Equis ISSN 2398-2977

Paranasal sinus: lavage

Contributor(s): Tim Brazil, Graham Munroe, Dwayne Rodgerson

Introduction

  • Treatment of sinusitis involves the same basic principles as those for any closed-space infection including adequate drainage, lavage with large volumes of sterile fluid and antimicrobial therapy.
  • Systems to allow long-term lavage of the paranasal sinuses can be fitted in the standing patient or during surgery under general anesthesia (GA).

Uses

Advantages

  • Can be performed under standing sedation.
  • Relatively simple procedure.
  • Very effective in cases of primary sinusitis.

Disadvantages

  • Not effective in secondary sinusitis cases unless primary problem is addressed, eg dental disease.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good for lavage.
  • Overall dependent upon primary disease process and access surgery.

Further Reading

Publications

Refereed papers


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