xRead - Nasal Obstruction (September 2024) Full Articles

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394

International consensus statement on rhinosinusitis

RSOM-31 improved in all groups. There was no difference between the 2

irrigation groups

and reflexology after 2weeks.

At 6 weeks, SNOT-20 improved in both groups while CT

score improved only in the group with

saline irrigation.

low-pressure

irrigation is more

effective than saline

spray in a reduction of SNOT-20 and

symptom score at 8 weeks.

Both treatment groups showed significant improvements in endoscopic

appearances and

QoL scores, while

improvement did not reacha

significant level in

the control group at 8weeks.

Study Year LOE Study Design Study Groups (N) Device Clinical Endpoint Conclusions Pynnonen 441 2007 3 RCT,UB High volume, QoL (SNOT-20) Symptoms High-volume

QoL (RSOM-31)

Patient satisfaction Medication use

QoL (SNOT-20) Radiologiy

Medication use

QoL

(RQLQ)

Symptoms MCC

Endoscopy

Cross-sectional area Volume

irrigation, pot irrigation

irrigation

240 mL irrigation (squeeze

bottle), spray

(cupped hand), spray

Bulb syringe

20mL/side

60 mL irrigation

Antibiotic/ Oral steroid + isotonic saline

Heatley 1050 2001 3 RCT,UB Isotonic saline in bulb syringe (43)

Isotonic saline in pot irrigation (39)

Reflexology as control (46)

low-pressure isotonic saline (64)

isotonic saline (63)

Taccariello 1053 1999 3 RCT, SB Alkaline nasal douche (19)

Antibiotic/Oral steroid

Low volume spray

Seawater spray (21)

Standard treatment (22)

Perkasa 1052 2016 4 Prospective cohort

TABLE IX-25 (Continued)