Dr. Alexander Chiu · Positional Installation of Intranasal Corticosteroids in the Treatment of Chronic Rhinosinusitis: A Systematic Review of the Literature
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Article1 min read·Published Jun 2026

Positional Installation of Intranasal Corticosteroids in the Treatment of Chronic Rhinosinusitis: A Systematic Review of the Literature

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Article · Jun 2026 · 1 min read

In brief

In brief

Systematic review examining optimal head positioning for intranasal corticosteroid delivery in chronic rhinosinusitis patients. Evidence shows no significant difference in drug distribution to unoperated sinuses across various head positions, with limited support for lateral head-back or head-down-forward positions in surgically naive patients.

Written by the GCMD Library team from the article.

Alexander Chiu

Studies found no statistically significant difference in distribution to unoperated sinuses among different head positions. A minority of studies supported the use of the LHB and HDF positions. This suggests that in surgically naive patients, intranasal corticosteroid delivery to sinonasal regions a …

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