Search results

Search:
in the keywords: nasal irrigation

Sort By:

Limit search:

Comparative study on the use of hypertonic saline vs. isotonic saline nasal irrigation following endoscopic sinus surgery

100%

Dawood M. R., Mohammed Z. S.

Polski Przegląd Otorynolaryngologiczny

2022

vol. 11

issue 1

14-20

Introduction: Various nasal saline solutions have been widely used following endoscopic sinus surgery. Irrigation solutions minimize synechia formation, improve mucosal healing and enhance the removal of infective debris and crusts. Aim: This study aims to compare the efficacy of hypertonic and isotonic saline solutions in nasal irrigation following, endoscopic sinus surgery. Material and methods: Forty patients who underwent endoscopic sinus surgery were randomly and evenly sorted into: group “A”, which received hypertonic saline nasal irrigation, and group “B”, which received isotonic nasal irrigation The outcomes were assessed for mucociliary clearance (MCT), Lund-Kennedy endoscopic score for crusts and mucosal edema, while nasal obstruction, nasal discharge and facial pain were analyzed by SNOT22, whereby their severity was assessed by means of visual analog score. The patients were followed up for 3 weeks. Results: There was a significant difference in improvement in both groups. Group “A” MCT value on day 7 was P = 0.023, day 14 P = 0.002, and day 21 P = 0.009: for mucosal edema P = 0.009, P = 0.001, P = 0.025; and, for crusts P = 0.015, P = 0.010, P = 0.011: and, for nasal obstruction P = 0.006, P = 0.0001, P = 0.0001 respectively; and for nasal discharge and facial pain P = 0.010, P = 0.047, and P = 0.0062, P = 0.028 for days 14, and 21, respectively. Conclusion: Better results in MCT, nasal mucosal edema, crusts, nasal obstruction, discharge, and facial pain/pressure were achieved with the usage of hypertonic saline nasal irrigation.

Perioperative care of patients undergoing Functional Endoscopic Sinus Surgery

100%

Zieliński M., Miśkiewicz-Orczyk K., Waligóra A., Ura-Sabat K., Misiołek M.

Polski Przegląd Otorynolaryngologiczny

2016

vol. 5(3)

55-59

The final success and outcomes of patients treatment undergoing Functional Endoscopic Sinus Surgery depends on the correct preparation for surgery, perioperative and postoperative care. Proceedings before FESS in case of chronic rhinosinusitis arise from „European position paper on rhinosinusitis and nasal polyps 2012” and includes pretreatment with local nasal and systemic steroids, sinus irrigation, as well as in some cases antibiotic therapy. Reduction of intra- and post-operative bleeding is possible by intraoperative use of gauze local vasoconstricting inserts, reverse Trendelenburg position, reduction of blood pressure and application of tranexamic acid. After the surgery the use of nasal packing is often recommended. Moreover postoperative care has been largely transferred to the patient and therefore we are highlighting how important is education of patient, providing accurate information and training in the appropriate use of prescribed preparations for na-posal irrigation and nasal steroids. The use of steroids was proved to reduce the risk of recurrence of the disease and it is reasonable when we are sure that they have an opportunity to reach physically to whole mucous membrane of the nose. The effectiveness of nasal irrigation can be enhanced by use of the containers enabling the appropriate application (the exact adherence to the nasal vestibule , at an angle 45° ) and generating sufficient pressure ( rinse of the entire nasal cavity –120 mbar) and the use of appropriate fluid composition accelerates healing and reduce pain. Use of in vitro studies and computational fluid dynamics simulations allow to predict the effectiveness of rinsing different paranasal sinuses.

Refine search results

2 Polski Przegląd Otorynolaryngologiczny

1 2022

1 2016

1 Dawood M. R.

1 Misiołek M.

1 Miśkiewicz-Orczyk K.

1 Mohammed Z. S.

1 Ura-Sabat K.

1 Waligóra A.

1 Zieliński M.

Search results

Comparative study on the use of hypertonic saline vs. isotonic saline nasal irrigation following endoscopic sinus surgery

Perioperative care of patients undergoing Functional Endoscopic Sinus Surgery