Comparison between Manuka Honey and Baby Shampoo Nasal Douching Procedures After Functional Endoscopic Sinus Surgery:...

Area of Science:

• Otolaryngology
• Rhinology
• Medical Research

Background:

• Chronic rhinosinusitis (CRS) is a persistent inflammation of the nasal and sinus lining lasting over 12 weeks.
• Manuka honey, derived from the Leptospermum scoparium bush, possesses mucolytic and antimicrobial properties.
• Baby shampoo contains surfactants with potential mucolytic and antimicrobial effects.

Purpose of the Study:

• To compare the efficacy of Manuka honey versus baby shampoo for nasal douching in patients with CRS after FESS.
• To evaluate the impact of these interventions on quality of life and nasal crusting.

Main Methods:

• A study involving 50 CRS patients undergoing FESS.
• Group A used 5% Manuka honey nasal douching; Group B used 10% baby shampoo nasal douching.
• Outcomes were assessed using the Rhinosinusitis Disability Index (RSDI) and a self-formulated Nasal Crusting Score (NCS).

Main Results:

• Manuka honey group (Group A) showed a 60.15% improvement in RSDI scores, while the baby shampoo group (Group B) improved by 51.70%.
• Nasal Crusting Score (NCS) improved by 83.46% in Group A and 77.61% in Group B.
• Both interventions improved quality of life and airway patency post-FESS.

Conclusions:

• Both Manuka honey and baby shampoo are effective in improving outcomes after FESS for CRS.
• Manuka honey demonstrated superior efficacy in clearing nasal crusts and achieving better symptom clearance.
• A novel Nasal Crusting Score (NCS) was introduced for improved assessment of nasal airway conditions.