Best practices for Safe Nasal Irrigation

Nasal irrigation, (also termed as nasal rinsing, washout, douching or lavage) is a personal hygiene practice in which a person’s nasal cavity is washed with saline water to flush out debris and mucus from the nose and nasal sinuses. Nasal douching can be performed safely by people of all ages to support daily nasal hygiene. […]

Role of Balloon dilatation in chronic rhinosinusitis – Clinical consensus statement 2018

Chronic rhinosinusitis (CRS) is a clinical condition characterised by inflammation of the paranasal sinuses that typically lasts beyond twelve weeks. It is caused by infections, allergies, and the presence of sinus polyps or deviated septum. Signs and symptoms include headache, nasal discharge, swelling in the face, dizziness, and breathing difficulties. The condition is so common […]

Staging systems for Juvenile Nasopharyngeal Angiofibroma

Juvenile nasopharyngeal angiofibroma (JNA) is an uncommon, slow growing, benign but locally invasive vascular tumor arising from tissues in the sphenopalatine foramen inside nasal cavity. JNAs are also reported to arise from posterior aspect of middle turbinate and rarely from other sites of nasal cavity and in paranasal sinuses. JNA tumor was first described by […]

CT Scan, Endoscopy or MRI – Which is the best investigation in sinusitis?

Sinusitis is one of the commonest causes of patients visit to the oto-rhino-laryngologist (ENT). Making a diagnosis of sinusitis can be challenging as it is not always clear if it is caused by a bacterial infection or by a common cold. To overcome these limitations, various investigation modalities, like endoscopy, CT scan or MRI) are available […]

Recent updates in guidelines for treatment of Seasonal Allergic Rhinitis

The 2017 Joint Task Force on Practice Parameters (JTFPP) comprising representatives from the American Academy of Allergy, Asthma, and Immunology (AAAAI), the American College of Allergy, Asthma, and Immunology (ACAAI), and the Joint Council of Allergy, Asthma, and Immunology has provided an update to their 2008 guidelines for treatment of seasonal allergic rhinitis (SAR) in adolescents and adults. The updated guidelines […]

Treatment of allergic rhinitis in pregnancy

Allergic rhinitis (AR) affects 20-30% of women in the child bearing age group with an annually increasing prevalence.  The classical clinical symptoms include sneezing, itching, nasal blockage and nasal discharge. In patients who had allergic rhinitis before, the symptoms may worsen, improve or remain the same during pregnancy.  

Empty nose syndrome

Empty nose syndrome (ENS) is a controversial clinical entity with no consensual definition. It is thought to be a postsurgical, iatrogenic (physician caused) phenomenon secondary to loss of nasal turbinate tissue. The condition was first described by Kerin & Moore in 1994. The exact incidence of this condition is unknown. Houser et al in their study […]