Tualang honey versus steroid impregnated nasal dressing following endoscopic sinus surgery: a randomized controlled trial

Guhan Kumarasamy; Ramiza Ramza Ramli; Harvinder Singh; Baharudin Abdullah

doi:10.1515/jcim-2020-0001

Article

Tualang honey versus steroid impregnated nasal dressing following endoscopic sinus surgery: a randomized controlled trial

Guhan Kumarasamy , Ramiza Ramza Ramli , Harvinder Singh and Baharudin Abdullah

Published/Copyright: December 21, 2020

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From the journal Journal of Complementary and Integrative Medicine Volume 18 Issue 2

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.

Keywords: chronic rhinosinusitis; endoscopic sinus surgery; honey; nasal dressing; steroid therapy

Corresponding author: Baharudin Abdullah, Department of Otorhinolaryngology - Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia, Phone: +6097676416, Fax: +6097676424, E-mail: baharudin@usm.my

Research funding: None declared.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

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Received: 2020-01-01

Accepted: 2020-07-09

Published Online: 2020-12-21

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Articles in the same Issue

https://doi.org/10.1515/jcim-2020-0001

Keywords for this article

chronic rhinosinusitis; endoscopic sinus surgery; honey; nasal dressing; steroid therapy