Nasal Irrigation with Saline Solution May be Better Than Saline Sprays for Chronic Rhinitis

According to a RCT conducted by ENT physicians, nasal irrigations performed with large volume are more effective than saline sprays for treatment of chronic nasal and sinus symptoms.

The magnitude of improvement with nasal irrigation was not much different from improvement with sinus surgery and was greater than that with oral prednisone. "This finding is even more remarkable given the nominal cost and minimal risk of this saline intervention," the authors wrote.

SinuCleanse Instructional Video

Does nasal rinsing help against allergies? Yes, if your patient is willing to use it. Many patients dislike the method.

Rhinosinusitis: Saline sinus rinse recipe by AAAAI - PDF:


Nasal Saline for Chronic Sinonasal Symptoms. Melissa. A. Pynnonen, MD; Shraddha S. Mukerji, MD; H. Myra Kim, ScD; Meredith E. Adams, MD; Jeffrey E. Terrell, MD. Arch Otolaryngol Head Neck Surg. 2007;133(11):1115-1120.
Nasal Irrigation Bests Saline Sprays for Stuffy Nose. MedPage Today.
Nasal Saline for Chronic Sinonasal Symptoms: A Randomized Controlled Trial. Family Medicine Notes, 01/2008.
Got a Runny Nose? Flush It Out! NPR.


RCT Shows Saline Lowers Illness Days and Use of Antibiotics in Children with Colds. Insidermedicine.
Saline Nasal Wash May Be Helpful for Rhinitis in Children. Medscape, 01/2008.
Nasal Irrigation as part of daily hygiene routine? "They brush their teeth, they wash their face, they rinse their nose"
SinuSurf (nasal saline rinse with surfactant) associated with loss of smell "for months to years". Discontinue use (PDF)
Neti Pot, Nasal Irrigation - Pros and Cons and Slideshow. WebMD, 2011.
Is Rinsing Your Sinuses Safe? FDA replies:

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