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A comparative study of three methods of nasal irrigation.

机译:三种鼻腔冲洗方法的比较研究。

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摘要

OBJECTIVE: To assess the effectiveness of three methods of nasal irrigation on distributing saline to the nasal cavity and paranasal sinuses. DESIGN:: A prospective, cross-over study. MATERIALS AND METHODS: Twelve subjects (9 patients with chronic sinusitis after functional endoscopic sinus surgery and 3 healthy controls) underwent nasal irrigation with normal saline containing Technetium 99m sulfur colloid. The distribution of radioactivity was assessed on each subject after three different irrigation techniques: metered nasal spray, nebulization with RinoFlow, and nasal douching while kneeling with the head on the floor. RESULTS: The nasal cavity was well irrigated by all three techniques. Compared with the other two methods, douching was significantly more effective in penetrating the maxillary sinus (P = .036) and frontal recess (P = .003). The sphenoid and frontal sinuses were poorly irrigated by all three techniques. CONCLUSION: Nasal douches are more effective in distributing irrigation solutionto the maxillary sinus and frontal recess. This should be the method of choice for irrigating these areas.
机译:目的:评估三种鼻腔冲洗方法对鼻腔和鼻旁窦分配生理盐水的有效性。设计::一项前瞻性,交叉研究。材料与方法:12名受试者(9名患有功能性内窥镜鼻窦手术后的慢性鼻窦炎患者和3名健康对照)接受了含Technetium 99m硫胶体生理盐水的鼻腔冲洗。在三种不同的灌溉技术下,对每个受试者的放射性分布进行了评估:鼻滴注,RinoFlow雾化和鼻子跪在地上时鼻腔冲洗。结果:三种技术都很好地冲洗了鼻腔。与其他两种方法相比,灌洗在穿透上颌窦(P = .036)和额隐窝(P = .003)方面更为有效。三种技术均对蝶窦和额窦进行了较差的灌溉。结论:鼻腔冲洗液可更有效地将冲洗液分配到上颌窦和额骨凹处。这应该是灌溉这些地区的首选方法。

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