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Physical characteristics of commercial and home-made nasal lavage solutions

Published online by Cambridge University Press:  11 June 2013

N Lilic ,
S Waldvogel-Thurlow  and
R G Douglas
N Lilic
Affiliation:
Department of ORL Head and Neck Surgery, Auckland City Hospital, New Zealand
S Waldvogel-Thurlow
Affiliation:
Department of Surgery, The University of Auckland, New Zealand
R G Douglas*
Affiliation:
Department of Surgery, The University of Auckland, New Zealand
*
Address for correspondence: Dr Richard G Douglas, Department of Surgery, The University of Auckland, Grafton, Auckland 1023, New Zealand Fax: +64 9 377 9656 E-mail: richard.douglas@auckland.ac.nz
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Abstract

Introduction:

Nasal saline lavage forms a cornerstone of chronic rhinosinusitis management. A number of saline lavage recipes and products are currently available but little is known of their relative physical characteristics.

Aims:

To determine the osmolarity and pH of nasal lavage solutions, both commercial preparations and home-made recipes, and to determine the reproducibility of saline solution preparation.

Methods:

Five home-made recipes and two commercial products were prepared in triplicate and analysed. Eight consecutive clinic patients prepared a commercial product and 11 prepared a home-made recipe, and the osmolarity and pH were measured.

Results:

The osmolarity of the solutions varied widely, from 140 to 788 mmol/l and the pH varied from 7.88 to 8.50. The commercial and home-made solutions had similar reproducibility when prepared by patients.

Conclusion:

Some recipes were markedly hypo-osmolar and some were hyper-osmolar. All were slightly alkaline. The home-made recipes had similar physical characteristics and reproducibility to commercial preparations.

Keywords

Nasal LavageSinusitisTherapeutic Irrigation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Supplement S1 , January 2014 , pp. S40 - S43
Copyright
Copyright © JLO (1984) Limited 2013 

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References

1Quraishi, MS, Jones, NS, Mason, J. The rheology of nasal mucus: a review. Clin Otolaryngol 1998;23:403–13CrossRefGoogle ScholarPubMed
2Harvey, R, Hannan, SA, Badia, L, Scadding, G. Nasal saline irrigations for the symptoms of chronic rhinosinusitis. Cochrane Database Syst Rev 2007;(3):CD006394Google ScholarPubMed
3Rabago, D, Zgierska, A, Mundt, M, Barret, B, Bobula, J, Maberry, R. Efficacy of daily hypertonic saline nasal irrigation among patients with sinusitis: a randomized controlled trial. J Fam Pract 2002;51:1049–55Google ScholarPubMed
4Homer, JJ, Dowley, AC, Condon, L, El-Jassar, P, Sood, S. The effect of hypertonicity on nasal mucociliary clearance. Clin Otolaryngol Allied Sci 2000;25:558–60CrossRefGoogle ScholarPubMed
5Talbot, AR, Herr, TM, Parsons, DS. Mucociliary clearance and buffered hypertonic saline solution. Laryngoscope 1997;107:500–3CrossRefGoogle ScholarPubMed
6Washington, N, Steele, RJC, Jackson, SJ, Bush, D, Mason, J, Gill, DA et al. Determination of baseline human nasal pH and the effect of intranasally administered buffers. Int J Pharm 1999;198:139–46CrossRefGoogle Scholar
7Homer, JJ, England, RJ, Wilde, AD, Harwood, GRJ, Stafford, ND. The effect of pH of douching solutions on mucociliary clearance. Clin Otolaryngol Allied Sci 1999;24:312–15CrossRefGoogle ScholarPubMed
8Chiu, AG, Palmer, JN, Woodworth, BA, Doghramji, L, Cohen, MB, Prince, A et al. Baby shampoo nasal irrigations for the symptomatic post-functional endoscopy sinus surgery patient. Am J Rhinol 2008;22:34–7CrossRefGoogle ScholarPubMed
9Vanthanouvong, V, Roomans, GM. Methods for determining the composition of nasal fluid by x-ray analysis. Microsc Res Techniq 2004;63:122–8CrossRefGoogle Scholar
10Sowerby, LJ, Wright, ED. Tap water or “sterile” water for sinus irrigations: what are our patients using? Int Forum Allergy Rhinol 2012;2:300–2CrossRefGoogle Scholar
11Brown, C, Graham, SM. Nasal irrigations: good or bad? Curr Opin Otolaryngol Head Neck Surg 2004;12:9–13CrossRefGoogle ScholarPubMed
12American Academy of Allergy, Asthma & Immunology: Saline Sinus Rinse Recipe. In: http://www.aaaai.org/conditions-and-treatments/treatments/saline-sinus-rinse-recipe.aspx [15 March 2012]Google Scholar
13Tomooka, LT, Murphy, C, Davidson, TM. Clinical study and literature review of nasal irrigation. Laryngoscope 2000;110:1189–93CrossRefGoogle ScholarPubMed
14Water treatment in Auckland. In: http://nzic.org.nz/ChemProcesses/water/13B.pdf [12 December 2012]Google Scholar