Rehabilitation of patients after surgery of the nasal cavity and paranasal sinuses. The effectiveness of different irrigation methods

Background. Surgery of the nasal cavity and paranasal sinuses (PNS) have become part of the routine practice of otorhinolaryngo-logical departments. One of the main points in postoperative management is nasal irrigation (NI), or irrigation-elimination therapY., with different elimination activity. Most often, NI is understood as the use of saline solutions with different osmolarity. Objective. Evaluation of the effectiveness of various modes of irrigation therapy (IT) in patients after elective surgical interventions in the nasal cavity and PNS. Methods. The study included 211 patients who underwent elective surgery at the Otorhinolaryngology Department of the Clinical Medical Center, A.I. Yevdokimov Moscow State University of Medicine and Dentistry. All patients underwent IT., the duration of which ranged from 1 to 3 months. Results. The study demonstrated the effectiveness of IT in the postoperative period in patients who underwent surgical interventions in the nasal cavity and PNS. The hypertonic saline had a pronounced anti-congestive effecT., and therefore during the first 7 days after the onset of IT with this solution the indicators of the clinical picture were significantly better. Conclusion. The “ideal" IT regimen involves the use of a gentle irrigation of hypertonic saline for the first 7 days after removing the tampons, and then - intensive irrigation with isotonic saline for 1 month. This treatment regimen is characterized by the absence of side effects in the form of periodic nosebleeds, contributes to the maintenance of optimal subjective hydration of the nasal cavitY., softening and elimination of crusts and allows to achieve rehabilitation after surgical treatment in a shorter time.

surgery of the nasal cavity and paranasal sinuses, irrigation therapY, nasal irrigation, saline