Kliniska studier rörande nässköljare

(OBS - Dessa gäller ej specifikt Clinetti utan enbart metoden som sådan och även jämförelse mellan Positive Pressure/high volume (som Clinetti) och Negative Pressure, dvs att man häller med sköljkanna (Netipot) eller helt enkelt drar upp saltvatten i näsan.

4: Laryngoscope. 2002 Aug;112(8 Pt 1):1394-8.  Related Articles, Books, LinkOut

    Radiographic comparison of three methods for nasal saline irrigation.

    Olson DE, Rasgon BM, Hilsinger RL Jr.

    Department of Head and Neck Surgery, Kaiser Permanente Medical Center, Oakland, California 94611-5963, USA. budelsky@pachell.net

    OBJECTIVE: To compare intranasal distribution of saline solution delivered by three popular methods for nasal saline irrigation. STUDY DESIGN: Prospective, controlled comparison. METHODS: Eight healthy adult volunteers received nasal irrigation with 40 mL of isotonic, nonionic contrast material immediately before having coronal computed tomography to visualize distribution of solution in the paranasal sinuses. For each study subject, three methods of irrigation were used: irrigation using positive-pressure irrigation, irrigation using negative-pressure irrigation, and irrigation using a nebulizer. For each subject, three-dimensional computer reconstructions of the irrigated paranasal sinus airspaces were used to compare contrast solution volume and distribution achieved by the three methods.

 RESULTS: Of the three methods used, two methods, positive-pressure and negative-pressure irrigation, distributed contrast solution widely to ethmoid and maxillary sinuses, but distribution of contrast solution was more uniform using positive-pressure irrigation than using negative-pressure irrigation. The nebulization method distributed contrast solution poorly and resulted in a significantly lower volume of retained contrast solution (P <.05). CONCLUSION: Judged solely on the basis of solution distribution in the nasal sinuses, nasal irrigation is effective when either positive-pressure or negative-pressure irrigation is used but is ineffective when a nebulizer is used.

Arch Otolaryngol HeadNeckSurg. 2007;133(11):1115-1120

Nasal Saline for Chronic Sinonasal Symptoms

A Randomized Controlled Trial

Melissa A. Pynnonen, MD; Shraddha S. Mukerji, MD; H. Myra Kim, ScD; Meredith E. Adams, MD; Jeffrey E. Terrell, MD

OBJECTIVE:

To determine if isotonic sodium chloride (hereinafter saline) nasal irrigations performed with large volume and delivered with low positive pressure are more effective than saline sprays at improving quality of life and decreasing medication use.

Conclusion: Nasal irrigations performed with large volume and delivered with low positive pressure are more effective than saline sprays for treatment of chronic nasal and sinus symptoms in a community-based population

1: Can Fam Physician. 2003 Feb;49:168-73.  Related Articles, Books, LinkOut

Saline nasal irrigation: Its role as an adjunct treatment.

Papsin B, McTavish A.

Department of Otolaryngology, Hospital for Sick Children, Toronto, Ont.

OBJECTIVE: To review clinical evidence on the efficacy of saline nasal irrigation for treatment of sinonasal conditions and to explore its potential benefits.

 CONCLUSION: Nasal irrigation is a simple, inexpensive treatment that relieves the symptoms of a variety of sinus and nasal conditions, reduces use of medical resources, and could help minimize antibiotic resistance..