Effect of Saline Nasal Irrigation in Patients with Sinonasal Symptoms

Nasal irrigation with saline is frequently used as an alternative therapy for sinonasal diseases since it effectively reduces sinonasal symptoms and improves the quality of life when measured by various subjective instruments. The mechanisms of action of saline irrigation remain unclear, but some hy...

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Main Authors: Asti Widuri, Rizka Fakhriani, Deoni Daniswara
Format: Article
Language:English
Published: Universitas Padjajaran 2024-09-01
Series:Majalah Kedokteran Bandung
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Online Access:https://journal.fk.unpad.ac.id/index.php/mkb/article/view/3621
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author Asti Widuri
Rizka Fakhriani
Deoni Daniswara
author_facet Asti Widuri
Rizka Fakhriani
Deoni Daniswara
author_sort Asti Widuri
collection DOAJ
description Nasal irrigation with saline is frequently used as an alternative therapy for sinonasal diseases since it effectively reduces sinonasal symptoms and improves the quality of life when measured by various subjective instruments. The mechanisms of action of saline irrigation remain unclear, but some hypotheses attribute the direct physical cleansing of thick mucus, allergens, and pollutants. This study aimed to determine the effect of nasal saline irrigation on the nasal mucosa using the modified Lund-Kennedy endoscopic score as the objective evaluation. This pre-post-experimental study was conducted at PKU Muhammadiyah Gamping Hospital Yogyakarta, Indonesia, from May to June 2023. The study included 18 individuals presenting with sinonasal symptoms. Participants meeting the inclusion and exclusion criteria who provided informed consent were trained in nasal saline irrigation. Patients were assessed at baseline and one week after nasal saline irrigation using endoscopy, TNSS, and MCC time. Results revealed that the mean of endoscopic scores before and after saline irrigation were 6.89±1.1 and 5.33±1.4, respectively (p-value 0.006),  while the mean of TNSS scores before and after saline irrigation was 6.17±2.3 and 4.28±2.6, respectively (p-value 0.006). Thus, nasal saline irrigation significantly improves the endoscopy and TNSS scores, but not the MCC time.
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spelling doaj-art-dac5bef897ff4c7895224aea1fc4b8312025-08-20T02:39:04ZengUniversitas PadjajaranMajalah Kedokteran Bandung0126-074X2338-62232024-09-0156318418910.15395/mkb.v56.36211761Effect of Saline Nasal Irrigation in Patients with Sinonasal SymptomsAsti Widuri0Rizka Fakhriani1Deoni Daniswara2Department of Otorhinolaryngology-Head and Neck, Faculty of Medicine and Health Science, Universitas Muhammadiyah YogyakartaDepartment of Otorhinolaryngology-Head and Neck, Faculty of Medicine and Health Science, Universitas Muhammadiyah YogyakartaDepartment of Otorhinolaryngology-Head and Neck, Faculty of Medicine and Health Science, Universitas Muhammadiyah YogyakartaNasal irrigation with saline is frequently used as an alternative therapy for sinonasal diseases since it effectively reduces sinonasal symptoms and improves the quality of life when measured by various subjective instruments. The mechanisms of action of saline irrigation remain unclear, but some hypotheses attribute the direct physical cleansing of thick mucus, allergens, and pollutants. This study aimed to determine the effect of nasal saline irrigation on the nasal mucosa using the modified Lund-Kennedy endoscopic score as the objective evaluation. This pre-post-experimental study was conducted at PKU Muhammadiyah Gamping Hospital Yogyakarta, Indonesia, from May to June 2023. The study included 18 individuals presenting with sinonasal symptoms. Participants meeting the inclusion and exclusion criteria who provided informed consent were trained in nasal saline irrigation. Patients were assessed at baseline and one week after nasal saline irrigation using endoscopy, TNSS, and MCC time. Results revealed that the mean of endoscopic scores before and after saline irrigation were 6.89±1.1 and 5.33±1.4, respectively (p-value 0.006),  while the mean of TNSS scores before and after saline irrigation was 6.17±2.3 and 4.28±2.6, respectively (p-value 0.006). Thus, nasal saline irrigation significantly improves the endoscopy and TNSS scores, but not the MCC time.https://journal.fk.unpad.ac.id/index.php/mkb/article/view/3621allergen, endoscopy, human, nasal mucosa, quality of life
spellingShingle Asti Widuri
Rizka Fakhriani
Deoni Daniswara
Effect of Saline Nasal Irrigation in Patients with Sinonasal Symptoms
Majalah Kedokteran Bandung
allergen, endoscopy, human, nasal mucosa, quality of life
title Effect of Saline Nasal Irrigation in Patients with Sinonasal Symptoms
title_full Effect of Saline Nasal Irrigation in Patients with Sinonasal Symptoms
title_fullStr Effect of Saline Nasal Irrigation in Patients with Sinonasal Symptoms
title_full_unstemmed Effect of Saline Nasal Irrigation in Patients with Sinonasal Symptoms
title_short Effect of Saline Nasal Irrigation in Patients with Sinonasal Symptoms
title_sort effect of saline nasal irrigation in patients with sinonasal symptoms
topic allergen, endoscopy, human, nasal mucosa, quality of life
url https://journal.fk.unpad.ac.id/index.php/mkb/article/view/3621
work_keys_str_mv AT astiwiduri effectofsalinenasalirrigationinpatientswithsinonasalsymptoms
AT rizkafakhriani effectofsalinenasalirrigationinpatientswithsinonasalsymptoms
AT deonidaniswara effectofsalinenasalirrigationinpatientswithsinonasalsymptoms