Rhinosinusitis is an inflammation of the nose (rhinositis) and the sinuses (sinusitis).

The Cochrane Collaboration states, “The use of nasal irrigation for the treatment of nose and sinus complaints has its foundations in yogic and homeopathic traditions. It is often prescribed as an adjunct to other treatments such as intranasal steroids or antibiotics.” (more…)

Nasal irrigation (photo) is a personal hygiene practice where the nasal cavity is flooded with warm saline solution. The goal is to clear out excess mucus and moisturize the nasal cavity.

This study compared this technique to a saline spray in people with chronic nasal and sinus symptoms. (more…)

A study from the University of Nebraska reports that antibiotics are too frequently prescribed to treat sinus infections (acute or chronic rhinosinusitis).

That’s not new, but the mention of using a salt-water rinse as treatment is worth discussing.

(more…)

MayoClinic.com has reviewed cold remedies that work and don’t.

Here’s a summary of useful CAM options.

(more…)

The Blogs are abuzz today with talk of nebulized hypertonic saline to treat cystic fibrosis (CF). Glenn Reynolds at Instapundit has a comment and links to Dean Barnett of SoxBlog who reports his experience with saline from a patient’s perspective. The historical perspective on the treatment is interesting as well.

Saline is not new therapy, but it has assumed a higher profile since publication of a study in The New England Journal of Medicine early this year. The authors concluded, “Hypertonic saline preceded by a bronchodilator is an inexpensive, safe, and effective additional therapy for patients with cystic fibrosis.” The accompanying editorial (summarized on Medscape) was less impressed.

Recently, the Cochrane Collaboration reviewed the results of nine trials of nebulized hypertonic saline for CF. The reviewers concluded it “improves mucociliary clearance in short-term clinical trials and appears to increase lung function compared to control.” However, “In comparison to recombinant deoxyribonuclease it may be less effective at improving lung function after three months.”

Maybe so, but Dean’s perspective is encouraging. “This seems like if not a miracle, something damn close to it. For years good people, the world’s best, have been pouring their hearts, souls and money into finding effective treatments for CF and generally coming up with very little. And all of a sudden, a super-promising new treatment comes along. And it’s salt water!”

7/9/06 09:56 JR