{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T02:53:53Z","timestamp":1789872833040,"version":"4.0.1"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2017,10,20]],"date-time":"2017-10-20T00:00:00Z","timestamp":1508457600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215117002080_sec_a1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Intranasal steroid sprays are fundamental in the medical management of inflammatory rhinological conditions. Side effects are common, but these may be related to the method of application rather than the medication itself.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215117002080_sec_a2\" sec-type=\"methods\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A survey was distributed to patients using intranasal steroid sprays at the ENT out-patient clinic at Aberdeen Royal Infirmary over three months. This evaluated the spray technique used, side effects and compliance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215117002080_sec_a3\" sec-type=\"results\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 103 patients, 22 patients (21.4 per cent) reported side effects, including nasal irritation and epistaxis. Of the 20 patients with epistaxis, 80 per cent used an ipsilateral hand technique (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.01). Thirty patients demonstrated poor compliance because of lack of symptom improvement or side effects. Seventy-seven per cent of this group used the ipsilateral hand technique.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215117002080_sec_a4\" sec-type=\"conclusion\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients who used their ipsilateral hand to apply the intranasal steroid spray were more likely to develop epistaxis and have poor compliance than those who used other techniques. Patients who struggle with compliance because of side effects should avoid this method of intranasal steroid application.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215117002080","type":"journal-article","created":{"date-parts":[[2017,10,20]],"date-time":"2017-10-20T04:19:23Z","timestamp":1508473163000},"page":"991-996","source":"Crossref","is-referenced-by-count":42,"title":["Does intranasal steroid spray technique affect side effects and compliance? Results of a patient survey"],"prefix":"10.1017","volume":"131","author":[{"given":"V","family":"Ganesh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Banigo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A E L","family":"McMurran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Shakeel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Ram","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2017,10,20]]},"reference":[{"key":"S0022215117002080_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.2004.00797.x"},{"key":"S0022215117002080_ref8","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2002.00589.x"},{"key":"S0022215117002080_ref9","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2001.00473.x"},{"key":"S0022215117002080_ref6","first-page":"CD003163","article-title":"Topical nasal steroids for intermittent and persistent allergic rhinitis in children","author":"Al Sayyad","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"S0022215117002080_ref14","doi-asserted-by":"publisher","DOI":"10.3109\/02770903.2015.1028075"},{"key":"S0022215117002080_ref3","first-page":"1","article-title":"European position paper on rhinosinusitis and nasal polyps 2012","volume":"23","author":"Fokkens","year":"2012","journal-title":"Rhinol Suppl"},{"key":"S0022215117002080_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/1710-1492-4-3-125"},{"key":"S0022215117002080_ref12","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1177\/014556130808700812","article-title":"Epistaxis and its relationship to handedness with use of intranasal steroid spray","volume":"87","author":"Benninger","year":"2008","journal-title":"Ear Nose Throat J"},{"key":"S0022215117002080_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2003.10.007"},{"key":"S0022215117002080_ref15","doi-asserted-by":"publisher","DOI":"10.3109\/02770900903580843"},{"key":"S0022215117002080_ref13","first-page":"S49","article-title":"Nasal spray adherence after sinus surgery: problems and predictors","volume":"41","author":"Nabi","year":"2012","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"S0022215117002080_ref7","first-page":"CD011996","article-title":"Intranasal steroids versus placebo or no intervention for chronic rhinosinusitis","author":"Chong","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"S0022215117002080_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2007.01620.x"},{"key":"S0022215117002080_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.1993.tb01103.x"},{"key":"S0022215117002080_ref4","first-page":"CD011993","article-title":"Different types of intranasal steroids for chronic rhinosinusitis","author":"Chong","year":"2016","journal-title":"Cochrane Database Syst Rev"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215117002080","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,4]],"date-time":"2019-10-04T19:03:38Z","timestamp":1570215818000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215117002080\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,20]]},"references-count":15,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2017,11]]}},"alternative-id":["S0022215117002080"],"URL":"https:\/\/doi.org\/10.1017\/s0022215117002080","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,20]]}}}