normal saline versus hypertonic 3% saline: it’s efficacy in non-acute rhinosinusitis

introduction: sinusitis is one of the most common diseases in general and in otolaryngology practice, but the optimal therapeutic options have not yet been fully developed. this manuscript will try to compare normal saline nasal douching with hypertonic saline in reducing symptoms and improving its signs. materials and methods: one hundred and fourteen patients suffering from non acute rhinosinusitis, documented by history, physical examination and radiologic studies were divided into normal saline and hypertonic saline groups, each consisting of 57 patients. data were obtained by physical examination and a questionnaire.. results:  type of treatment had no significant effect on headache, morning dryness of mouth and pharynx and fatigue. nontheless, nasal congestion, purulent discharge and postnasal discharge were reported to have improved in the group treated with hypertonic saline versus the normal saline group. patient satisfaction also showed better scores in the hypertonic saline group. conclusion: hypertonic saline (3%) is more effective for nasal irrigation  than normal saline in chronic rhinosinusitis.