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Medical Forum / Diseases and Disorders / Sinusitis / January 2006Paper on Sinus Irrigations
I recently came across an interesting paper on nasal irrigations. The URL is: http://64.233.187.104/search?q=cache:Eqf9TVMbbK4J:www.unimedprod.com/Nasalirriga tion.pdf+betadine+sinus+irrigation&hl=en The URL above is the google cached version. My acrobat reader was having problems with the original PDF. Your mileage may vary. The original is at: http://www.unimedprod.com/Nasalirrigation.pdf >I recently came across an interesting paper on nasal irrigations. The >URL is: [quoted text clipped - 6 lines] > >http://www.unimedprod.com/Nasalirrigation.pdf Thanks - the PDF works fine for me. Of course, University of Iowa Hospitals has always been among those recommending irrigation. Their Conclusion in the paper: "Nasal irrigations are an important component in the management of most sinonasal conditions. Although there is fairly widespread agreement regarding patient benefits, a significant disparity of opinion exists about the effects of irrigations on ciliary beat frequency and mucociliary clearance. Likewise, controversy exists concerning irrigation tonicity and the use of additives to the irrigating solution." On 1/5/06 5:13 PM, in article mqgrr1lrt0o7n3hd275tfa5ongoa6fgfq3@4ax.com, >> I recently came across an interesting paper on nasal irrigations. The >> URL is: [quoted text clipped - 23 lines] > tonicity and the use of additives to the irrigating > solution." Its the same problem as with fungal sinusitis. They are using the same word for different things. Of course irrigation will not cure a common cold. Yet this is one of the "controversies" Of course pulsatile irrigation is not the same as squirting saline into your nose. Yet they call the saline squirt irrigation. Beats me how scientists trained to specify exact definitions and diagnoses can lump diverse different procedures under one heading. Latest information from Mayo's pharmacy 'store" Irrigate sinuses with 20 ml each nostril 20 ml is barely more than eye drops. By no stretch of my definition can that be called sinus irrigation, but that's what THEY call it. Besides, squirting 20 ml into your nose in no way irrigates the sinuses. What they call controversy I call inexperience. Does pulsatile irrigation improve cilia function? This is not a rocket science project. All you need to do is test the cilia with a speck of saccharin. This has been done and reported and is not controversial except by some who haven't done the testing. The paper states that very little fluid gets to the frontals, even with squirt/pulsitile irrigation. My main problem sinus is my left frontal. Have there been any radiology/dye tests done to test distribution to the frontals during irrigations? I know i've heard that mucus may get extracted from the frontals via Bernoulli's principle. However, how does that influence the cilia in the frontals? If any benefit, i'm thinking it may help cilia outside the frontals which can then assist mucus out of the frontals. Can position during irrigation influence this? The following study illustrates increased distribution of agent via the 'Vertex-to-Floor' position. http://tinyurl.com/e2qbe I'm guessing this position is a 'headstand' type position. Anyone know anything more about this position. Sorry for the barrage of questions. The general summary is this -- I know my left frontal is the main problem. Can I adjust my irrigation regimin to better address this sinus? Thanks in advance to any answers! I dug up the following statement that provides some answer to my own question: *************************** I asked my ENT doctor about irrigation and he highly recommended it. The interesting thing was another doctor that was in the Office just to sit in. He is doing a research project about irrigation and it's effects. He suggested to me to irrigate in a different way. Since my upper front sinuses are infected (above the eyes), he said I should put my head back and then irrigate. Let water run in, shake my head around and then let it out. It seems to work, I get a lot of mucous out. The only problem is, the mucous keeps coming and developing and runs down the back of my throat and I can feel it. ************************** <snip> > Does pulsatile irrigation improve cilia function? This is not a rocket > science project. All you need to do is test the cilia with a speck of > saccharin. This has been done and reported and is not controversial except > by some who haven't done the testing. Correct me if I'm wrong but the saccharin test only tests a small portion of the cilia and does not indicate active cilia throughout the sinuses. On 1/6/06 8:42 PM, in article 5FHvf.3940$%W1.3276@newsread2.news.atl.earthlink.net, "jabba" <jjasd@meatloaf.com> wrote: > <snip> >> Does pulsatile irrigation improve cilia function? This is not a rocket [quoted text clipped - 5 lines] > portion of the cilia and does not indicate active cilia throughout > the sinuses. There is no evidence that the speed of the cilia varies from nose and sinuses. Indeed research indicates that the nasal cilia is a good place to measure bronchial cilia. Its a crying shame that the FDA doesn't require this simple no cost test be done on drugs. Could have avoided many costly errors. > On 1/6/06 8:42 PM, in article > 5FHvf.3940$%W1.3276@newsread2.news.atl.earthlink.net, "jabba" [quoted text clipped - 14 lines] > Its a crying shame that the FDA doesn't require this simple no cost test be > done on drugs. Could have avoided many costly errors. Even if sinusitis is implicated? It would seem to me that you could have an infection up high in the sinuses while while the floor of the sinuses has functioning cilia. On 1/7/06 6:45 PM, in article X0%vf.3668$ZA2.2904@newsread1.news.atl.earthlink.net, "jabba" <jjasd@meatloaf.com> wrote: > Even if sinusitis is implicated? It would seem to me that you > could have an infection up high in the sinuses while while the > floor of the sinuses has functioning cilia. This is theoretically possible, but the reason the sinusitis occurred in the first place is that the cilia of the respiratory tract were impaired. On the other hand, speed can vary from right to left. The cilia on the concave side of the deviated septum are slower and hence this is the side that gets the eustachian tube blockage and serous otitis. > On 1/7/06 6:45 PM, in article > X0%vf.3668$ZA2.2904@newsread1.news.atl.earthlink.net, "jabba" [quoted text clipped - 10 lines] > concave side of the deviated septum are slower and hence this is the side > that gets the eustachian tube blockage and serous otitis. So does it stand to reason that if you pass the saccharin test you do not need to purchase a pulsatile irrigation tool? On 1/8/06 5:51 PM, in article mkjwf.4073$ZA2.222@newsread1.news.atl.earthlink.net, "jabba" <jjasd@meatloaf.com> wrote: > So does it stand to reason that if you pass the saccharin test you > do not need to purchase a pulsatile irrigation tool? Correct. If your sinuses are clear and the cilia are normal, you don't'need to be more normal. Unless you need it for allergy or cold prevention. |
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