Efficacy of syringe-irrigation topical therapy and the influence of the middle turbinate in sinus penetration of solutions

Wawginiak, Guilherme Henrique; Balsalobre, Leonardo; Kosugi, Eduardo Macoto; Mangussi‐Gomes, João; Samaniego, Raul Ernesto; Stamm, Aldo Cassol

doi:10.1016/j.bjorl.2016.06.013

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…9 Maxillary sinus irrigation is also reduced in the presence of the middle turbinate, particularly if it is lateralized. [10][11][12] Therefore, the aim of our study was to make a preliminary evaluation of the Sinusplint, a new device for direct frontal or maxillary sinus irrigation after endoscopic sinus surgery.…”

Section: Introductionmentioning

confidence: 99%

Development of a New Device for Postoperative Self-Irrigation of the Maxillary and Frontal Sinus

et al. 2021

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Objectives: Nasal saline irrigation is the corner stone of postoperative care after functional endoscopic sinus surgery (FESS) for chronic rhinosinusitis (CRS). However, intrasinus penetration of the saline solution can be challenging and may require difficult head position, particularly for the frontal sinus. Our aim was to evaluate a novel device for direct intrasinus self-irrigation, usable at home for both maxillary and frontal sinus. Methods: Thirty devices were implemented in 23 patients: in the maxillary sinus for 18 patients and in the frontal sinus for 5 patients. The device was removed after 7 days on average (5-10 days), and nasal saline irrigation was carried on with a squeeze bottle for 6 weeks. Retrospective evaluation of the device included: device-related complication, patient satisfaction, and ostial or middle turbinate synechiae at 3 months. Results: No device-related complication (obstruction, displacement, infection, bleeding) occurred. Twenty-one (91.3%) patients were satisfied with the device. Two patients required the help of a nurse for irrigation. No ostial of middle turbinate synechiae was visualized at 3 months. This new endonasal device enables direct intrasinus self-irrigation after FESS for CRS. Conclusion: This preliminary study showed that this device is safe and easy to use. However, further investigations are required to assess its potential role to reduce the risk of synechiae and revision surgery.

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Section: Introductionmentioning

confidence: 99%

Development of a New Device for Postoperative Self-Irrigation of the Maxillary and Frontal Sinus

et al. 2021

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Nasal saline irrigation – A review of current anatomical, clinical and computational modelling approaches

Salati

Bartley

White

2020

Respiratory Physiology & Neurobiology

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How does sinus surgery affect topical irrigation distribution?

Leite

Douglas

2018

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review The current article reviews the literature on the distribution of nasal irrigation in the treatment of chronic sinusitis, especially in how sinus surgery and irrigation techniques affect its delivery to the nasal cavity and paranasal sinuses. Recent findings Nasal irrigation has become a useful tool in the treatment of chronic sinusitis. Used after endoscopic surgery of the paranasal sinuses, irrigation has shown to be effective in improving edema and removing crusts and secretions in that place. However, some relevant points have been considered in the surgical technique and in the postoperative period to improve irrigation access to the paranasal sinuses such as the amplitude of the sinus ostial opening, irrigation volume and device used, as well as head position during irrigation. Summary Postoperative lavage of the paranasal sinus is a recognized adjuvant in the treatment of chronic rhinosinusitis, reducing morbidity and improving local healing, besides allowing the association of topical medications that can be carried to the paranasal sinuses along with the saline increasing the reach of these drugs. Detailed attention to the techniques described in this review improves the distribution of irrigation in the paranasal sinuses after sinus surgery and considerably increases the efficacy of this therapy.

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Efficacy of syringe-irrigation topical therapy and the influence of the middle turbinate in sinus penetration of solutions

Cited by 3 publications

References 25 publications

Development of a New Device for Postoperative Self-Irrigation of the Maxillary and Frontal Sinus

Development of a New Device for Postoperative Self-Irrigation of the Maxillary and Frontal Sinus

Nasal saline irrigation – A review of current anatomical, clinical and computational modelling approaches

How does sinus surgery affect topical irrigation distribution?

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