIrrigation in Patients with Allergic Rhinitis. Allergic rhinitis (AR) is a long-standing disease and has been shown to cause significant impairment in patients' quality of life. Saline nasalirrigation is a proven adjunct in the treatment of AR. The addition of steroid to the saline solution can provide local steroid effect and increase the effectiveness of this technique. Our study aimed to determine the effectiveness of budesonide nasalirrigation as an adjunct to the treatment of AR, compared with saline nasalirrigation. This was a randomised controlled study involving 99 patients diagnosed with AR, half of whom were treated with saline nasalirrigation and the other half with budesonide nasalirrigation. Parameters measured include the Sino-Nasal Outcome
Hypochlorous Acid Versus Saline NasalIrrigation in Allergic Rhinitis: A Multicenter, Randomized, Double-Blind, Placebo-controlled Study. Low concentrations of hypochlorous acid (HOCl) have proven antipruritic, anti-inflammatory, and antimicrobial effects without toxicity, although the mechanism has not been fully elucidated. The aim of this study was to evaluate the effectiveness of HOCl nasalirrigation to reduce allergic rhinitis (AR) symptoms compared with saline nasalirrigation. This was multicenter, randomized, double-blind, placebo-controlled study. Initially, 139 patients with perennial AR were enrolled; however, 25 did not successfully complete the study. Patients were randomly assigned to the nasalirrigation with low-concentration HOCl (n = 55) or normal saline (n = 59) treatment
Efficacy of Topical High Volume Budesonide NasalIrrigation in Post FESS Patients of Chronic Rhinosinusitis With or Without Nasal Polyposis. Chronic rhinosinusitis (CRS) is a chronic inflammatory process of nasal mucosa and paranasal sinuses, lasting more than 12 weeks, without complete resolution of symptoms. CRS is treated medically, followed by Endoscopic sinus surgery (ESS) if necessary budesonide is most efficient method but still there is not sufficient data to prove this and results are variable with multiple modifiable factors therefore, this study has been conducted. (1) To determine the difference in mean decrease in Lund-Kennedy endoscopic scores and SNOT-22 scores among post ESS patients with high volume budesonide nasalirrigation nasal cavity and control nasal cavity of chronic