Thejas Saai Ram, Sadhana Yalla Sri, Mohammed Rishiraj, Harika Rao Aditya Jnana
Department of Otorhinolaryngology and Head & NeckSurgery, RVM Institute of Medical Sciences, Telangana, India.
RVM Institute of Medical Sciences, Telangana, India.
Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3075-3080. doi: 10.1007/s12070-024-04605-y. Epub 2024 Mar 14.
Chronic rhinosinusitis (CRS) is a chronic inflammatory disease of nasal and paranasal sinus mucosa where symptomatology has continued beyond 12 weeks. Manuka honey is made by bees that pollinate the native leptospermum scoparium bush (tea tree). Baby shampoo is a commercially available liquid solution containing multiple chemical surfactants that can act as a mucolytic and an antimicrobial agent.
Fifty patients diagnosed with CRS were taken to be part of study. The modes of comparison used were the Rhinosinusitis Disability Index (RSDI) and a self-formulated Nasal Crusting Score (NCS). Individuals in Group A were given 5% Manuka Honey for nasal douching in both nasal cavities and those in Group B were given 10% Baby Shampoo.
The average RSDI scores in Group A before & after intervention were 75.40 and 30.04, an improvement of 60.15%. The same parameters in Group B was found to be 77.36 and 37.36, an improvement of 51.70%. The NCS improved by 83.46% in the Group A and by 77.61% in Group B between POD-2 and POD-5.
As per literature available, both Manuka Honey and Baby Shampoo have improved the outcomes of Quality of Life and airway after FESS. We found that Manuka Honey is superior in clearing crusts and achieving better symptom clearance post FESS. We also present our self-formulated Nasal Crusting Score which can be used in further practice for better understanding of nasal airway.
慢性鼻-鼻窦炎（CRS）是一种鼻腔和鼻窦黏膜的慢性炎症性疾病，其症状持续超过12周。麦卢卡蜂蜜由蜜蜂采集本地茶树（互叶白千层）花丛中的花蜜酿造而成。婴儿洗发水是一种市售的液体溶液，含有多种化学表面活性剂，可作为黏液溶解剂和抗菌剂。
选取50例被诊断为CRS的患者作为研究对象。采用的比较方式为鼻-鼻窦炎残疾指数（RSDI）和自行制定的鼻痂评分（NCS）。A组患者双侧鼻腔均使用5%的麦卢卡蜂蜜进行鼻腔冲洗，B组患者则使用10%的婴儿洗发水。
A组干预前后的平均RSDI评分分别为75.40和30.04，改善率为60.15%。B组的相同参数分别为77.36和37.36，改善率为51.70%。在术后第2天（POD-2）至术后第5天（POD-5）期间，A组的NCS改善了83.46%，B组改善了77.61%。
根据现有文献，麦卢卡蜂蜜和婴儿洗发水在功能性内镜鼻窦手术（FESS）后均改善了生活质量和气道状况。我们发现，麦卢卡蜂蜜在清除痂皮和FESS术后实现更好的症状清除方面更具优势。我们还展示了自行制定的鼻痂评分，可在进一步的实践中用于更好地了解鼻气道情况。
