An inexpensive, safe and easy treatment is an effective method for treating chronic nasal and sinus symptoms - more effective, in fact, than commonly used saline sprays, according to a new study from University of Michigan Health System researchers.
The study is the first of its kind to show greater efficacy of saline irrigation treatments versus saline spray for providing short-term relief of chronic nasal symptoms, the authors report. Participants in the study who were treated with irrigation experienced a much greater benefit than those who were treated with saline spray, in terms of both the severity and frequency of their symptoms.
“The irrigation group achieved a clinically significant improvement in quality of life in terms of the severity of their symptoms, whereas the spray group did not,” says lead author Melissa A. Pynnonen, M.D., clinical assistant professor in the U-M Department of Otolaryngology. “Strikingly, they also experienced 50 percent lower odds of frequent nasal symptoms compared with the spray group.”
The findings, which appear in the new issue of the Archives of Otolaryngology – Head & Neck Surgery, could be significant for the multitudes of people who suffer from chronic nasal and sinus conditions. In the United States, 36 million people are affected by chronic rhinosinusitis each year, and millions more are affected by other types of allergic and non-allergic rhinitis.
Treatments including antibiotics, antihistamines and anti-inflammatory drugs can be helpful, but for many patients, symptoms persist. “A lot of symptoms still aren't very well treated,” Pynnonen says.
Treatment with saline irrigations – the flushing of nasal passages with a salt water mixture – often is recommended by otolaryngologists (ear, nose and throat physicians) for a variety of sinus conditions. It has long been used as a treatment following sinus surgery, and more recently is becoming common in non-surgical patients. The authors of this study say their findings suggest that otolaryngologists and primary care physicians should recommend this treatment to their patients more often.
Saline sprays are often used as an alternative to irrigations because spray “is often perceived to be equivalent to and better tolerated than irrigation,” the researchers note. But the effectiveness of sprays has not been proven in clinical trials.