Clinical Study and Literature Review of Nasal Irrigation, Davidson, T., Laryngoscope 110: July 00

Patients at the Nasal Dysfunction Clinic an Univ. of Cal. San Diego.

The Complete Self-Care Guide to Holistic Medicine, Robert Ivker 1999

Management of Sinusitis: Current Clinical Strategies, Michael Kaliner MD and David W Kenned, MD, in Sinusits Disease Management Guide. PDR 2000

Therapeutic Agents In The Medical Management Of Sinusitis, Mabry, R.L. In: Inflammatory diseases of the sinuses. Otolaryngologic Clinics Of North America, Volume 26, Number 4, pp 561, 1993.

Sinusitis: Acute, Chronic and Mangegeable, Rachelevsky G S, Slavin R G et all. Patient Care. Feb 28, 1997 Vol 131:4.

A Device for Nasal Irrigation,Grossan M Transactions of the American Academy of Ophthalmology and Otolaryngology. 78: July 1974 279-280

Sinusitis: Bench to Bedside, Kaliner MA et al. Otolaryngology June 97 116:6 Part 2 Study of Sinusits.

New Nasal Irrigator Device. Grossan M. The Eye, Ear Nose And Throat Monthly. March 1974

(Application of pulsatile irrigation for post nasal drip and phlegm)

A Device To Aid Nasal Mucociliary Flow, Grossan A.N.L. March 1976 pp 65-70..

Office Measurement of Nasal Mucociliary Clearance, Grossan, M. English: Otolaryngology 1994 Vol 2 ch 7

(The saccharin test is an objective measure of one very important aspect of the respiratory defense system. Many diagnostic dilemmas are solved using this test.)

Treatment of Sinusitis in the Next Millennium, Kaliner, M. Allergy and Asthma Proceedings, 19:181-4, 1998

Nasal Hyperthermia and Simple Saline Irrigation for Perennial Rhinitis, Changes in Inflammatory Mediators, Georgitis JW. Chest 106:1487 - 82, 1994

Sinus Survival, Ivker R., Putman Publication 1995.

Pulsating irrigation is shown to remove pus and allow for natural, holistic healing.

A Device for Nasal Irrigation, Grossan, M. Transactions of the American Academy of Ophthalmology and Otolaryngology. 78: July 1974 279-280.

(Nasal irrigation is found to be an easy method of sinus treatment at home or office. )

Pulsation Irrigation: a Simple, Safe Effective Treatment of Many Nasal Complaints, Pope, A., O.R.L. Digest August 1974 15:8 pp 3638.

A New Nasal Irrigator Device, Grossan, M., The Eye, Ear Nose and Throat Monthly, March 1974.

(Application of pulsatile irrigation for post nasal drip and phlegm is described.)

Pulsatile Nasal Irrigation in Children

Pediatric sinusitis, Manning, Scott, C., In: Inflammatory Diseases of the Sinuses. Otolaryngologic Clinics of North America. Volume 26, Number 4, pp 623-638 (1993).

Pulsatile irrigation works for children, even without antibiotics.

Irrigation of the Child's Nose, Grossan, M., Clinical Pediatrics, March 1974 13:3 229-231.

(Children with sinusitis, post nasal drip or nasal blockage use pulsatile nasal irrigation at age 5 or older.)

Rhinitis 

Geriatric Rhinitis: What it is, how to treat it. By Jennifer A Jordan, Geriatrics: June 98.

RhinitisAnd Nasal Obstruction, Lucente, F.E. In: Nasal Obstruction. Otolaryngologic Clinics Of North America, Volume 22, Number 2, pp 307, 1989.

Atrophic Rhinitis, Goodman, Wilfred S. English: Otolaryngology Vol 2 Ch. 14 1984

Medical Management of Rhinitis, Fadal R. English: Otolaryngology Vol 2:Ch 13

Chronic Rhinitis, a Practical Approach to Diagnosis And Treatment, Zeigler, R. Shatz , M Part 2 Treatment. Immunology, Allergy Practice 1982. 4:3 pp 26-36

Allergic or Non Allergic Rhinitis, Meltzer EO, In Allergy: Principles and Practice, editors: Middleton and Reed. Vol 2 pp 1181, 1992

Rhinitis, Allergy: Principles and Practice, 3rd edition. Middleton E. CV Mosby Company Ch 17, 1988

Medical Management of Rhinitis, Fadal R. English: Otolaryngology 1996, Vol 2:Ch 13.

Atrophic Rhinitis, deSouza, F.M.: Chapter 14N English: Otolaryngology 1996.

Atrophic Rhinitis, Goodman, Wilfred S., Otolaryngology Vol 2 Ch. 14 1984.

Chronic Rhinitis, a Practical Approach to Diagnosis and Treatment, Zeigler, R. Shatz , M Part 2 Treatment.

Immunology, Allergy Practice 1982. 4:3 pp 26-36.

(Good allergy management is shown to include irrigation for removal of offending particles in order to restore normal ciliary flow.)

Atrophic Rhinitis, deSouza F.M.: Chapter 14N, English: Otolaryngology 1996.

Asthma 

Sinusitis and Bronchial Asthma, Slavin RG: J Allergy and Clinical Immunol 66:250-257, 1980

Allergies and Asthma for Dummies by William E Berger, MD

Allergy 

Inhibition Of The Seasonal Ige Encrease To Dactylis Glomerata By Daily Saline Nasal - Sinus Irrigation During The

Grass Pollen Season, Journal of Allergy and Clinical Immunology.

