THE EFFECTIVENESS OF THE USE OF NASAL IRRIGATION WITH PHYSIOLOGICAL SALINE SOLUTION IN CHRONIC RHINOSINUSITIS PATIENTS AFTER ENDOSCOPIC SINUS SURGERY AT RSPAL DR. RAMELAN SURABAYA PERIOD 2021-2024

Abstract

Chronic rhinosinusitis (CRS) is a prevalent condition affecting individuals across all age groups, often leading to symptoms such as depression, fatigue, reduced work productivity, and sleep disorders. The CRS therapy management includes medical therapy and surgical procedures such as functional endoscopic sinus surgery (FESS) in Asia. Current management of CRS involves both medical therapy and functional endoscopic sinus surgery (FESS). Postoperative medical treatment, particularly nasal irrigation with normal saline, is crucial to optimise surgical outcomes. This retrospective cohort study aimed to evaluate the effectiveness of nasal irrigation using physiological saline in patients with CRS following FESS at RSPAL Dr. Ramelan Surabaya during the period 2021 to 2024. Medical records of 244 patients undergoing FESS were reviewed, with 64 patients meeting the inclusion criteria. Evaluation based on the European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2020 criteria demonstrated a significant improvement in symptoms, including nasal congestion (P = 0.006), rhinorrhea (P = 0.000), and facial pain (P = 0.001). Objective nasal endoscopy findings post-treatment also revealed significant reductions in nasal secretions (P=0.000), mucosal colouration abnormalities (P=0.011), and crust formation (P=0.001). These findings underscore the efficacy of saline nasal irrigation as an adjunctive therapy following endoscopic sinus surgery in patients with CRS.