University of Wisconsin Department of Family Medicine Nasal Irrigation Sinusitis Study

This study evaluates the effect of daily nasal  irrigation on the quality of life, symptoms, and medication use of patients with chronic sinus complaints. Sinus disease is common, affects quality of life, is expensive, and is a source of significant medication use. Nasal irrigation is an ancient technique in which salt water is allowed to gently bathe the nasal cavity, facilitating a gentle wash of the structures within.

In a randomized controlled trial, we trained 56 patients with histories of sinus disease to use daily nasal irrigation, and compared their experience to 24 matched control subjects. We assessed quality of life, patients' compliance and satisfaction with nasal irrigation, sinus symptoms, and medication use. The group using nasal irrigation had improved quality of life, less frequent symptoms, and used antibiotics and nasal sprays less often. They were compliant with nasal irrigation, liked using it, and suffered few side effects.

The results of this randomized controlled trial have recently been published in the December 2002 issue of the Journal of Family Practice. In preparation are three related studies: a 12-month follow-up and qualitative study of the same patients, and a systemic review of the nasal irrigation literature.