Allergies and Asthma for Dummies by William E Berger, MD - see above in Asthma

Prospects for ancillary treatment of rhinosinusitis in the 1990's, Zeiger RS. , J Allergy Clin Immunol 1992;90:478-495

Post-Operative Care 

Perioperative Care in Functional Endoscopic Sinus Surgery, Sonkens JW, Miller R.J. Highlilghts of the Instructional Course. Ed Lucente, editor Chapter 24. pp267-277

Endoscopic Paranasal Sinus Surgery, Rice, D., Ravens Press 1993..

Rhinoplasty Edited by Rolin K Daniel, M.D. 1993 Chapter 2 by Geroge Meredith.

Evaluation of methods of Sinus Nasal Irrigation Irrigation Post Sinus Surgery, Cenjor, C. Gutierrez, R. Congress of Spanish Society of Otolaryngology and Cervical Facial Pathology. Las Palmas de Gran canaria, 12- 16 Octubre de 1998

Fungus Infection

Effect of anti-fungal nasal lavage with amphotericin B on nasal polyposis.

Ricchetti A, Landis BN, Maffioli A, Giger R, Zeng C, Lacroix JS.

J Laryngol Otol 2002 Apr;116(4):261-3

Effects of Aspergilis fumigatus and Alternaria on human ciliated epithelium in vitro

Cody,DT 2^nd,Mcaffrey, TV. Kern,E Laryngoscope.1997. Nov:107 1511-4

Cystic Fibrosis 

Management Of Sinusitis In Cystic Fibrosis, Moss RB, King W. . Arch Otolaryngol Head Neck Surg. 1995;1 21:566-572.

Pulsatile irrigator Irrigation with [Nasal] Adaptor is used for CF, Cystic Fibrosis Currents Volume 11, No 4

Method For Rapid Evaluation Of Topical Of Topically Applied Agents To Cystic Fibrosis, Wine JJ, King W, Lewiston NJ Am J Physiol. 1991261 (Lung Cell Mol Physiol. 5):L21 8-L221

Management of Chronic Sinusitis in Cystic Fibrosis, Davidson, T., Laryngoscope 105:354 April 1995.

More Laboratory-Oriented Topics

Ciliary Function & Mucociliary Clearance

Mucociliary Clearance and Buffered Hypertonic Saline Solution, Talbot A, et al Laryngoscope 107:April 1997

Enhancing The Mucociliary System, Grossan, M. Advances for respiratory care practitioners.. April 17, 1995 8 pp12-13

Sinusitis: Complications And Sequelae: An Otolaryngologist's Perspective, Fairbanks, D.N.F.: Pediatr Infect Dis J 4 (Suppl 6) 875-878 1995

Evaluation of methods of Sinus Nasal Irrigation Irrigation Post Sinus Surgery, Cenjor, C. Gutierrez, R. Congress of Spanish Society of Otolaryngology and Cervical Facial Pathology. Las Palmas de Gran canaria, 12- 16 Octubre de 1998

Office Measurement of Nasal Mucociliary Clearance, Grossan, M., English: Otolaryngology 1994 Vol 2 ch 7.

The saccharin test is shown to be an objective measure of one very important aspect of the respiratory defense system. Many diagnostic dilemmas are solved using this test. The nasal test reflects the chest condition.

Ciliary Beating Frequency in Chronic Sinusitis, Nuutinen J, Arch Otolaryngol Head Neck Surg 119:645, 1993.

Mucociliary Flow in Otolaryngology Practice, Grossan M., Insights in Otolaryngology. August 1993 8 :2-8.

The Saccharin Test of Nasal Mucociliary Function, Grossan, M., Eye, Ear, Nose and Throat Monthly 1975 54:(11), pp 415-417.

An objective test of mucociliary clearance is described. This test is useful for measuring cilia function before and after pulsatile nasal irrigation to objectify degree of improvement.

Nasal Mucociliary Flow - A Clinical View, Grossan, M., Amer Acad of Otol and Ophth Scientific Presentation Dallas 1975 (certificate of merit award).

How to effect improvement of mucociliary clearance.

Irrigation Fluid & Salinity

Classification of Cilio-Inhibiting Effects of Nasal Drugs. Paul Merkus. Laryngoscpe: 111 April 2001 pp595 - 601

Physiologic and Hypertonic Saline Solutions Impair Ciliary Activity in Vitro, Boeck,Wilbert. Keles, Nesil. Graamans, Kees, Laryngoscope March 99 No 3, p.396.

Certain hypertonic saline solutions cause ciliostasis (the cilia stop functioning) from which the cilia may not recover. If cilia are permanently damaged, the ability to fight infection is lost.

Unal M, Gorur K, Ozcan C.

J Laryngol Otol 2001 Oct;115(10):796-7

Pulsatile Action 

Using Pulsatile Pressure Saline/Antibiotic Irrigation, Betts N. et al. Compendium Contin Educa Dent, 17(9): 871 1996.

Evaluation Of Wound Irrigation By Pulsatile Jet And Conventional Methods, Brown LL; Shelton HT. Ann Surg. 1978 Feb, 187:2, 170-3

Comparison with pulsatile irrigation versus bulb syringe.

The Efficacy of Various Irrigation Solutions in Removing Slime Producing Staphylococcus, Anglen, J. J., Orthop Trauma 1994 Oct;8(5):390-6.

Pulsatile Irrigation of the Throat

A Mechanical Throat Irrigator, Grossan, M., Transactions of the American Academy of Ophthalmology and Otolaryngology. 77: January 1973.

An Instrument for Throat Irrigation, Grossan, M., The O.R.L. Digest July 1972 39:7 pp10-13.

Irrigation Treatment of Throat Infections, Grossan, M, The Eye, Ear, Nose and Throat Monthly. August 1972 51:8 pp302-305.