Impact of Pulsatile Nasal Irrigation on the Prognosis of Functional Endoscopic Sinus Surgery

J Otolaryngol Head Neck Surg. 2008 Apr;37(2):148-53.


Objectives: Nasal irrigation is a popular adjunctive therapy after sinonasal surgery. The objective of this study was to determine the efficacy of nasal irrigation after functional endoscopic sinus surgery (FESS).

Methods: Patients with chronic rhinosinusitis (CRS) who underwent FESS were enrolled. The preoperative computed tomography (CT) Lund-Mackay staging, Lund symptom, and endoscopy scores were assessed. All patients received postoperative endoscopic d├ębridement and medical treatment and were randomly allocated to receive nasal irrigation for 3 months or not. The symptom and endoscopy scores were repeatedly measured at 2 weeks and 1, 2, and 3 months postoperatively.

Results: Seventy-seven subjects completed the study. When patients were classified as having either severe or mild CRS (CT score > 12 or < or = 12, respectively), the patients with mild CRS in the irrigation group had a significantly better endoscopy score and symptom score change rates than those in the nonirrigation group (p = .019 and .032, respectively), but there were no significant differences in those outcomes between irrigation and nonirrigation groups in patients with severe CRS.

Conclusions: Our results showed that nasal irrigation is an effective post-FESS management in patients with mild CRS. However, the efficacy of nasal irrigation in patients with severe CRS needs further investigation.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Chronic Disease
  • Debridement
  • Endoscopy*
  • Female
  • Follow-Up Studies
  • Humans
  • Long-Term Care
  • Male
  • Middle Aged
  • Nasal Lavage / instrumentation*
  • Nasal Lavage / methods
  • Postoperative Care
  • Postoperative Complications / diagnostic imaging
  • Pulsatile Flow
  • Rhinitis / diagnostic imaging
  • Rhinitis / surgery*
  • Sinusitis / diagnostic imaging
  • Sinusitis / surgery*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Young Adult