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Vincent’s S.C.A.N.S 
Ear, Nose and Throat (ENT), Head and Neck Surgery
Specialist Clinic
NASAL SALINE IRRIGATION/DOUCHE In   allergies   of   the   nose   (allergic   rhinitis),   infection   (rhinosinusitis),   there   is   excessive   mucus   produced   in   the   nasal   cavities.   This   causes   the symptoms   of   runny   nose,   blocked   nose,   foul-smelling   discharge   in   these   conditions.   Stasis   (stagnation)   of mucus increases the risk of subsequent infection. Nasal   saline   irrigation/douche   involves   the   usage   of   high   volume,   low   pressure   saline   solution   to   thoroughly rinse   and   clean   the   nasal   cavity.   The   saline   solution   travels   up   the   nasal   passage,   flow   over   the   septum   and out   through   the   other   nasal   passage. This   entire   flow   cycle   helps   to   remove   mucus,   trapped   allergen   (eg.   dust particle,   pollen)   and   bacteria   in   the   nose,   hence   improving   the   patient’s   symptoms.   It   improves   the   mucocilary clearance in the nose, therefore restoring the normal function of the nasal mucosa. Benefits of nasal irrigation/douche : Easy to use Effective Works in children and adults Nasal conditions for which nasal irrigation may be beneficial: Allergic rhintis o Nasal douching helps to remove excess mucus, trapped allergen (eg. dust particle, pollen) and bacteria in the nose, hence improving the patient’s symptoms. Rhinosinusitis -acute and chronic o For the reason given above. Following nasal surgery eg.endoscopic sinus surgery (ESS), turbinoplasty, turbinectomy, radiofrequency volume reduction of inferior turbinate o ESS remains one of the mainstay of treatment for many nasal conditions eg chronic rhinosinusitis, nasal polyps and tumours. o Other minor procedures can similarly result in crust formation and minor bleeding in the nostril o Follwing   nasal   surgeries,   crusting   and   mucus   production   is   a   common   problem.   Therefore,   nasal   douching   helps   to   maintain   the hygiene in the nasal cavity and prevent infection. This provides a conducive environment for healing of diseased nasal mucosa. Continuous Positive Airway Pressure (CPAP) users o CPAP is used to treat obstructive sleep apnea (OSA). These patients amy experience nasal and sinus congestion during CPAP therapy. Regular nasal irrigation washes away mucus and relieves the nasal obstruction, thus optimising CPAP usage.
Surgical Care   Sinus surgery EDUCATION
This patient education is provided in good faith to help patients and their families learn more about their medical conditions, the options available to them and the possible consequences of their decisions. This information is not intended to be used for diagnosis, or treatment of any specific individual. Please consult with your ENT doctor regarding your particular circumstances. Dr.Vincent Tan declares no conflict of interest nor receive any financial advantage (eg.royalties, commission, commercial favours) from the above mentioned companies.
FLO Sinus Care demo video
Acute rhinosinusitis: an endoscopic view of the nose showing yellowish pus draining from one of the sinuses  Vincent Tan ENT adenoids thick mucus  Vincent Tan ENT Thick mucus with infected adenoids
NeilMed Sinus Rinse demo video
NeilMed Neti-Pot demo video
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Disclaimer: Dr.Vincent Tan declares no conflict of interest nor receive any financial advantage (eg.royalties, commission, commercial favours) from the above mentioned companies.
Sterimar demo video (foreign language)
Sterimar usage instructions
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Commercially available brands locally (in Malaysia) include the following:   (in alphabetical order)
Important to take note: You   are   encouraged   to   blow   your   nose   before   using   the   nasal   irrigation/douche   or   any   nasal   medication   spray   (eg.   topical   decongestant, steroids etc.) If   you   are   scheduled   to   use   the   nasal   irrigation/douche   or   any   nasal   medication   spray   (be   it   decongestant,   steroids)   together   at   the   same   time (i.e, 8AM every day), please irrigate/douche your nose first BEFORE  spraying the nasal medication. Using   the   irrigation/douche   after   the   nasal   medication   spray   would   result   in   the   medication   being   removed   from   your   nasal   cavity   i.e   a preventable wastage ! If other medications (eg.antibiotics) are prescribed, it is equally important to take/complete the medication as advised.
 Vincent Tan ENT Extensive thick crust (red *) obscuring view of normal nasal mucosa With more irrigation, normal nasal mucosa (blue +) is slowly being restored The desired final effect - healed normal pink nasal mucosa all around . * * * + + +
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Mar Plus video (foreign language)
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Last update:  10/1/13 
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D R. V INCENT T AN Consultant Ear, Nose and Throat, Head and Neck Surgeon, MD (UKM), MS ORL-HNS (UKM), DOHNS RCS Edinburgh (UK), MRCS Edinburgh (UK), Postgrad. Cert.in Allergy (UK), A.M. (Mal), Fellowship in Rhinology (Singapore) Fellowship in Head and Neck Oncology & Surgery (Amsterdam)
+603-3377 7864  +6012-3760 728
ENTdrvincenttan@gmail.com