Recently there was an article in Family Practice Journal about the
benefits of irrigating. They used a neti pot. The comments afterward
were Dr. Davidson who strongly advocated pulsatile irrigation, and an
ENT from Pittsburgh who stated that she supports irrigation, has her
patients use hypertonic saline and the method didin't matter as much to
her as just the fact that patients were irrigating.
 As Susan wrote, there has been one study, but it didn't do a head to
head comparison of pulsatile vs. neti: I believe it was the neilmed vs.
bulb syringe vs. water pik--done at Kaiser Permanente.
 I think the most important thing is that you irrigate, keep the
device clean and find what works for you--convenience and easy cleaning
are important. Whether the pulsatile nature of the Grossan device truly
re-activates cilia is open to debate--as a previous poster stated very
well.
 Clearly irrigation helps people "whose noses don't self cleanse" at
the ENT from Pitt stated, so what ever you use, if it works for you,
it's a benefit.
 As Susan said, no method has been clearly proven better--and again by
what endpoints? Number of infections? Post nasal drip? Congestion? The
Family Medicine Article measured quality of life.
 Just irrigating is clearly beneficial, how you do it and what you put
in the solution is widely open to debate.
Judy

I have even seen plastic foldable neti pots available these days, even in
local drug stores (sinu-cleanse?). That would certainly be the easiest type
to carry while traveling, rather than a heavy ceramic pot. Of course, the
various squeeze bottles such as Neilmed and others (Ayr now makes one too),
with pre-measured dry solution packets, are also handy for traveling.

Something I sometimes use for a quick less-thorough irrigation is
non-preserved saline solution for contact lenses. (I guess one could use the
preserved kind, but I find the preservatives irritating.) I squirt that
straight into the nose from the bottle, no mixing necessary, so it's quick
and sterile. Non-preserved saline for contacts is harder to find these days,
than it was a couple years ago, but it still can be found, in two forms--1)
Twelve ounce aerosol cans. The cheapest by far is at Wal-Mart, with its own
Equate brand, now $2.34 for a 12 oz bottle. 2) A box of three 4 oz squeeze
bottles. (A bottle should be used within one week after opening it, due to
not having preservatives.) Those smaller squeeze bottles can be handy to
carry in pocket or purse

it would seem to me the producers of water pick or other irrigators of the
nasal mucosa should have done some studies
the nasal cavity is so full of hills and valleys that i doubt that pulsating
or continuous flow is making a difference--i suspect irrigation using normal
or slightly hypertonic saline regardless of technioque works--good idea to
keep all tubing etc as clean as possible --disinfect with 70% alchole and
dry ( if contrtindicated by manufacturer.

 doctors.

I'm in agreement.  If it did that, I wouldn't be having the same
problems now that I had before I began using it a year and a half ago.

Susan