Treatment of primary atrophic rhinitis with intranasal honey spray

ABSTRACT

Atrophic rhinitis is a chronic nasal disease characterized by progressive atrophy of the mucosa and underlying bone of the turbinates and the presence of a viscid secretion which rapidly dries and forms crusts which emit a characteristic foul odor sometimes called ozaena; there is abnormal patency of the nasal passages. The study was conducted on 32 patients with age range [14- 30] years, all patients included in this study suffered primary atrophic rhinitis with the classic symptoms of nasal crusts, ozenea and roomy nose, all were subjected to history taking, endoscopic examination of the nose and a histopathological examination of a specimen obtained from the inferior concha, and VDRL testing prior to therapy. Honey sprays were prepared by the patient daily as a solution of 21 in distilled water and packed into a sprayer that used by the patient three times daily in each nostril for 45 days. Post treatment evaluation included symptom score improvement, clinical examination and post treatment histopathology. Results showed a significant reduction in patient's symptoms especially foul nasal discharge and crust formation. Post treatment histopathology results are also presented