Advantages of large-volume nasal irrigation in the postoperative period for patients with severe nasal polyposis prior to intranasal instillation
Year: 2025, volume 21 Issue: №1 Pages: 7-12
Heading: Otorhinolaryngology Article type: Original article
Authors: Tarasova N.V., Belan Е.В., Sokolova M.V., Abdurakhmanova O.V.
Organization: Volgograd State Medical University, Volgograd Regional Clinical Hospital No. 1, Volgograd, Russia
Heading: Otorhinolaryngology Article type: Original article
Authors: Tarasova N.V., Belan Е.В., Sokolova M.V., Abdurakhmanova O.V.
Organization: Volgograd State Medical University, Volgograd Regional Clinical Hospital No. 1, Volgograd, Russia
Summary:
Objective: to determine the effectiveness of rinsing the nasal cavity with a large volume of mineral-vegetable isotonic solution using an individual device in the postoperative period in patients with severe chronic rhi-nosinusitis with polyps and compare the results of the study with the effectiveness of copious instillation of the same solution into the nasal cavity. Material and methods. The study included 45 people aged 28-49 years after endoscopic pansinusotomy In the postoperative period, 2 groups were identified: in group 1 (n=33), the nasal cavity was rinsed using an individual device with a mineral-vegetable isotonic solution (recipe No. 1) with a volume of 240 ml and a temperature of 36 °C 2 times a day. In group 2 (n=12)— copious instillation of the same solution (20 ml in each half of the nose) was performed 4 times a day. The effectiveness of nasal breathing was evaluated according to the Visual Analog Scale and the Sino-Nasal Outcome Test 22 questionnaire and the degree of crust formation on days 5-6, 14. Results. In group 1, the effectiveness of nasal breathing was significantly higherthan in group 2 on days 5-6 and 14 of follow-up according to Visual Analog Scale (p=0.001 and p=0.04, respectively), the Sino-Nasal Outcome Test 22 (p=0.002 and p=0.004) and the condition of the nasal mucosa. Conclusion. Rinsing the nasal cavity with an individual device with a solution of the composition (recipe No. 1) is effective for improving nasal breathing in the postoperative period, reduces cortical formation, and normalizes healing. With heavy instillation, these indicators were worse.
Keywords: severity of cortical formation, severe nasal polyposis, nasal cavity flushing, individual nasal flushing device, effectiveness of nasal breathing in the postoperative period
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