Review of nasal irrigation with recommendations
A review article in American Family Physician provides guidance for nasal saline irrigation.
Current recommendations
- Symptom of chronic rhinosinusitis (inflamed nasal cavity and sinuses)
- Nasal irrigation is effective when combined with other treatments, having the highest levels of scientific support
- Symptoms of irritant or allergic rhinitis, viral upper respiratory tract infection, and postoperative care after endoscopic sinus surgery
- Limited evidence suggests nasal irrigation may be effective when combined with other treatments.
- Mild to moderate rhinitis of pregnancy, acute rhinosinusitis, sinonasal sarcoidosis, and Wegener’s granulomatosis
- Nasal irrigation has been recommended, but the supporting science is less than for the other conditions.
The bottom line?
Most of the research on nasal irrigation covers short-term treatment. A recently published study cautions against long-term use — 12-month — use.
12/13/09 19:10 JR