Nasal Disease Management by Using Aqua Maris Solution

Ekaterine Chkhartishvili, Lia Zhorzholiani,
Rusudan Karseladze 

Children's Clinical Hospital #1, S/R Institute of Paediatrics, Tbilisi, Georgia

As it is well known, one significant characteristic of the airway mucosa in vivo, that cannot easily be mimicked in vitro, is its microcirculation, which generates a highly dynamic, biologically active milieu of plasma-derived molecules. Nasal irrigation, as an adjunctive treatment, is effective in improving symptoms and the health status of patients with sinonasal disease. Patients with allergic rhinitis (15 patients), bacterial acute (10 patients) and chronic (5 patients) rhinosinusitis from age of 8 months to 11 years old were under observation during the 2002 - 2004 years period. The control group included patients with the same age and diagnose. Among allergic rhinitis patients 6 patients (40%) suffered with bronchial asthma, St. Aureus and S.Pyogenes were predominated in nasal flora in patients with bacterial rhinosinusitis. During the whole follow - up period patients indicated nasal disease - specific symptoms, as follows: sneezing, secretion type, blockage / nasal obstruction, nasal itching, rhinorrhea, sensation of nasal pain, completed questionnaire for quality of well - being before starting the adjuvant treatment, after 2 weeks, after 4 weeks and during the exacerbation periods: for allergic rhinitis and bacterial rhinosinusitis. Both groups received the same basic treatment. Clinical group received adjuvant therapy by Aqua Maris, an isotonic sterile saline solution of Adriatic Sea with natural microelements, which does not contain any preservative agent, for 2 drops in nasal cavity 3 times a day from 2 up to 4 weeks. According to the clinical observations and study results as well as patients' personal appreciation of quality of life we can recommend Aqua Maris as an adjuvant therapy during various nasal diseases. We found such type of treatment safe, effective and cheap which is most important for everyday clinical practice.

Keywords:  sinonasal disease, nasal irrigation, saline solution