Pulsatile nasal irrigation improves Nasal Muco-ciliary Movement

MMT: Maximal Medical Therapy

Most ENT doctors agree that patients with chronic rhino-sinusitis should receive surgical treatment only if medical therapy is in vain. Traditionally we only focus on the diseased organ but not the whole human body for the treatment of various diseases. That's why the cases of chronic rhino-sinusitis are increasing despite more popular usage of antibiotics and more new antibiotics developed, because we use many medications to eradicate the local sinus infection only.

MMT means we treat the disease not only focusing on the diseased organ but should treat a human being. The experienced medical doctor will try to find all the relevant underlying or pathogenic causes of the chronic rhino-sinusitis by detailed history and examination. The key point of successful therapy depends on the cooperation of the motivated patients and experienced medical doctor.

MMT of chronic rhino-sinusitis includes but not limited to the following:

Warm saline nasal irrigation -- We recommend our patients utilize pulsatile warm saline nasal irrigation twice per day. Pulsatile warm saline nasal irrigation not only removes purulent nasal discharges but can help restoration of the important nasal muco-ciliary movement. Warm saline nasal irrigation plays the cardinal role of successful MMT.

Gastro-esophageal reflux -- Acid regurgitation plays a very important role in the pathogenesis of chronic rhino-sinusitis, even in a kid. So the factors influencing the acid regurgitation must be carefully controlled. 

Life style -- emotion, exercise, sleeping --- etc. 

Environment -- air pollution, smoking, environmental humidity -- etc.

Food -- water intake, ice drinking, kinds of food --- etc.

Medication -- adequate antibiotics, avoid some drugs, topical drug for nasal irrigation --- etc.

Please visit more detailed information in the section of sinusitis.

The concept of MMT also meets the adequate therapy for nasal allergy, post nasal drip, URI or OME.