Electrolyzed acid water nasal irrigation after functional endoscopic sinus surgery

Fung-Jou Lu, Kai-Li Liang, Mao-Chang Su, Rong-San Jiang, Shang-Heng Wu, Wen-Kang Chen

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DOI: 10.2500/ajra.2014.28.4015 DOI is the universal ID for this study.

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Abstract:

Electrolyzed acid water (EAW) has been recognized to have strong bactericidal activity, and the feasibility and safety of EAW irrigation in body cavities has been reported in the literature. This study was conducted to evaluate the effect of EAW nasal irrigation on the postoperative care of functional endoscopic sinus surgery (FESS). Patients with chronic rhinosinusitis who received FESS for treatment were recruited and randomly assigned to three groups at 1 month postoperatively. Patients in group 1 received EAW for nasal irrigation daily for 2 months, those in group 2 received neutral normal saline (NS) daily for 2 months, and those in group 3 did not receive nasal irrigation after surgery. Before and 3 months after FESS, sinonasal symptoms were assessed by questionnaire and patients received endoscopic examination, acoustic rhinometry, smell test, saccharine transit test, and bacterial culture from middle meatus. There were 185 patients enrolled between May 2009 and March 2012. Among the patients who completed the study, 36 received EWA irrigation, 35 received NS irrigation, and 39 (group 3) received no irrigation. Patients with nasal irrigation had a better outcome based on questionnaire score and saccharine transit time. However, there was no difference in outcome between patients who received irrigation with EAW and NS. Our study showed that EWA irrigation did not confer a greater benefit than that of NS irrigation in post-FESS care.

Publish Year 2014
Country Taiwan
Rank Positive
Journal American Journal of Rhinology
Primary Topic Nose
Secondary TopicRhinosinusitis
Model Human
Tertiary TopicBacterial Infection
Vehicle Water (Electrolysis)
pH Acidic
Application Irrigation
Comparison
Complement