Rhinoplasty Journal

Question:

After 2 months finally got to see our ENT, unfortunately for us he didn't know what pulsatile irrigation was. Could you please explain this?
 

Answer:

Partial list of references that recommend the Grossan Sinus Irrigator:

Davidson T. Clinical Study and Literature Review of Nasal Irrigation. Laryngoscope. 110 July 00 Patients at the Nasal Dysfunction Clinic an Univ of Cal San Diego had excellent relief by daily irrigation with Water Pik(T) and Nasal Adapter of sinusitis, perennial allergy, seasonal allergy, postnasal drip and associated fatigue. Very well accepted by patients.

The Complete Self-Care Guide to Holistic Medicine by Robert Ivker 1999 "Nasal Irrigation with salt water using a Grossan nasal attachment to a Water Pik is extremely helpful for flushing infected sinuses or cleansing the membranes of the nose and sinuses."
****************** Management of Sinusitis: Current Clinical Strategies by Michael Kaliner MD and David W Kenned, MD In Sinusits Disease Management Guide. PDR 2000 "If the patient has recurrent disease he may buy a Water Pik with the Grossan adapter. ...particularly effective after surgery." page 121 "Treatment of Chronic Sinusitis - Nasal washing ..applied through the Water Pik@ and Grossan adapter twice a day is recommended. Page 122
*************************** Allergies and Asthma for Dummies. by William E Berger, MD "use a Water PikT with nasal attachment to irrigate with warm saline solution to relieve pressure and congestion in your nasal passages "
************************************* The Sinus Cure by Debra Bruce and Murray Grossan, M.D. Publlished 2001 by Ballantine. Of the 7 steps for sinsu cure, pulsatile irrigation to remove pus and restore the cilia is one of the most important procedures for sinus cure.
**************************************** Geriatric Rhinitis: What it is, how to treat it. By Jennifer A Jordan Geriatrics: June 98 Pulsed irrigation of nasal passages may be performed using a Water-Pik device equipped with the Grossan nasal tip applicator Such devices are not expensive and can be useful for symptom relief.

Allergy And Pollen

Inhibition Of The Seasonal Ige Encrease To Dactylis Glomerata By Daily Saline Nasal - Sinus Irrigation During The Grass Pollen Season, J. Subiza, M.D. Journal of Allergy and Clinical Immunology. September 1999. Pulsatile irrigation works for allergy by lowering the IgE so that the pollen causes less symptoms symptoms.
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Current Review of Allergic Diseases 2001 edited by Michael A Kaliner Grossan Irrigation is recommended for nasal problems.
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Zeiger RS. Prospects for ancillary treatment of rhinosinusitis in the 1990's. J Allergy Clin Immunol 1992;90:478-495 Recommends pulsatile irrigation to reduce or eliminate allergy symptoms.
************************ 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. Not only is the Grossan Sinus Irrigator beneficial for patients with bothersome thick postnasal secretions, but is especially helpful for postoperative cleansing following nasal surgery.
************************** Sinusitis: Acute, Chronic and Mangegeable, Rachelevsky G S, Slavin R G et all. Patient Care. Feb 28, 1997 Vol 131:4. "A particularly helpful strategy is saline washing using a a Water Pik Sinus irrigator is so effective in clearing the blocked passages that , if it is done regularly,some patients with persistent or chronic sinusitis need no drug treatment at all.

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