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February 2, 2018International Forum of Allergy & Rhinology164 citations

Corticosteroid nasal irrigations are more effective than simple sprays in a randomized double‐blinded placebo‐controlled trial for chronic rhinosinusitis after sinus surgery

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RHRichard J. HarveyKSKornkiat SnidvongsLKLarry Kalish

Key Points

  • To determine whether corticosteroid delivered via nasal irrigation provides superior efficacy compared to a simple nasal spray in postsurgical chronic rhinosinusitis patients.
  • Conducted a randomized, double-blind, placebo-controlled trial.
  • Evaluated postsurgical patients presenting with diffuse or patchy chronic rhinosinusitis (CRS).
  • Compared topical corticosteroid administration delivered via nasal irrigation versus standard nasal spray.
  • Corticosteroid delivery by nasal irrigation was clinically superior to simple nasal spray administration in postsurgical patients.
  • Superior therapeutic benefits were specifically demonstrated across diffuse and patchy CRS disease distributions.

Abstract

In the setting of diffuse or patchy CRS disease, the use of corticosteroid delivered by nasal irrigation is superior to simple nasal spray in postsurgical patients.

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Cite This Study

Harvey et al. (2018) studied this question.

synapsesocial.com/papers/69d8d2bbd2f7327e70ae4632https://doi.org/10.1002/alr.22093
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Efficacy of nasal steroid irrigation in chronic rhinosinusitis after sinus surgery: a meta-analysis study2026
  2. 2Efficacy of Topical Corticosteroid Therapy in Chronic Rhinosinusitis Post-endoscopic Sinus Surgery: A Narrative Synthesis of Randomized Controlled Trials2025
  3. 3Efficiency of Oral Steroids and Steroidal Nasal Spray in Treatment of Chronic Rhinosinusitis: A Comparative Study2024
  4. 4EFFICACY OF NASAL IRRIGATION AS ADJUVANT TO INTRANASALCORTICOSTEROID IN TREATMENT OF CHRONIC RHINOSINUSITIS2024
  5. 5Effect of Budesonide Nasal Irrigation in Patients With Chronic Rhinosinusitis With Nasal Polyps Without Prior Sinus Surgery: A Randomized, Double‐Blind, Placebo‐Controlled Study2026