Update on Intranasal Medications in Rhinosinusitis
Related Experiment Video
Updated: Feb 28, 2026

Intranasal Administration of CNS Therapeutics to Awake Mice
Published on: April 8, 2013
Kornkiat Snidvongs1, Sanguansak Thanaviratananich2
1Department of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand. drkornkiat@yahoo.com.
Abstract:
This review describes beneficial effects and adverse events of various intranasal medications in treating rhinosinusitis. Application of intranasal steroids has been described in treating all subtypes of adult rhinosinusitis, but reports are limited in pediatrics and mostly in acute pediatric subgroups resulted in benefits While saline irrigation is effective for patients with chronic rhinosinusitis without polyps and in pediatric acute rhinosinusitis, there is no evidence yet for saline drips and sprays. Application of intranasal antifungals and nasal irrigation with surfactant brings more harm than benefits. There is no evidence supporting the use of intranasal antibiotics. We also review influence of devices, methods, and patient head position on nasal and paranasal sinus drug delivery.
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