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Benefits and Safety of Nasal Saline Irrigations in a Pandemic—Washing COVID-19 Away

Educational Objective
To understand the benefits of using Nasal Saline Irrigations in a Pandemic
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Article Information

Corresponding Author: John S. Schneider, MD, MA, Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine, 660 S Euclid Ave, Campus Box 8115, St Louis, MO 63110 (jsschnei@wustl.edu).

Published Online: July 23, 2020. doi:10.1001/jamaoto.2020.1622

Conflict of Interest Disclosures: Dr Klatt-Cromwell reported being a consultant for Medtronic outside the submitted work. Dr Schneider reported receiving personal fees from Optinose outside the submitted work. No other disclosures were reported.

References
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Jin  Y , Yang  H , Ji  W ,  et al.  Virology, epidemiology, pathogenesis, and control of COVID-19.   Viruses. 2020;12(4):E372. doi:10.3390/v12040372 PubMedGoogle Scholar
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Kanjanawasee  D , Seresirikachorn  K , Chitsuthipakorn  W , Snidvongs  K .  Hypertonic saline versus isotonic saline nasal irrigation: systematic review and meta-analysis.   Am J Rhinol Allergy. 2018;32(4):269-279. doi:10.1177/1945892418773566 PubMedGoogle ScholarCrossref
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Ramalingam  S , Graham  C , Dove  J , Morrice  L , Sheikh  A .  A pilot, open labelled, randomised controlled trial of hypertonic saline nasal irrigation and gargling for the common cold.   Sci Rep. 2019;9(1):1015. doi:10.1038/s41598-018-37703-3 PubMedGoogle ScholarCrossref
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Hayward  G , Thompson  MJ , Perera  R , Del Mar  CB , Glasziou  PP , Heneghan  CJ .  Corticosteroids for the common cold.   Cochrane Database Syst Rev. 2015;(10):CD008116.PubMedGoogle Scholar
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Parhar  HS , Tasche  K , Brody  RM ,  et al.  Topical preparations to reduce SARS-CoV-2 aerosolization in head and neck mucosal surgery.   Head Neck. 2020;42(6):1268-1272. doi:10.1002/hed.26200 PubMedGoogle ScholarCrossref
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Panchmatia  R , Payandeh  J , Al-Salman  R ,  et al.  The efficacy of diluted topical povidone-iodine rinses in the management of recalcitrant chronic rhinosinusitis: a prospective cohort study.   Eur Arch Otorhinolaryngol. 2019;276(12):3373-3381. doi:10.1007/s00405-019-05628-w PubMedGoogle ScholarCrossref
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Lee  SB , Yi  JS , Lee  BJ ,  et al.  Human rhinovirus serotypes in the nasal washes and mucosa of patients with chronic rhinosinusitis.   Int Forum Allergy Rhinol. 2015;5(3):197-203. doi:10.1002/alr.21472 PubMedGoogle ScholarCrossref
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