Nasal saline irrigations for the symptoms of chronic rhinosinusitis

Harvey, Richard J.; Hannan, S. A.; Badia, Lydia; Scadding, Glenis

doi:10.1002/14651858.cd006394

Cited by 155 publications

(210 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%

“…The results demonstrated that both groups received improvement in QoL at 8 weeks; however, there was a significantly larger improvement in both outcome measures in patients using high-volume saline irrigations. The systematic review and meta-analysis by Harvey et al 696 included 8 studies that evaluated the following designs: saline vs no treatment; saline vs placebo; saline as an adjunct to INCS therapy; saline vs INCS therapy; and isotonic vs hypertonic saline irrigations. A few studies included pediatric patients with CRS and AR.…”

Section: Viie1 Crs Management: Saline Irrigationmentioning

confidence: 99%

“…No major adverse events were recorded from a meta-analysis of 22 trials. 696 However, in 2011, there were 2 deaths from amoebic meningoencephalitis suspected to be related to irrigating with Naegleria fowleri-contaminated water. 703 Until further research elucidates the safety of using tap water, it is recommended to use a clean water source (avoiding well water) for irrigation solution.…”

Section: Viie1 Crs Management: Saline Irrigationmentioning

confidence: 99%

See 2 more Smart Citations

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

554

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%

Section: Viie1 Crs Management: Saline Irrigationmentioning

confidence: 99%

See 1 more Smart Citation

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

554

888

View full text Add to dashboard Cite

show abstract

“…De acuerdo a una revisión de Cochrane 14 , de entre 1.659 pacientes obtenidos de 22 ensayos clínicos, menos del 10% registraron alguna reacción adversa a la técnica, y no se registraron eventos adversos importantes con el uso de solución salina hipertónica e isotónica.…”

Section: Soluciones Salinasunclassified

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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“…В связи с этим в комплексе лечебных меро-приятий, помимо антибактериальных препаратов, на первый план выходит патогенетическая терапия [12][13][14][15][16]. При лечении ХРС большое внимание уде-ляется обеспечению адекватного дренирования ОНП, удалению из них экссудата, восстановлению проходимости естественных соустий и механизмов самоочищения пазух, то есть мукоцилиарного кли-ренса.…”

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