Vincent ENT, Head and Neck Surgery Specialist Clinic - Klang, Shah Alam, Subang, PJ, KL and more...

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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.

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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