(本篇研究報告於2003年03月16日於第八屆亞洲鼻科學研究會議中報告)

Management of Chronic Sinusitis by Pulsatile Warm Saline Sinus Irrigation with Gentamicin  

Lin FY, *Tseng HC, Jiang RS

Department of Otolaryngology, Taichung Veterans General Hospital

*Shyhung E.N.T Clinic, Taichung, Taiwan, ROC

Objective: The efficacy of pulsatile warm saline irrigation with gentamicin on chronic sinusitis was studied

Design and Methods: Patients with chronic sinusitis were treated with pulsatile warm saline irrigation with gentamicin for at least 4 weeks in an outpatient clinic. The severity of chronic sinusitis was evaluated by 9 symptom scores. The 9 symptoms were sneezing, rhinorrhea, nasal obstruction, purulent nasal discharge, postnasal drip, fetid odor, headache, cough and ear block. These symptoms were self-scored every day. The scores before and after treatment were compared.

Results: Between October of 2000 and August of 2002, 29 patients were enrolled in this study. Among them, 24 patients reported improvement in clinical symptoms. The symptoms which were significantly improved included sneezing, rhinorrhea, nasal obstruction, purulent nasal discharge, postnasal drip, cough and headache. No side effect of gentamicin had been reported by any patient.

Conclusions: This study showed that pulsatile warm saline irrigation with gentamicin was an effective and safe treatment method for chronic sinusitis.

( This paper was presented in the 2003 ARSR -- 8^th Asian Research Symposium in Rhinology; March 15-16, 2003 Tainan, Taiwan )