Tualang honey versus steroid impregnated nasal dressing following endoscopic sinus surgery: a randomized controlled trial
Author:
Kumarasamy Guhan1, Ramli Ramiza Ramza1, Singh Harvinder2, Abdullah Baharudin1ORCID
Affiliation:
1. Department of Otorhinolaryngology Head and Neck Surgery , School of Medical Sciences, Universiti Sains Malaysia , Kubang Kerian , Kelantan , Malaysia 2. Department of Otorhinolaryngology , Hospital Raja Permaisuri Bainun , Jalan Raja Ashman Shah , Ipoh , Perak , Malaysia
Abstract
Abstract
Objectives
Recurrence rate of nasal polyps is high following endoscopic sinus surgery. To improve the surgical outcome, steroid impregnated nasal dressing is used postoperatively We aimed to compare the effect of Tualang honey impregnated nasal dressing with steroid impregnated nasal dressing on wound healing and surgical outcomes in post endoscopic sinus surgery patients.
Methods
A prospective, randomized, controlled trial was carried out at two tertiary hospitals. 32 patients diagnosed with chronic rhinosinusitis and had underwent endoscopic sinus surgery were enrolled. The study group received 2 mL of Tualang honey nasal dressing and the control group received nasal dressing with 2 mL of triamcinolone 20 mg/mL as positive control. A 2 cm nasal dressing was placed longitudinally into the middle meatuses of both nasal cavities. Postoperative healing assessments of edema, crusting, secretions, scarring and symptoms were performed at postoperative day 7, 14, 28 and at 3 months using Sinonasal Outcome Test 22 questionnaire and modified Lund-Kennedy scoring system.
Results
There were no significant differences noted in the scores of Sinonasal Outcome Test 22 and modified Lund-Kennedy at Day 7, 14 and 28 (p>0.05) for both groups. At 3rd month, patients in the triamcinolone group had lesser symptoms and better endoscopic findings (p<0.05).
Conclusion
Tualang honey is not as effective as steroid in achieving good wound healing and surgical outcomes in post endoscopic sinus surgery patients. Thus, it is not suitable as a substitute for steroid to reduce symptoms and prevent recurrence of disease.
Publisher
Walter de Gruyter GmbH
Subject
Complementary and alternative medicine
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