Nasal Saline Irrigations for the Symptoms of Acute and Chronic Rhinosinusitis

@article{Achilles2013NasalSI,
  title={Nasal Saline Irrigations for the Symptoms of Acute and Chronic Rhinosinusitis},
  author={Nils Achilles and Ralph M{\"o}sges},
  journal={Current Allergy and Asthma Reports},
  year={2013},
  volume={13},
  pages={229-235}
}
The use of saline nasal irrigation (SNI) in the treatment of nasal and sinus disorders has its roots in the yoga tradition and homeopathic medicine. In recent years, SNI has been increasingly observed as concomitant therapy for acute (ARS) and chronic rhinosinusitis (CRS). Various devices are employed, such as nasal douches, neti pots or sprays. The saline solutions used vary in composition and concentration. This article gives a current overview of literature on the clinical efficacy of SNI in… 
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References

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TLDR
Saline irrigations are well tolerated and the beneficial effect of saline appears to outweigh these drawbacks for the majority of patients, and the use of topical saline could be included as a treatment adjunct for the symptoms of chronic rhinosinusitis.
Nasal irrigation with lavonase as ancillary treatment of acute rhinosinusitis: a pilot study.
TLDR
This preliminary study shows that the ancillary treatment of acute rhinosinusitis with Lavonase may be useful, and Nasal irrigation with the Lav onase system was found to be more effective in reducing symptoms.
[Nasal douching in acute rhinosinusitis].
TLDR
There is currently no evidence that daily nasal douching with isotonic saline solution over a longer period of time has an adverse effect on the individual health or leads to a higher rate of infections.
Effect of irrigation of the nose with isotonic salt solution on adult patients with chronic paranasal sinus disease
TLDR
Endonasal irrigations with salt solutions are effective in the treatment of chronic sinusitis, and a significant difference between Ems salt and sodium chloride was not observed.
[Nasal irrigation in case of rhinosinusitis].
TLDR
In children, nasal irrigation can save antibiotics and reduce decongestant to nil, and important is the hygienic application in order not to introduce additional pathogenic germs into the nasal system.
Nasal irrigations: good or bad?
TLDR
Nasal irrigations should no longer be considered merely adjunctive measures in managing sinonasal conditions and should be considered effective and underutilized.
Nasal Irrigation for the Alleviation of Sinonasal Symptoms
TLDR
Daily nasal irrigation using either a bulb syringe, nasal irrigation pot, and daily reflexology massage were equally efficacious and resulted in improvement in the symptoms of chronic sinusitis in over 70% of subjects.
Hypersaline nasal irrigation in children with symptomatic seasonal allergic rhinitis: A randomized study
TLDR
This study supports the use of nasal irrigation with hypertonic saline in the pediatric patient with seasonal allergic rhinitis during the pollen season, which was tolerable, inexpensive and effective.
Nasal irrigation with or without drugs: the evidence
TLDR
There is insufficient evidence to demonstrate a clear overall benefit for topical steroids in CRS without nasal polyposis, and the use of topical antifungals is not supported by the majority of studies.
The Efficacy of Hypertonic Saline Nasal Irrigation for Chronic Sinonasal Symptoms
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