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Nasal saline irrigation in pediatric rhinosinusitis: A systematic review

Jean-Nicolas Gallant1, Jade I Basem2, Justin H Turner3

  • 1School of Medicine, United States.

International Journal of Pediatric Otorhinolaryngology
|April 2, 2018
PubMed

Insights

Nasal saline irrigation (NSI) may help children with acute rhinosinusitis (ARS) symptoms. More research is needed to confirm its effectiveness, especially for chronic rhinosinusitis (CRS) in children.

Area of Science:

  • Pediatric Otolaryngology
  • Respiratory Medicine
  • Evidence-Based Medicine

Background:

  • Rhinosinusitis is common in children, affecting quality of life.
  • Acute (ARS) and chronic (CRS) rhinosinusitis present distinct clinical challenges.
  • Nasal saline irrigation (NSI) is a potential non-pharmacological treatment option.

Purpose of the Study:

  • To evaluate the efficacy of NSI for symptom reduction in pediatric ARS and CRS.
  • To assess the impact of NSI on quality of life in pediatric rhinosinusitis patients.
  • To identify the current evidence base for NSI in pediatric rhinosinusitis.

Main Methods:

  • Systematic literature search of PubMed/MEDLINE and Embase databases (1950-2017).
  • Inclusion criteria focused on studies of NSI in pediatric patients with ARS or CRS.
  • Analysis of symptom scores and parental surveys; two independent reviewers assessed articles.

Main Results:

  • Only one study met inclusion criteria, focusing on NSI for pediatric ARS.
  • No studies on NSI for pediatric CRS were identified.
  • Included studies showed symptom improvement with NSI, but heterogeneity in methods hindered meta-analysis.

Conclusions:

  • NSI shows potential benefit for acute rhinosinusitis in children.
  • Further high-quality research with standardized outcome measures is required.
  • Efficacy of NSI for pediatric chronic rhinosinusitis remains undetermined.
Abstract

Keywords:
Nasal saline irrigationPediatric otolaryngologyRhinosinusitis

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