The Role of Seawater and Saline Solutions in Treatment of Upper Respiratory Conditions


Štanfel D. Kalogjera L. Ryazantsev S.V. Hlača K. Radtsig E.Y. Teimuraz R. Hrabač P.
May 2022MDPI

Marine Drugs
2022#20Issue 5

The history of saline nasal irrigation (SNI) is indeed a long one, beginning from the ancient Ayurvedic practices and gaining a foothold in the west at the beginning of the 20th century. Today, there is a growing number of papers covering the effects of SNI, from in vitro studies to randomized clinical trials and literature overviews. Based on the recommendations of most of the European and American professional associations, seawater, alone or in combination with other preparations, has its place in the treatment of numerous conditions of the upper respiratory tract (URT), primarily chronic (rhino)sinusitis, allergic rhinitis, acute URT infections and postoperative recovery. Additionally, taking into account its multiple mechanisms of action and mounting evidence from recent studies, locally applied seawater preparations may have an important role in the prevention of viral and bacterial infections of the URT. In this review we discuss results published in the past years focusing on seawater preparations and their use in clinical and everyday conditions, since such products provide the benefits of additional ions vs. saline, have an excellent safety profile and are recommended by most professional associations in the field of otorhinolaryngology.

nasal irrigation , otorhinolaryngology , seawater , seawater preparation , upper respiratory track

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Jadran-Galenski Laboratorij d.d, Svilno 20, Rijeka, 51000, Croatia
Department of Otorhinolaryngology, Head and Neck Surgery, Sisters of Mercy University Hospital, Zagreb, 10000, Croatia
National State Research Institute of Ear, Throat, Nose and Speech, St. Petersburg, 190013, Russian Federation
Morozov Children’s City Clinical Hospital, Russian National State Pirogov Medical University, Moscow, 117437, Russian Federation
Regional Center of Traumatology and Ortopedics, Department of Otorhinolaryngology, Karaganda State Polyclinic, Karaganda, 100000, Kazakhstan
“Andrija Štampar” School of Public Health, School of Medicine, University of Zagreb, Zagreb, 10000, Croatia

Jadran-Galenski Laboratorij d.d
Department of Otorhinolaryngology
National State Research Institute of Ear
Morozov Children’s City Clinical Hospital
Regional Center of Traumatology and Ortopedics
“Andrija Štampar” School of Public Health

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