Methods : Prospective study was done on 12 chronic rhinosinusitis patients with nasal polyp and asthma who used oral steroid treatment due to recurred or worsen disease. The 22-item Sinonasal Outcomes Test (SNOT-22) and Lund-Kennedy endoscopy scores were performed before nasal budesonide irrigation, 1, 2, 4, and 6 months after the irrigation.
Results : The subjects were of 3 male and 9 female patients and the mean age of the patients were 49.9±7.3. SNOT-22 score was 30.8±14.4 before irrigation followed by 17.8±16.6 after 1 month, 14.8±11.1 after 2 months, 14.9±10.9 after 4 months and 14.17±8.7 after 6 months of irrigation. SONT-22 scores were significantly improved with irrigation (p=0.03) Endoscopy score was 7.4±4.7 before the irrigation followed by 3.5±3.3 after 1 month, 1.5±1.8 after 2 months, 1.7±1.5 after 4 months and 2.2±2.7 after 6 months. The scores were significantly improved with irrigation (p<0.001).
Conclusions : Nasal irrigation with budesonide is considered to be an effective post operative treatment for chronic rhinosinusitis patients with asthma which recur frequently, reducing the use of oral steroid intake.