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A 67-year-old man presented with severe headache and an odd clear nasal drainage 5-6 days after he had undergone a surgery for nasal polyps and obstruction. A CT scan of the sinuses showed a cerebrospinal fluid leak. A careful endoscopic examination and biopsy also found that he had an inverted papilloma. The papilloma was treated endoscopically, and the leak was fixed by repairing the skull with fibrin glue. After the surgery, the patient was prescribed medications to reduce pain and nasal saline spray for better healing of the wound. After 2 months, significant recovery was seen with no post-operative complications.
Studies conducted in the past have demonstrated the efficacy of nasal saline in clearing secretions, debris, and crusts, and faster mucosal healing. It has also been reported that instillation of saline by spray is well tolerated by patients compared to other modes of delivery.1
- Egan M, Hickner J. Saline irrigation spells relief for sinusitis sufferers. J FamPract. 2009;58(1):29-32.